HomeMy WebLinkAboutWALDO TRUCKING - INSURANCE CERTIFICATE (4)ACORD,M CERTIFICATE OF LIABILITY INSURANCE
DAT //08 YY)
01/24/24
PRODUCER Welsh InsuranceAgency Inc
4033 Boardwalk Drive Suite #200
Fort Collins CO 80525
Phone (970)206 1810 Fax (970)206 1808
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
NAIL #
INSURED Waldo Trucking Inc
INSURER UNITED FIRE GROUP
INSURER B
9925 Waldo Lane
INSURER C
Wellington CO 80549
INSURER D
NSURER E
COVERAGES
INSURERF
THE POLICIES OF INSURANCE LISTED 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 OF
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
ADDL
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DOIYY
POLICY E%PRATWN
DATE MMIDDN
LIMBS
A
❑
GENERAL LIABILITY
J❑ COMMERCIAL GENERAL LIABILITY
❑❑ CLAIMS MADE S01 OCCUR
❑
PENDING
02/08/08
02/08/09
EACH OCCURRENCE
1 000 000
DAMAGE TO RETT-ED
PREMISES Ea occure ce
100 000
MED EXP (Any one person)
5 000
PERSONAL B ADV INJURY
1 000 000
❑
GENERAL AGGREGATE
2 000 000
GEN L AGGREGATE LIMIT APPLIES PER
0 POLICY ❑ PROJECT ❑ LOC
PRODUCTS COMP/OP AGG
2 000 000
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ ALL OWNED AUTOS
PENDING
02/08/08
02/08/09
COMBINED SINGLE LIMIT
(Ea accident)
1 000 000
A
❑
`❑ SCHEDULED AUTOS
❑ HIRED AUTOS
❑ NON OWNED AUTOS
BODILY INJURY
(Per Verson)
BODILY INJURY
(Per accident)
❑
PROPERTY DAMAGE
(Per accident)
❑
GARAGE LIABILITY
❑ ANY AUTO
❑
AUTOONLY EAACCIDENT
OTHER THAN EA ACC
AUTO ONLY AGG
EXCESS LIABILITY
EACH OCCURRENCE
❑
❑ OCCUR ❑ CLAIMS MADE
AGGREGATE
❑ DEDUCTIBLE
❑ RETENTION
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER MEMBER EXCLUDED?
❑W C STA r
TORYSLTA S ❑ ERH
E L EACH ACCIDENT
E L DISEASE EA EMPLOYEE
If yes describe under
SPECIAL PROVISIONS below
EL DISEASE POLICY LIMIT
OTHER
DESCRIFTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED
BY ENDORSEMENT/ SPECIAL PROVISIONS
EXCAVATION AND HAULING
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City of Fort Collins PURCHASING DEPARTMENT 10 DAYS WRrrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
Attn Purchasing THELEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
PO Box 580 OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES
Fort Collins CO 80522