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HomeMy WebLinkAbout320030 MORRIS TRUCKING - INSURANCE CERTIFICATE (10)� . A�OR bATE (MMlDDIYY) CERTIFICATE OF LIABILITY INSURANCE 12/16/09 PRODUCER Welsh Insurance Agency, Inc. THIS CERTIFICATE IS 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 BELOW. Phone (970)663-5404 Fax (970)663.7183 - INSURERS AFFORDING COVERAGE NAIC # INSURED Morris Trucking LLC INSURER A: UNITED FIRE GROUP 3900 IDEAL DR INsuRER B: ; FT COLLINS, CO 80524 INSURERC:u (970) 568-9436 �..__—.....�,.... INSURER D; .._ -----...., .. - .... —..__.... INSURER E;- COVERAGES INSURER F: _ 7HE 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. iiN5R R .4aP L TYPE OF INSURANCE _INSRP_,.......... ........_I POLICY NUMBER „ PPLICY EFFECTIVE ; DATIw MM/DD/YY POLICY EXPIRATION DATE MMMprYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1000000, ❑/ COMMERCIAL GENERAL LIABILITY 60376523 09/08/09 09/08/10 PREMISES SES OEa occurencd 100000 CLAIMS MADE RI500_. OCCUR MED EXP (Any one person) . 0 A ❑ PERSONAL R ADV INJURY — 1000D00 1.3 GENERAL AGGREGATE 2000000 GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS - COMP/OP AC 7G 20000D0 POLICY L..I PROJECT ❑ LOC AUTOMOBILE LIABILITY [] ANY AUTO 60376523 09/08/09 09/08/10 COMBINED SINGLE LIMIT Ea accident) 1000000 ALL OWNED AUTOS A L J ❑ SCHEDULED AUTOS BODILY INJURY Per person) HIRED AUTOS ---- -'- ❑ NON OWNED AUTOS BODILY INJURY (Per accident) GARAGE LIABILITY LJ ❑ ANY AUTO EXCESSIUMBRELLA LIABILITY [] OCCUR ❑ CLAIMS MADE 17 DEDUCTIBLE l-D RETENTION $ PROPERTY DAMAGE (Per acclden� - AUTO ONLY • EA ACCIDENT OTHER THAN EA AG AUTO ONLY! AGG EACH OCCURRENCE AGGREGATE r... .:.i_ ❑ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC STATU- ❑ OTHTORY LIMITS_ ANY PROPRIETOR / PARTNER / EXECUTIVE E.L, EACH ACCIDENT OFFICER / MEMBER EXCLUDED? - - If yea, describe under E.L. DISEASE- EA EMPLOYEE SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT -_ �...— l - __ _ DESCRIPTION OF OPERATIONS !LOCATIONS !VEHICLE$ !EXCLUSIONS ZOED SY ENDORSEMENT / SPECIAL PROVISIONS - �CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED. CERTIFICATE HOLDER City of Fort Collins - Purchasing Division P O Box 580 Fort Collins, CO 80622 fax 221-8707 ACORD 25 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, TI4E ISSUING INSURER WILL ENIJEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED EPR ENTAT 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. AN/1on — inn-- --