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HomeMy WebLinkAbout498970 HILL ENTERPRISES INC DBA HILL PETROLEUM - INSURANCE CERTIFICATE--'ali HILLt-3 UY lu: Vm ,a►coR/o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 09/27/2013 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 PRODUCER Phone: PFS Insurance Group - JT Fax: 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 FAX E.U: _ (A/C, No): INSURER(S) AFFORDING COVERAGE NAICN INSURER A: Nationwide Agribusiness Ins Co 28223. INSURED Hill Enterprises, Inc., DBA INSURER B: Hill Petroleum ����O _ 6301 Ralston Road INSURER C: Arvada, CO 80002 INSURER D : INSURER E : INSURER F : rV1VCCI ❑FRTIVUr ATF NI IIu1R90• RFVISION Nr1NIBER] 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. WR; TYPE OF INSURANCE ADDL SUBR POLICY NUMBER--� POUMMID EFF M OCw LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 p X COMMERCIAL GENERAL_ LIABILITY BINDER 1010112013 10/0112014 DAMAGE TO RENTED PREMISES (Ee occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ _ 510 01 �1,000, X BlktAdd9lns'd PERSONAL BADVINJURY $ X BlktWVrofSub GENERAL AGGREGATE $ 2,000,0 GATE GEN'L AGGRELIMn APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,0 PRO- LOC POLICY $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(EG apoden9. -ill 1,000,0 $ A X ANY AUTO BINDER 10/01/2013 10/01/2014 BODILY INJURY(Perparaon) BODILY INJURY(Per accident) s ALL OWNED SCHEDULED AUTOS NON�OVMED rl PROPERTY DAIM�nEAUTOS Paramnt ide X HRED AUTOS MCS90 s X SlktAl BIktWOS X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 p PXCESSL70 C AIMS -MADE BINDER 10/01/2013 10101/2014 DED RETENTION $ $ WORK ERB COMPENSATION ','CBTATULIM - OTH- RY FIR AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE E.L DISEASE- POLICY LIMIT $ If yes, describe under ESCRIPTION OF OPERATIONS b.b p lProperty BINDER 10/01/2013 10(01)2014 Buildings 11,063,91 Ded $5,000 BPP 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ItnaAe apace la requited) jhume@fcgov.ci= r FRTIFIr ATF HOI nFR CANCELLATION FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins Financial Services AUTHORIZED REPRESENTATIVE Purchasing Division P O Box 580 Fort Collins CO 80522 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD