HomeMy WebLinkAboutPROCODE ING - INSURANCE CERTIFICATEACC>ROr CERTIFICATE OF LIABILITY INSURANCE
DATE `"�19""
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 po8cy(Ms) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain polities may require an endorsement. A statement on
this oer{HTcats does not Confer rights to the.certlticate holder In lieu of such endoreeme s .
PRODUCER
aoNTAGTKevin Best
NAME:E
SfafelbM Best Insurance Agency Inc.
1990 59th Ave Unit D
970-330-1100 F No): 970330-3772
11wL S. kevin.j.tiestt0i6@statefann_com
® Greeley, CO 80634
INsu AFFORDING COVERAGE
Niut a
INSURER A: State Farm Mutual Automobile Insurance Company
25178
INSURED
ProcDde Inc.
360 Walnut Ave
Eaton, CO 80615-3656
INSURER B
INsuRKa: e
D6URER D :
INWRERE:
INSURER F :
l.1/YGR uL []FRTIFICATF NI Ie n1 - OG1nCtAu u� n�n�n.
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 THETERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_ _ .
LTR
TYPE OF INSURANCE
ADDL
em
R
P NUMBER
POLICY
P
UNITS -
COMMERCIAL GENERAL LIABLLRY
CLAIMS -MADE 0OCCUR
EACH OCCURRENCE
$
DAMAGE TO RMTrW-
PREMISES Eno= nce
$
NED EXP one )
$ D
PERSONAL S ADV INJURY
S
GEWL AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JJC-CT ❑ LOC
GENERAL AGGREGATE
S
PRODUCTS• COMP/OPAGG
S
S
OTHER
AUTOMOBLELIABILIrY
ANY OWNED
AUTOS O SCHEDULED
AUTOS ONLY AUTOS
Al 03ONLY AUTOS ONLY
Y
46394g6•C15-06
443 3822-B23-06
127 9377-F01.-06M
09/1&2019
08/2kol9
06/01/2019
03/15/2020
02,23/2D20
OMBINED (Ee NGLE M
S
BODILY INJURY (Par Px )
$ 1,000.00E
12/01/2019
BODILY INJURY (Per eccderrt)
S 1,000,000
PROPERTYDAMA -E IRK dent)
S 1,000,00E
S
445 6319-D04-05
10/04/2019
04/04f2020
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
S
EXCESS LIAB
CLAIMS -MADE
OED I I RETENTION _
_ _
S
WORKERS COMPENSATIONNY RS'
AND EMPLOYELIABILITY YIN
APROPRIETRI OPARTNE IE E:CUTNE
OFT10ERME48ER O(CWDED?
N/A
OT
PERTAH-
TUT ER
-
EL EACH ACCIDENT
S
E.L DISEASE - EA EMPLOY
$
(M d" In NH)
under H yyeese desvibe
DESCRIPTION OF OPERATIONS bebw
E.L DISEASE, POLICY LIMIT
S
DESCRBRION OF OPERATIONS I LOCATIONS I VENICLES OUMO 101, AddUlwul Ra rM SdmdWa, may he atla4ta0 M made apam u mqulraA)
Policy 443 3822-823-06 2018 Ford F1SO
Policy 463 9496-CIS-062019 Ford F750
Policy 127 9377-FOt-06M 2015 Ford F150
Policy 445 6319-004-06 2018 Ford F150
SHOULD ANY OF THE ABOVE DESCRIBED_ POLICIES BE CANCELLED BEFORE
THE EXPIRATION. DATE THEREOF, �t1p�1�C E WILL BE DELIVERED
City of Fort Collins ACCORDANCE WITH THE POLICY PR4: IA fi}bl o
Attn: Russ Hovland
PO Box 580 Auiiiolig p REPRESENTATIVE
�ddo AFO F625
Fort Collins CO 80522 /pal(
®1988.&15 ACORD-CORPORATION. All rights reserved.
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