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Home My WebLink About128575 GRAY OIL CO INC - INSURANCE CERTIFICATE (3)ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(p1VY) PRODUCER Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAMAI INSURED / �-r S Grey Oil Co Inc 804 Denver Ave Fort Lupton, CO W621 INSURER A: Pi11naco1 Assurance 41180 INSURER B' INSURER C. INSURER D'. INSURER E. COVERAGES 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 DOCUMMENT 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. INSR AGD1. POLICYEFFECTIVE POLICYMPIRATION LTR INIRD TYPE OF INSURANCE POLICY NUMBER oxmr Np/YVW OA UNITS; GENERAL LIABILYn' EACHOccLMRENCE DAMAGE TO RENTED CO MMERCIALGENERALLMBLLITT CIAIMS MADE n OCCUR PREMISES MED EMNAny R m PERSpJAL 6ADV WJURY GENL AGGREGATE LIMITMPLIERS PER: GENERAL AGOREGATE PRODUCTS -COMPIOP AGO POLICY PROJECT Lac AUiprOBILE LMBILT' COMBINED SINGLE LIMIT ANY AUTO & Am BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (P.P.n) BODLLYINJURY HIRED AUTOS N01*-0WNEOAUTOS PMav+aMx PROPERTY DAMAGE (Pars M) yyy�U"UTY AUTOONLY-EAACCIDEM OTHER THAN EA ACC ANYAUTO Ault,N Y:AIN EXCESLUMBRELLA LIABILITY EACH OCCURRENCE OCCUR CLAIMSM1101 AGGREGATE DEOUCTIRLE RETENTION S WORMERS COMPENSATION AND WC 3TATU Li OTHER A EMPLOYERS LIAMLRY ANY PROPRIETORRARTNEIWEXCCUTNE 1350372 02OlIM14 02I01=15 TORY LIMITS E.L EACH ACCIDENT S1,DDo.000 OFFICERMEMBER EXCLUDED? ELOISEASE-FA EMPLOYEE $1,000.000 IIyAF, pluuOe�nlAeuMar SP@CAL PROWSONB INbw ELOISEASE_POLICYLRArt I _$1000�Op0. OINBt DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1502485 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO P.O. Box 580 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Fort Collins, CO 80522-0580 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michelle Madrid-Kneebone ACORD 25(2001108) Underwriter _ ACORD CORPORATION 1988