HomeMy WebLinkAbout320030 MORRIS TRUCKING - INSURANCE CERTIFICATE (4)09/08/2008 00 42 9706637183
PAGE 01
CERTIFICATE OF LIABILITY INSURANCE ! DATE IMMIDDIYY)
PRODUCER Walsh Insurance Agency Inc
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THIS CERTIFICATE IS ISSUED AS q MATTER OF INFORMATION
1310 East Eisenhower Blvd
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Loveland CO 80537
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
Phone (970)683.8/04 Fax 970 3-7163
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ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE NAIC A
INSURED Morris Trucking LLC
INSURER A UNITED FIRE GROUP
7050 Ecr68
INSURER S
Wellington CO80549-
INSURER
L(970) 5W9436
I INSURER D
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COVERAGES
IN_SURER E
INSURER
THE P606ES 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
MAY PERTAIN THE INSURANCE AFPORDED BY THE POLICIES DESCRIBED
DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
HEREIN
POLICIES AGGREGATE LIMITS SHOWN
IS SUBJECT TO ALL THE TERMB EXCWSIONS AND CONDITIONS OF SUCH
MAY HAVE BEEN REDUCED By PAID
CLAIMS
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AOdL II
E18Ra_ ---TYPE OF INSURANCE
POLICY NUMBER
I POLICY EFFECTIVE FDDDY UNRATO,
DATt(Mwopyy) DATE(MMIDOHY) LIMITS
GENERALLIABBJTY
EACH OCCURRENCE 10000001
ICI COMMERCIAL GENERAL LIABILITY (PENDING
DAMAGETC-RENTED
09l08/OB 09/08l09 PIREMiSES_(Ea00Cnce) 100&0
IleMEDEXPWIyoneDenson)
A
�� CIAIMSMODE I_I OCCUR
NJ UR
1
5000
PERSONAL AACV INJURY 1000000I
GENERAL AGGREGATE 200D000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMPIOPAGG 200000p
I I POLICY PROJECT LOC
AUTOMOBILE LIABILITY
I
ANY AUTO PENDING
09MB/08 09/08/09 mw ED SINGLE LIMB
(Ea.cGdeMl 1000000I
(Ea
Vi ALL OWNED AUTOS
A I I SCHEDULED AUTOS
BODILY INJURY
( HIREDAUTOS
(Per Person) __ I
IF NON OWNED AUTOS
BODILY INJURY
I
(PersDClMnq
�1
PROPERTY DAMAGE
(Per e=*m)
GARAGE LIABILITY
AUTOONLY EAACCIDENT
ANY AUTO
l
OTHER THAN EA ACC I
I I AUTO ONLY AGO
EXCEWA MBRELLA LIABILITY
EACH OCCURRENCE
(� OCCUR r CLAIMS MADE
(AGGREGATE
DEDUCTIBLE
RETENTION $
I
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
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LMMTS
ANY PROPRIETOR I PARTNER I EXECUTIVE
TORY ER
LT&SENT
OFFICER I MEMBER EXCLUDED?
EL EACH
B Yee d08010e ender
EL DISEASE EA EMPLOYEE
( SPECIAL PROVISIONS helPw
OTHER
E L DISEASE POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADM BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
CITY OF FORT COLLINS STREETS
P 0 BOX 500
FORT COLLINS CO 80522
FAX 221.6707
ACORO 26 (200TRN)) OF
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING INSURER WELL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
I THE LEFT BUT FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE `�`�/
GT�O-
®/ACRPO SB
09/08/2008 00 42 9706637163 PAGE 02
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s)
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)
DISCLAIMER
issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmativelyThe Certificate of Insurance on the reverse side of this form does not constitute a contract between the
or
negatively amend extend or alter the coverage afforded by the policies listed thereon