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HomeMy WebLinkAbout554663 BAKER TRUCKING LLC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE 1°°IT 10/182016182016 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), AUTIIORRED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: Xme cesgfiuk M1dtlm ism AODRgNALINSUPED, iM1e polkyges) must 6emMomed. 113UBROGATIONISWANED,subjeNto (M1escon; and conditions MUM Policy, certsin polickd may mcuka an mmmmmnt. A Memenl on Mu cNliMmk dsas not uldar H9M1h folhe ca mte Bolder In Ilea of such endamements) PRODUCER Walsh Insurance Agency, Inc. 1752 Talent Dnva Loveland. CO 80537 Phone (970)681 Fax 970)663-]183 CCNTMc NAME: Desiree I�3B404 NE (9]0)E8Ns, (9701 EMAIL dedrentinvalnsumnse.cdm um AFFwmwo covenAas NMC# INSURER A; PROGRESSIVE INSURED Sugar Tmecing U-C 814 Scotch Pine Drive Serverance CO 80550 INSURER B: PINNACOL NMIRERC: INSURER°: INSURER E: WWRER F; REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED MOVE FOR THE POLICY PERIOD INDICATED. NOTW THSTMNDING 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, INefl LR TWEMI° MINCE MMYNGMBFN MOMCY FFF LIPIO�UCY P MMn A ® OWMERCIAGENERALLMBILIIY ❑ GAIMSAAP➢E © °CCIAi ❑ V 029]46910 IX/14/2(11g 04/141201] EACH OCCURRENCE § 1.000,000.01D PREMISES Eu occuMece $ 100,000.00 NED EXP Mnysn.Penm § 5,000.00 ❑ PERSONAL a ADV NJURY § 1,000,000.00 GENTAGGREGARIUMITAPPLIESPER 0 POLICY ❑ U CT ❑ LOCI ❑ Omen GENERALAGGREQATE § 2,000,000.00. PRODUCTB.COMPOPAGG § 2,000,000.00 $ A .mOMoeAE LMBILT' ❑ AWAUTO ❑ AUTOS NEO SCHEDULED ON -OWNED ❑ HIREOAUTOS ❑ NAUTOS ❑ Ej§ Y 0297489M W14/2016 ON1412017 MBIINGLE LMR SDo,ago.aD B(MLY0IJURY1Psr;PmU) § BOOlY INNURY (PmemU rarJEmr B ❑ Usddadn L B ❑ OCCUR ❑ EXCESS LIAR ❑CIMMSMMIE EACH OCCURRENCE § AGGREGATE ❑ DED ❑ RETEMIENS E B WORXERGCOMPFNMTI°N Me EMPLOYERS' WBBITY Y/N ANY PROHUETORTARTNEWEXECM OFFICERMIEMBEREXCLUDED'/ N (Mwge MNID Ilyae. CoccMeurvbr DESCNPRON OF OPERATIONS Ldw' WA 4JM41 D]1129/2016 D]i2WD1] ©PER ❑OTH EL. EACH ACCIDENT § 100.000.00 E.LDISEA4E-FA EMROYE § 1DD.DDO.OD F1. °ISEPSE-POLICY LIMB DESCRIPTION OF OPERATmN4/LOCATIONS / VEHICLES (Mach MORO 101, AddNlmal Rumania SCBsculs, If MUM scam is M"Ince CeNOTate holder is listed as an additional insured on general Iiahility and commercial auto. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCOROANCE WITH THE POLICY PROVISIONS. PURCHASING DEPARTMENT R AVTxoR¢eo REPRESENTATIVEFOCOLLINS,FORT COLLICO 80522 01S M14 ACORD CORPORATION. All dghte reserved. ACORD 25 (2014N1) OF The ACORD name and logo are registered marks of ACORD