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Home My WebLink About168310 SCHRADER OIL CO - INSURANCE CERTIFICATE (5)SCHRA-1 OP ID: GRTI ,a`oRo CERTIFICATE OF LIABILITY INSURANCE DATUM/2 Y3 09111/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Phone:719-593-5814 CONTACT NAME; Tim Gries Legacy Insurance Network Fax: 719-386-2075 3455 Briargate Blvd, Ste 215 Colorado Springs, CO 80920 Tim Gries PHONE N.E,I;719.593-5814 Fax Lc (aC No):. 719-388.2075 E-MA AooRILEss: tim@legacyinsurancebroker.com INSURERS) AFFORDING COVERAGE NAIC# �1 U INSURERA; United States Fire Ins. CO. INSURED Sc h ra der Oil Cto Schrader Properties INSURER B: Pinnacol 41190 Schrader Land Cc INSURERC: INSURER D: RSB: S LLP 320 N College Ft Collins, CO 80524 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDIISUBRI PLIPOLICY NUMBER MMIDOlYVYY MM O�fYVYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE lxl OCCUR 5068738269 06/30/2013 06/30/2014 EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,00 S 100,000 MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. X POLICY FI PRO-IILOG IFCT PRODUCTS - COMPIOP AGO $ 1,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOOSCHEDULED S NED AUTOS NON -OWNED HIRED AUTOSX AUTOS 5068738269 06/30/2013 06/30/2014 EOa BINEDtSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X $ X PROPERITY DAM(AGEawitlenl) Per accident $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 5237077797 06/30/2013 06/30/2014 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DED X I RETENTION$ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes desailhe under DESCRIPTION OF OPERATIONS below NIA 4061859 10/01/2013 10/01/2014 WC STATU- 4RY_MM(T E Ei. EACH ACCIDENT $ 1,000,000 EL DISEASE -EA EMPLOYEE $ 1,000,00 E L DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required!) CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Tim Gries U 1938-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD