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ACORDCERTIFICATE OF LIABILITY INSURANCE
DA02/1331008nYI
PRODUCER Welsh Insurance Agency 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
NAIC#
INSURED Waldo Trucking Inc
9925 Waldo Lane
Wellington CO 80549
INSURER A UNITED FIRE GROUP
INSURER B
INSURERC
INSURER D
INSURER 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 OR
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 MAYHAVE BEEN REDUCED BY PAID CLAIMS
INSR
LTR
ADDL
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MiNDD
POLICY EXPIRATION
DATE MMA]DAN
LIMITS
A
Q
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
❑❑ CLAIMS MADE ❑� OCCUR
❑
PENDING
02/08/08
02/08/09
EACHOCCURRENCE
1000000
DAGE-TOQ
PRREM SES EaERccurence
100 000
MED EXP(Anyone person)
5000
PERSONAL aADV INJURY
1 000 000
❑
GENERAL AGGREGATE
2 000 000
GEN L AGGREGATE LIMIT APPLIES PER
R] POLICY []PROJECT ❑ LOC
PRODUCTS COMP/OP AGG
2 000 000
A
❑
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ ALL OWNED AUTOS
O SCHEDULED AUTOS
❑ HIREDAUTOS
❑ NON OWNED AUTOS
❑
PENDING
02/08/08
02/08/09
COMBINED SINGLE LIMIT
(Ea accident)
1000000
BODILY INJURY
BODIL INJ URY
(Per ecnderR)
Ber accident)
PROPERTY DAMAGE
(Per accident)
Ll
❑
GARAGE LIABILITY
❑ ANY AUTO
❑
AUTOONLY EAACCIDENT
OTHER THAN EAACC
AUTO ONLY AGG
❑
EXCESS LIABILITY
❑ OCCUR ❑ CLAIMS MADE
❑ DEDUCTIBLE
❑ RETENTION
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERV LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Ifyes descnbeunder
SPECIAL PROVISIONS below
WC STATLL OTH-
❑ WC ST TUT ❑ ER
EL EACHACCIDENT
EL DISEASE EAEMPLOYEE
EL DISEASE POLICYLIMIT
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
EXCAVATION AND HAULING
CERTIFICATE HOLDER IS AN ADDITIONAL INSURED FOR GL
--..... .--. r . -- I ANUCLLRTUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City of Fort Collins PURCHASING DEPARTMENT
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
Attn Purchasing
THE LEFT BUT FAILURE TO DO 808HALL IMPOSE NO OBLIGATION OR LIABILITY
PO BOX 580
OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES
AUTHOR12ED REPRESENTATIVE
FortCollins CO 80522
fax 221 67076
ACORD 25 (2001/08) 0ACORO CORPORATION IeRR