HomeMy WebLinkAbout498970 HILL ENTERPRISES INC DBA HILL PETROLEUM - INSURANCE CERTIFICATE (9)CE
OF LIABILITY INSURANCE
DATE (MWDD/YYYY)
O5/22/2020
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.
If SUBROGATION IS WAIVED, subjeot to the terms and
this certificate does not confer rights to the certificate
Flood and Peterson
PO Box 578
Greeley
HillEnterprises Inc, DBA: Hill Petroleum
6301 Ralston Road
Arvada
require an
A statement on
PHONE (970)356-0123:Noo (970)330 1867
E-MAIL s-: SSloan®floodpeterson.com
AnnRF
R(S) AFFORDING COVERAGE
Insurance Companies
18058
41190
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
HAVE BEEN ISSUED TO THE IINSURED 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
- _._ __. _ _._ - _.
POUCY NUMBER
- POLICY-
MMID
.POLICY.EXP..-
MMID
_ —_.OMITS___
COMMFACIAL GENERAL LU181LRY
_�-- ��- -
-""
-
EACH OCCURRENCE _
$_1,000,000
-_
rA
CLAIMS -MADE ® OCCUR
PREMISES E aurrence -
$_ 100_000
MED EXP An ane reon. __
$_O.�__
PHPK2136615
06/01/2020
06/01/2021
PERSONAL&AOV-INJURY. -
$-1,000,000-_
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE. _
"$ z000,,000
PRODUCTS_COMP/OP.AGG
$ 2;000,000
X POLICY 7 ECTT 7 LOC
$ - - -- —
OTHER:
AUTOMOBILE LIABILITY
-
- - � -"
COMBINED 'SINGLE LIMIT
Ea accident)--
$ 1,000 000
a CDILY1V(P NJURer person)
X ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
X AUTOS ONLYJ_X AUTOS ONLY
PHPK213
615
06/01/2020
06/01/2021
BODILY'iNJURY(Per aw-'dent)
$ _ -
-PROPERTY DAMAGE ---" -" - -"
Per aoddeM
"-
$
UMBRELLA UAB
OCCUR
EACH OCCURRENCE-
$ 5,900,000.
AGGREGATE
5,000 000
A
EXCESS OAB
CLAIM MADE
PHUB723540
06/01/2020
06/01/2021
DED
RETENTION .$ 10,000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LiniLITY
_ _ .YIN
ANY PROPRIETOR/PARTNERA?XE^JTIVE
OFFICER/MEMBEREXCLUDED? V �_
(MandatoryinNF)
NIA
4148287
"' "'
06/01/2026
O6/01/2021:.____-___.__-
PER OTH-
STATUTE ER
E.L.ACH ACCIDENT
_
1000000
'$ 1.--
E.L.DISEASE - EA EMPLOYEE,
:$ 1,000000
-- --- --" - --- _ -"- -
- -1 000,000" --
.$..'. __...
If yes, describe under
DESCRIPTIONOFOPERATIONSbelow
_..
.. _.__.E.L.DISEASE-POLICYLIMIT
DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Acidiftions
Remarl® Schedule, may be atfaePis 0 Hincre apace 19 raqulrea)
rFRTIFIrATE HnLneR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE'
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins Financial Services, Purchasing Division
ACCORDANCE WITH THE POLICY PROVISIONS.
215 N Mason St 2nd Floor
-- - - - "
AUTHORIZED REPRESENTATIVE
-
PO BoiL580
Fort Collins CO
80522
"` , ....:.,'r .....
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