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Home My WebLink AboutRHINEHART OIL CO INC - INSURANCE CERTIFICATE (3)AC40 ® FDAIE (MM/DD/YVYY) CERTIFICATE OF LIABILITY INSURANCE /11/2017 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). FPRODUCERCONTACT Tina SchuberNAME: g IInsurance Services (Pv"c°Nr o. Ext): (800)548-1494 A/C No:610-537-2060 Box 64422 E-MAIL., tina.schubergftsi.com St. Paul INSURED Rhinehart Oil Co Inc PO Box 418 MN 55164-4422 INSURER(S) AFFORDING COVERAGE _ NAIC # INSURER A:Farmland Mutual Insurance Co 13838 INSURERB:Nationwide Agribusiness Insurance 28223 INSURERC:Endurance American Insurance Co American Fork UT 84003 1 INSURERF: rnVFRAGFS rFRTIFICATE NUMBFR:17/18 CERTS 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. INSR TYPE OF INSURANCE LTR ADDL SUBR POLICY NUMBER MM% D/POLICYYYYY MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE To RENTED PREMISES (E. occurrence) $ 1,000,000 MED EXP (Any one person) $ Excluded CPP117238A CGLB049 BROAD POLLUTION 11/1/2017 11/1/2018 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY _PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY _ COEa acMBINED SINGLE LIMIT cident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO A BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS CPP117238A 11/1/2017 11/1/2018 PROPERTY DAMAGE Per accident $ X X NON -OWNED HIRED AUTOS AUTOS MCS-90 INCLUDED $ CA9948 BORAD POLLUTION A X UMBRELLA LIAB X OCCUR CU117238B 11/1/2017 11/1/2018 EACH OCCURRENCE $ 5,000,000 AGGREGATE _ $ 5,000,000 C X_ EXCESS LIAB CLAIMS -MADE EXC30000480500 11/1/2017 11/1/2018 DEDp X I RETENTION $ 0 EXCESS LIABILITY $ 5,000,000 WORKERS COMPENSATION X PER E OTH- STATUTER AND EMPLOYERS' LIABILITY Y (N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N N/A E.L. DISEASE - EA EMPLOYEE $ 500,000 B (Mandatory in NH) WCC117238A 7/1/2018 7/1/2019 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 A CARGO/PROPERTY IN TRANSIT COP117238A 11/1/2017 11/1/2018 LIMITS 2,000,000 D EXCESS LIABIITY CEX0960251801 11/1/2017 11/1/2018 LIMITS 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance. rCQTICIf`ATF Iafll 11117R rAKIrFI I ATlnhl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE Jeff Pridey/TSCHU © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)