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HomeMy WebLinkAboutDOUBLESTROKE TRUCKING LLC - INSURANCE CERTIFICATE (8)Client#: 51490 DOUTR ACORDTE ,,. CERTIFICATE OF LIABILITY INSURANCE D 6/1912014YYY) ns/zola 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 endorsement(s). PRODUCER COITACT Beth Isakson NAME: Flood & Peterson Ins., Inc. PHONE g70 355-0123 rax 970 506.6850 AIC No ElI: AIC, No P. O. Box 578 ADDRESS: bisakson@floodpeterson.com Greeley, CO 80632 INSURER(S)AFFORDING COVERAGE NAICp 970 356-0123 INSURER A: Great West Casualty INSURED INSURER B : Doublestroke Trucking LLC 1200 Crest Ct NSURERC: Windsor, CO 80550 INSURER D: 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE NSRL SUSR WVD POLICY NUMBER MMIODY� Y EXP MWDDrfM LIMITS A GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR GWP86978D 0512312014 0512312015 EEDACH��OEECTCTURRENCE $1 00D 000 PREMISESOEaoccu ence $100000 MED EXP (Any one person) $5 000 PERSONAL S ACV INJURY $1,000000 GENERAL AGGREGATE E2,000000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO- LOC JECTA PRODUCTS - COMPIOP AGG s2,000000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS x AUTOS HIRED AUTOS X NON -OWNED AUTOS GWP86978D 512312014 05123/201E EOMaBINBEDSINGLELIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per aCCidenQ $ N PROPERTY DAMAGE Per amdent E E UMBRELLA LIAB EXCESS LIAB HOCCUR CLAIMS -MADE EACHOCCURRENCE S AGGREGATE $ DEO RETENTION $ S WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YINER ANY PROPRIETOR/PARTNERrEXEOUTIVE OFFICERJMEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC STATU- OTH- E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT I $ A Broad Form Cargo GWP86978D 5/23/2014 0512312015 $5,000 per Unit $500 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins is listed as an Additional Insured in regards to the General Liability and Auto Liability. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Purchasing ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S900582/M889911