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HomeMy WebLinkAbout168310 SCHRADER OIL CO - INSURANCE CERTIFICATE (9)ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `66�" 04/25/2019 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 have ADDITIONAL INSURED provisions or 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 endorsements . PRODUCER Lindberg & Associates Ins LLC CONTACT — 233 Wythe Creek Rd PHONE (757)659-0545 FAX ,(877)607-7620 Suite 202 E-MAIL ADOREs__ Poquoson VA 23662- INCI11*00 41 APCnDn1Yr rnVPRAOP werr. IN :EMCASCO Insurance Company 21407 INSURED INSURER B:EMC Ins. Companies Schrader Oil Company IN RE c :Employers Mutual Casualty Company 21415 320 N College Ave. INSURER D : _ Fort Collins CO 80524- fY1VGRAr_FC f:FRTIFICATF NIIMRFR• RFVI1RIf)N NIIMRFR: 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. INSR ITR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS B COMMERCIAL GENERAL LIABILITY 6W03723 05/01/2019 05/01/2020 EACH OCCURRENCE $ 1+000+��� CLAIMS -MADE OCCUR DAMAGPEMSE TE.O RENTED $ 300,000 MED EXP (Any oneperson) $ 5,000 _ PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG S 2+000+000 RO- POLICY [] PRO JECT � LOC $ OTHER: A AUTOMOBILE LIABILITY 6E03723 05/01 /2019 I05/O1 /2020 COMBINED SINGLE LIMIT .,nden ) $ 1,t)t)0,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ $ OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE - - C X UMBRELLA UAB X OCCUR 6JO3723 05/01/2019 05/01/2020 EACH OCCURRENCE $ 4,000,000 AGGREGATE _ _ _ EXCESS LIAB CLAIMS -MADE $ _ X RETENTION$ 10,000 $ WORKERS COMPENSATION PER STATUTE OTH- AND EMPLOYERS' LIABILITY Y f N ANY PROPRIETOR/PARTNER/EXECUTIVE --- - - ---- $ E.L. EACH ACCIDENT IOFFICER/MEMBEREXCLUDED? El NIA (Mandatory in NH) i E.L. DISEASE - EA EMPLOYEE $ DISEASE -POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONSE.L. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER GANGtLLA I IUN City of Ft. Collins P.O. Box 580 Ft. Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CO 80522- AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD