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Home My WebLink About150588 WALSH CONSTRUCTION INC - INSURANCE CERTIFICATEAPolicy Issued By Shelter General Insurance Co. �� Columbia, MO 65218-0001 �.,�. ® 1-800-SHELTER (Item #1) Named Insured: WALSH CONSTRUCTION INC 8139 OPEN VIEW PL LOVELAND CO 80537-9481 ***MANUAL DEC*** Policy Declarations and Schedule Motor Carrier Coverage Agent LINDSAY ARNETT (05-E100-01) 4025 AUTOMATION WAY SUITE C4 FORT COLLINS CO 80525 PHONE: 970-377-2070 Policy Number: 5-1-C-4999249-6 Effective Date: May 22, 2009, 10:04 A.M. Central Time Policy Form Number: CA 00 20 03 06 Expiration Date: September 17, 2009, 12:01 A.M. Central Time (Item #3) Vehicle Year Make/Model Vehicle ID 1994 INTER #AAAA3527 1 HTSDPPNORH578074 (Item #2) Coverages Coverage Limit/ Endorsement Symbol Deductible Number BODILY INJURY AND PROPERTY DAMAGE 67 $1,000,000 LIMIT COLLISION 67 $500 DEDUCTIBLE COMPREHENSIVE 67 $500 DEDUCTIBLE SPLIT UNINSURED MOTORIST (COVERAGE) 67 $500,000 PER ACCIDENT CA 21 02 11 06 CO UNINSURED MOTORISTS COV LIMITS CA 21 50 01 08 Received For This Reissue: Other Endorsements Attached To This Policy ADDITIONAL INSURED WALMART STORES INC SUBAFF ADDITIONAL INSURED CITY OF EVANS ITS EMPLOYEES ADDITIONAL INSURED CITY OF LOVELAND ADDITIONAL INSURED CITY OF LONGMONT ADDITIONAL INSURED OMNI TRAX INC ADDITIONAL INSURED CITY OF GREELEY DESIGNATED INSURED CITY OF FORT COLLINS ADDITIONAL INSURED STATE OF CO DIV OF WILDLIFE AMENDATORY ENDORSEMENT CHANGES COMMON POLICY CONDITIONS NUCLEAR ENERGY LIABILITY EXCLUSION CO CONCEALMENT, MISREPRESENT OR FRAUD CO CHANGES - CANCELLATION AND NONRENEWAL "' SEE CONTINUATION PAGE FOR OTHER PARTIES'*" (For Office Use Only) P.C. RATE CLASS 16A TERRITORY 6 TERM 6 H.O. CODE 544.00 04232009 DATE ISSUED: 06192009 COST SYMBOL F PACKAGE -CD 1 TIER: N/A IV Countersigned By A-2.54-A Premium Endorsement Number CA 20 01 03 06 CA 20 01 03 06 CA 20 01 03 06 CA 20 01 03 06 CA 20 01 03 06 CA 20 01 03 06 CA 20 48 02 99 CA 20 01 03 06 A-672.3-A CA 01 13 01 09 IL 00 17 11 98 IL 00 21 09 08 IL 01 69 09 07 IL02280907 NONE V Policy Issued By Shelter General Insurance Co. Columbia, MO 65218-0001 1-800-SHELTER ADDL INSURED: WALMART STORES INC SUBAFF 2001 SE 10T" ST BENTONVILLE AR 72716-0001 ADDL INSURED CITY OF LOVELAND 41035T"ST LOVELAND CO 80537-5641 ADDL INSURED OMI TRANX INC 50 S STEELE ST DENVER CO 80209-2805 DESIGNATED INSURED CITY OF FORT COLLINS 300 LAPORTE AVE FORT COLLINS CO 80521-2719 IV ***MANUAL DEC*** Policy Declarations and Schedule Motor Carrier Coverage ADDL INSURED CITY OF EVANS ITS EMPLOYEES 1100 37T" ST EVANS CO 80620-2036 ADDL INSURED CITY OF LONGMONT 1100 S SHERMAN ST LONGMONT CO 80209-2805 ADDL INSURED CITY OF GREELEY 1000 10T" ST GREELEY CO 80631-3808 ADDL INSURED STATE OF CO DIV OF WILDLIFE 6060 BROADWAY DENVER CO 80216-1029