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Home My WebLink About495725 STEVE SCHMIDT TRUCKING INC - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE REVISED DA12/ 0/201 PRODUCER Serial # 114111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MACHANN INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11160 NO. HURON, STE. 36 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTHGLENN, CO 80234 INSURERS AFFORDING COVERAGE NAIC# INSURED WSURER A: ACUITY A MUTUAL INSURANCE COMPANY C. ��--77 ST PINNACOL ASSURANCE INSURERB: 495'7'�5 BOXCHMIIDTTRUCKING,IN40 i INSURER D: WINDSOR, CO 80550-0704 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 DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY E M ppTIVE POLI EY M%$P/ID TION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR L68262 8/29/13 8/29114 DAMAGE TO RENTED S Es�rence) S 100,000 MED EXP one on $ 5,000 PERSONAL $ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICYFj PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMB (Ea amidenq S 1,000,000 X BODILY INJURY (Per Peron) $ A ALL OWNED AUTOS SCHEDULED AUTOS L68262 8/29/13 8/29/14 X X BODILY INJURY (Per accII $ HIRED AUTOS NON -OWNED AUTOS PROPERTY AMAGE (PeracGdent $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANYAUTO $ AUTO ONLY. AGG EXCESSIUM13RELU LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ S DEDUCTIBLE $ RETENTION $ WORKER'S COMPENSATION AND WC g X T pfATI- OTR i B EMPLOYERS' LIABILITY ANY OFFICERIMEMBEREXCLNERI ECUTIVE ya SPder EGIAALLe ROVISIIONS I»I. 4051302 1/1/14 1/1/15 EL EACH ACCIDENT s 500,000 EL DISEASE - EA EMPLOYEE $ 500,000 EL DISEASE -POLICY LIMB S 500,000 OTHER LIMIT: $10,000 A MOTOR TRUCK CARGO L68262 ..................................... 8/29113 ..................... 8/29/14 ..................... DEDUCTIBLE: $500 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PRONSIONS CERTIFICATE HOLDER IS AN ADDITIONAL INSUREDS PER ATTACHED CG 2010 (7-04) ON THE GENERAL LIABILITY. ADDITIONAL INSURED STATUS INCLUDES AUTOMOBILE LIABILITY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN CITY OF FORT COLLINS PURCHASING DEPT. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.O. BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FT. COLLINS, CO 80522-0580 FAX: 970-221-6707j� REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 3 i ACORD 25 (2001108) It ACORD CORPORATION 1988