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
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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
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❑ 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-- --