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HomeMy WebLinkAbout168310 SCHRADER OIL CO - INSURANCE CERTIFICATE (6)THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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(les) 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 endomement(s). PRODUCER Legacy Insurance Network 3455 Briar9ate Blvd, Ste 215 Colorado Springs, CO 80920 Tim Gries CONTACT Tim Gries FAX acNrio E.t:719.593-5814 k No: 719-388-2075 E-MAIL tim@legacyinsurancebroker.com AooREss: INSURER(S) AFFORDING COVERAGE NAICN INSURER A: United States Fire Ins. CO. 21113 INSURED Schrader Oil Co Schrader Properties INSURER B: Plnnacol 41190 INSURER C Schrader Land Co RS& S LLP, SCHRADER PROPANE 320 N College INSURER D : INSURER E: Ft Collins, CO 80524 INSURER F: 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 ORI 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. INSR LTR TYPEOFINSURANCE POLICY NUMBER MMIIODYIYYYY MM%DDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 506-877095-7 06/3012014 06/30/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Eaoaurtores S 100,00 MED EXP(Any one person) $ 5,00 CLAIMS -MADE Fx_1OCCIUR PERSONAL B ADV INJURY E 1,000,00 GENERAL AGGREGATE E 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS-COMP/OP AGG E 1,000,00 E A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS I 506-877095-7 06/30I2014 06/3012015 E eBBIINNED SINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ X BODILY INJURY (Per acadent) $ HIREDAUTOS X NON-0 AUTOS i ED X PROPERTY DAMAGE PER ACCIDENT $ E A X UMBRELLA LIMB EXCESS UAS _DEDTX X OCCUR CLAIMS -MADE 523-800168-3 06130/2014 06/30/2015 EACH OCCURRENCE E 4,000,OD AGGREGATE E 4,000,00 RETENTIONS O E B WORKERS COMPENSATION AND EMPLOYERS' LIABILTY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERMIEMBER EXCLUDED? ( YIN ❑ NIA 061859 10101/2013 10101/2014 WC STATU- TH- X T RV LIMIT ER E.L. EACHACCIDENT a 1,000,00 (Mandatory in NH) ne I E.L. DISEASE -EA EMPLOYE E 1,000,00 E. L. DISEASE -POLIO. LIMIT E 1,000,00 Nunder DIf ESCRIPTION DESCRIPTION OF OPERATIONS trelow DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Rmnsft Schedule, If mom space Is required) CITY OF FORT COLLINS PO BOX 580 1 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 ©1988-2010 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD ACORD 25 (2010/05)