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Home My WebLink About320030 MORRIS TRUCKING - INSURANCE CERTIFICATE (9)01/13/2010 02:47PM Pinnacol Assurance PAGE 2 OF 3 ACO CERTIFICATE 4F LIABILITY INSURANCE DATE(0MM3/2010YY) PRODUCER PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 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 NATHAN MORRIS DBA MORRIS TRUCKING 3900IDEAL DRIVE II4SURERA: PINNACOL ASSURANCE 41190 NSURERB: INSURER C: FORT COLLINS, CO 80524 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OFINSURANCE POLICY NUMBER DATEWMIDO/YYYY) DATEIMM/DDIYYYY) UMITS OENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL UABILITY CUUMSMADE ❑ OCCUR PREMISES MED EXPLAnyonepemon) PERSONAL&AOV IFLURY GENERAL AGGREGATE GENL AGGREGATE UMI T AF PUERS PER: PRODUCTS - COMP/OP AGO 17 POLICY F PROJECTO LOC AUTOMBILE LIABILITY COMBINED SINGLE UMIT ANY AUTO IE a Ac c bent) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS SP er person ) BODILY INJURY HIREO AUTOS NON -OWNED AUTOS {P er ea Itlentt PROPERTY DAMAGE SPereccltlem LIABILITY AUTO ONLY - EA .ACCIDENT OTHER THAN EAACC �OARAOE ANY AUTO AUTO ONLY: AOG EXCE881UMBRELLA LIABILITY EACH OCCURRENCE OOCCUR O CLAIMSMADE AGGREGATE DEDUCTIBLE RETENTION S WORKERS CONPEN8ATION AND WCSTATt OTHER A ENIALOYER'8 LIABILITY ANY PROPRIETOPJPARTNERlE:XECUTIVE 4108931 10101l2009 10 01/2010 TORY LIMITS E.L EACH.ACCIDENT $100,000 OFFICER/MEMBER EXCLUDE07 If yes, please tlescnbe under SPECIAL PROVISIONS below E.LOISEASE - EA EMPLOYEE $100,000 E.LOISEASE-POUC'{LIMIT 3500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1208514 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T PO Box 580 MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Fort Collins CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Rodney Postillion ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988 01/13/2010 02:47PM Pinnacol Assurance PAGE 3 OF 3 CERTIFICATE HOLDER COPY City of Fort Collins PO Box 580 Fort Collins CO 80522 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.