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Home My WebLink About320030 MORRIS TRUCKING - INSURANCE CERTIFICATE (8)03/16/2010 02:14PM Pinnacol Assurance PAGE 2 OF 3 A COR "' CERTIFICATE OF LIABILITY INSURANCE DATE03/6/2010Y1 PRODUCERPINN OL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd 501 Denver, GO 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# IN8URED NATHAN MORRIS DBA MORRIS TRUCKING INSURER A: PINNACOL ASSURANCE 41190 INSURERS: 3900IDEAL DRIVE INSURER: FORT COLLINS, CO 80524 INSURER : 0 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 ADO'L POLICY EFFECTIVE POLICY EXPIRATION LTR• INSRD TYPE OF INSURANCE, POLICY NUMBER - DATEIMMJDO/YYYY) 0ATE4MMlDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE OAMAOE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR PREMISES MED EXPIAny one person) PERSONAL& AOV INJURY GENERAL AGGREGATE GEN'LAGGREGATE UMITAPPUERS PER: PRODUCTS - COMP/OP AGO POLICY PROJECT F1 LOG AUTOMBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO IE a Acc ldent) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS IPerperson) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS IP er a<cltlenq PROPERTY DAMAGE (P er acc )dent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EAACC ANY AUTO AUTO ONLY: AGO EXCE8811LINIBRELLA LIABILITY EACH OCCURRENCE AGGREGATE OCCUR CLAJMSMADE ❑EDUCTISLE RETENTION $ WORKERS COMPENSATION AND X WC STATU- OTHER A EhVLOYER'S LIABILITY ANY PROPRIETORIPARTNERJEXECUTIV'c 4108931 10101/2009 10/01/2010 roRvuMrcs E.L EACHACCIDENT $100,000 OFFICERJMEMSER EXCLUDED? It yes, please tlescrlbe under SPECIAL PROVISIONS below E.LDISEASE- EA EMPLOYEE $100,000 E.L DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLEMXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1221386 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T ATTN: PURCHASING DIVISION MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE PO BOX 580 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(2001108) Underwriter ACORD CORPORATION 1933 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. ACORD 25 (2001100) QF 03/16/2010 02:14PM Pinnacol Assurance PAGE 3 OF 3 CERTIFICATE HOLDER COPY CITY OF FORT COLLINS ATTN: PURCHASING DIVISION 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. DATE 11MMIDDi Y) � 03/10/10 :L� c R CERTIFICATE OF LIABILITY INSURANCE INFORMATION --' --' THIS CERTIFICATE IS ISSUED AS A MATTER OF PRODUCER Welsh Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OR i 1310 East Eisenhower Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE COVERAGE AFFORDED HY THE POLICIES BELOW. Loveland, CO 80537 Fax 970 663-71 B3 Phone--- INSURERS AFFORDING COVERAGE # -!—` INSURER--- ..._--.,. ....__..., A: UNITED FIRE GROUP--..--. i-- INSURED Morris Trucking LLC INSURER B: 3900 IDEAL DR INSURER C: ---- — FT COLLINS, CO 80624 INSURER 0: INSURER E: _-.- �_ - -' INSURER �^ COVERAGES _ _ _ HAVE BEEN ISSUED To THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING OR THE POLICIES OF INSURANCE LISTED N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ANY REQUIREMENT, TERM OR CONDITIOCH TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SU j ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT MAY PERTAIN. THE INSURANCE AFFORD POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i —u. •,•----- --- —' "'--' '—' IlN3R Aoo'L' TYPE OF INSURANCE PODGY NUMBER POLICY EFFEC7NE POLICY EXPIRATION - LIMITS PATE MMIPC�VV DATE MMroDIW - '-'--- ---1000QOOI OCCURRENCE GENERAL LIABILITY LIABILITY EACH ------, D E TO ED 1 OOOOQ' ES (Ea occurmco 09/08/09 09l08/10 PREMISES.. COMMERCIAL GENERAL 60376523 5000. MED EXP (Any one person) ICJL� CLAIMS MADE 0 OCCUR PERSONAL @ ADV INJURY 100000 A ❑ _-,,,,-._„ �_— GENERAL AGGREGATE-2000000 !I PRODUCTS - COMP/OP AGG—2000000 i —"—j GEN'L AGGREGATE LIMIT APPLIES PER; POLICY 13 PROJECT ❑ LOC — +AUTOMOBILE COMBINED SINGLE LIMIT 1000000� LIABILITY ANY AUTO 60376623 09/08/09 09/08/10 {Ea accident) _ LA l� ALL OWNED AUTOS BODILY INJURY A f_ y . [_J SCHEDULED AUTOS I II_] HIRED AUTOS BODILY INJURY (Per accident) I FJ NON OWNED AUTOS —_-- PROPERTY DAMAGE ]-----'^'_-- (Per accident)JACC AUTO ONLY • EA AGCIGARAGE LIABILITYOTHER AUTO THAN EANY AUTO ONLY: ..,.' . EACH OCCURRENCE EXCESSIUMBRELLA LIABILITY AGGREGATE -,] OCCUR L] CLAIMS MADE F] DEDUCTIBLE ❑ RETENTION $ -- — IiVORKERs COMPENSATION AND - G ❑ WSI IM1fT5 ❑ ERA EMPLO oYERS' LIABILITY �- ANY PROPRIETOR I PARTNER 1 EXECUTNE E.L. EACH ACCIDENT — j OFFICER / MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE - I If yea, describe under SPECIAL PROVISIONS below E.L, DISEASE -POLICY LIMIT __... -- OTHER ....--_—•.—�--_—.._.. DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS (CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED. CERTIFICATE HOLDER- - _--- City of Fort Collins - Purchasing Division P O Box 580 Fart Collins, CO 80522 fax 221-6707 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON HE INSURER, ITS AGENTS OR REPRESENTATIVES. _ _ .._ _ ......... ....... .... .....----- AUTHOR1YE�t ESEy�yYIVE, ACORD CORPORATION 1988