HomeMy WebLinkAbout320030 MORRIS TRUCKING - INSURANCE CERTIFICATE (5)07/15/2009 00:15 9706637183 PAGE 01
CERTIFICATE OF LIABILITY INSURANCE DATE(MM66"
07/16/09
PRODUCER Welsh Insurance Agency, Inc. THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION
1310 East Eisenhower Blvd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Loveland, CO 80537 ALTER THE COVERAGE AFFORDED BY THE POLICIES BEUOW.
Phone (970)683-5404 Fax (970)683-7183 INSURERS AFFORDING COVERAGE NAIC #
INSURED Morris Trucking LLC INSURER A: UNITED FIRE GROUP
7050 EPX 66 INSURER B:
Wellington, CO 80549. INSURER C:
: (970) 6W-9436 INSURER 0:
I INSURER E:
COVERAGES
INSURER F:
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 MAY HAVE BEEN REDUCED BY PAID CLAIMS,
IN$R AWL POLICY EFFECTIVE PaLICY EXPIRATION
LTR i !NMQ TYPE OF INSURANCE POLICY NUMBER GATE (MMIDDIYI� DA E (MMIaDIYY) LIMITS
GENERA
L LIABILITY
.Vi COMMERCIAL GENERAL LIABILITY
3
EACH OGCURRENCE
DAMAGE TO'RENftb
1000000!
09/d8/pl3
CLAIMS MADE w' OCCUR
d9/08/09 'PREMISES Ea acc
( urencs)
i 100000 !
A iy'
MED EXP (Any one Pefac"I
5000;
;..
PERSONAL & ADV INJURY
� _
1000000
GENERAL AGGREGATE
2000000
GEN'L AGGREGATE LIMIT APPLIES PEW
PRODUCTS - COMP/OP AGG
2004000
i POLICY.:. PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO 00376523 09/08/08
COMBINED SINGLE LIMIT
09/08/09 (Ea eceldent)
1000000'
�� ALL OWNED AUTOS
A ° Ilj� SCHEDULED AUTOS
BODILY INJURY
i HIRED AUTOS
(Per won)
NON OWNED AUTOS
BODILY INJURY
(Per wrident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
I'
EXCESSIUMORELLA LIABILITY
AUTO ONLY: AGO
EACH OCCURRENCE
OCCUR CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION $
WpRKiiiRs d6&1P€ AAii6N AND
EMPLOYERS' LIABILITY
G
TORS ERH
ANY PROPRIETOR / PARTNER I EXECUTIVE
LIMITS
OFFICER / MEMBER EXCLUDED?
E.L. EACH ACCIDENT
1f yes, describe under
E.L. DISEASE . EA EMPLOYEE
i TH RL PROVISIONS belowE.L.
DISEASE -.POLICY LIMIT '
I
_.
i
DESCRIPTION OF OPERATION$ / LOCATIONS / VEHICLES / EXCLUSIONS
ADDED BY ENDORSEMENT
1 SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins - Purchasing Division
P O BOX 580
Fort Collins, CO 80522
fax 221-6707
ACORD 26 *01/96) GIF
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Welsh Insurance Agency, Inc.
ACORO CORPORATION 1988
07/15/2009 00:15 9706637183 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
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the
issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or
negatively amend, extend or alter the coverage afforded by the policies listed thereon.
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