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HomeMy WebLinkAbout564723 ALL-OUT TRUCKING INC - INSURANCE CERTIFICATEALLOUTT OP ID: ALS ,4COR 6 - �„_� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02I01/2019 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 Phone: 303-430-5725 NAME: CONTACT Truckers' Equity Agency, Inc. PO Box 417 Fax: 303-430-7698 Wheat Ridge, CO 80034-0417 Julie A McBee PHONE FAX c No, Extl: _ I((A/c No): ADDRESS: -- INSURER S AFFORDING COVERAGE NAIC # _ INSURER A: Wilshire Insurance Company _ INSURED All -Out Trucking Inc INSURER B : 40590 Leif Ln Ault, CO 80610 INSURER c INSURER D : INSURER E : INSURER F : COVFRAGFR 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 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. TYPE OF INSURANCE ADDL SUB POLICY NUMBER MM/DDYYYY MMLDD YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 rA X COMMERCIAL GENERAL LIABILITY X BA2605696 01/21/2019 01/21/2020 NIAGE T RENTED PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 CLAIMS -MADE OCCUR i PERSONAL i3ADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 1,000,000 $ X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 11000,000 BODILY INJURY (Per person) $ A ANY AUTO X BA2605696 01/21/2019 01/21/2020 BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS DAMAGE PROaccident) PROPERTY (Per $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE WC STATU- OTH- TCRYIMI I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) endorsement naming certificate holder as additional insured has been requested from company TE HOLDER City of Fort Collins Purchasing Dept PO Box 580 Ft. Collins, CO 80522 CITYFOR 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 V 1Udd-ZU9U AL UKLJ I,UKYVKA 1 IUPI. All rigrub rebvrveu. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD