HomeMy WebLinkAboutDOUBLESTROKE TRUCKING LLC - INSURANCE CERTIFICATE (7)POLICY NUMBER: GWP86978C
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL AUTO COVERAGE PART
The provisions of the Coverage Form apply unless modified by this endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below.
Named Insured
Endorsement Effective
DOUBLESTROKE TRUCKING LLC
MAY 23 2013
Endorsement Number
GREAT WEST CASUALTY COMPANY
FLOOD & PETERSON INSURANCE INC
SCHEDULE
Policy Expiration �MAAY�2014�
Name of Additional Insured:
CITY OF FORT COLLINS
ATTN PURCHASING
PO BOX 580
FORT COLLINS CO 80522
Description of Covered "Auto(s)":
APPLIES TO ALL TRUCKS, TRACTORS & TRAILERS OWNED, LEASED, HIRED,
RENTED, OR BORROWED WHICH ARE USED BY THE NAMED INSURED
A. Section II - Liability Coverage, Paragraph A.
Coverage, Subparagraph 1. Who is an Insured is
changed to include as an "insured" the person or
organization shown in the SCHEDULE on this
endorsement only if they are liable for the conduct
of an "insured" shown in the Who is an Insured
provisions and only to the extent of that liability.
B. Coverage provided by this endorsement applies to
'auto(s)" described in the SCHEDULE on this
endorsement.
C. The coverage provided by this endorsement ends
when the Additional Insured is not liable for your
conduct or the Policy Expiration Date, whichever
occurs first.
D. The Additional Insured shown in the SCHEDULE
on this endorsement is covered for an amount up
to the Limit of Insurance required in an agreement
with you or the policy's Limit of Insurance,
whichever is less.
E. Any coverage provided by this endorsement is
excess over any other valid and collectible
insurance available to the Additional Insured
whether primary, excess, contingent, or on any
other basis unless the contract or agreement you
have with them requires that this insurance be
primary.
CA 49 0103 12 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1
Copyright, Insurance Services Office, Inc., 1986
POLICY NUMBER: GWP86978C
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
The provisions of the Coverage Form apply unless modified by this endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below.
Named Insured
Endorsement Effective
DOUBLESTROKE TRUCKING LLC
MAY 23 2013
Endorsement Number
GREAT WEST CASUALTY COMPANY
FLOOD 8 PETERSON INSURANCE INC
SCHEDULE
Policy Expiration Date: MAY 23 2014
Name Of Additional Insured Person(s) Or Organization(s):
CITY OF FORT COLLINS
ATTN PURCHASING
PO BOX 580
FORT COLLINS CO 80522
Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I
A Who is an Insured is changed to include as an B. The coverage provided by this endorsement shall
additional insured the person(s) or organization(s) be subject to all the terms, conditions, and
shown in the SCHEDULE on this endorsement but exclusions of the policy and all endorsements
only to the extent that the liability arises: attached thereto.
1. In the performance of your ongoing
operations, or
2. In connection with your premises owned by or
rented to you;
and only to the extent that the additional insured is
vicariously liable for your conduct.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Limits of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
2. If coverage provided to the additional insured whichever is less.
is required by a contract or agreement, the This endorsement shall not increase the
insurance afforded to such additional insured applicable Limits of Insurance shown in the
will not be broader than that which you are Declarations.
required by the contract or agreement to
provide for such additional insured.
CG 49 04 04 13 Includes copyrighted material Insurance services Office, Inc. with its permission. Page t of 2