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Home My WebLink AboutWALDO TRUCKING - INSURANCE CERTIFICATE (6)3/12/2010 2:03 PM FROM: Fax Welsh Ins. PVIS, Inc. TO: 2216707 PAGE: 001 OF 001 --� ® CERTIFICATE OF LIABILITY INSURANCE ACORO °A03/12/10 PRODUCER Welsh Insurance Agency, Inc. 4033 Boardwalk Drive, Suite #200 Fort Collins, CO 80525 Phone (970)206-1810 Fax (970)206-1808 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 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 NAIC # INSURED Waldo Trucking, Inc. 9925 Waldo Lane Wellington, CO 80549- INSURER A: UNITED FIRE GROUP INSURER B: PINNACOL INSURER C: INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTPNDING 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. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWOONY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY ❑ COMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE d❑ OCCUR ❑ 60369950 02/08/10 02/08l11 EACH OCCURRENCE 1,000,000 DAMAGE TO REN D PREMISES Ea occurence 100,000 MED EXP (Any one person) 5,000 PERSONAL & ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GENT AGGREGATE LIMIT APPLIES PER J❑ POLICY ❑ PROJECT ❑ LOC PRODUCTS- COMP/OP AGG 2,000,000 A ❑❑ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS SCHEDULED AUTOS ❑ HIREDAUTOS ❑ NON OWNED AUTOS ❑ 60369950 02108/10 02/08/11 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) ❑ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE AGGREGATE B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? Ifyes, describe under SPECIAL PROVISIONS below 4089513 03/01/10 03/01 /11 TORY LIMITS ❑ ERA E.L. EACH ACCIDENT 100,000 E.L. DISEASE- EA EMPLOYEE 100,000 E.L. DISEASE- POLICY LIMIT 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS EXCAVATION AND HAULING CERTIFICATE HOLDER IS AN ADDITIONAL INSURED FOR GL. CERTIFICATE HOLDER CANCELLATION City of Fort Collins - PURCHASING DEPARTMENT Attn: Purchasing -Jenny Beck PO Box 580 Fort Collins, CO 80522 fax 221.6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE m%.vrcv co tcuu uuaf tar U ACOKD COKPORATION 1993 3/12/2010 2:03 PM FROM: Fax Welsh Ins. PVIS, Inc. TO: 2216707 PAGE: 001 OF 001 --i ® .4` afRO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDfYY) 03/12/10 PRODUCER Welsh Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4033 Boardwalk Drive, Suite #200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fort Collins, CO 80525 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Phone (970)206-1810 Fax (970)206-1808 INSURED Waldo Trucking, Inc. INSURER A: UNITED FIRE GROUP INSURER B: PINNACOL 9925 Waldo Lane INSURER C: Wellington, CO 80549- INSURER D: INSURER E: COVERAGES INSURERF: 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. INSRLTR LTR ADD'LNSRO INSRD TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY) LICY EFFECTIVE ( ) POLICY EXPIRATION N ( ) LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 d❑ COMMERCIAL GENERAL LIABILITY 60369950 02/08/10 02/08/11 DAMAGE TO RENTED PREMISES Eaoccurence 100,000 MED EXP (Anyone person) 5,000 A © ❑❑ CLAIMS MADE ❑� OCCUR ❑ PERSONAL & ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP/OP AGG 2,000,000 d❑ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO 60369950 02/08/10 02/08/11 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per person) A ❑❑ ❑ ALL OWNED AUTOS SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS BODILY INJURY (Per accident) ❑ PROPERTY DAMAGE 1-1 (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EAACC ❑ ❑ ANY AUTO ❑ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE AGGREGATE ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4089513 03/01/10 03/01/11 WC STATU- ❑ OTH- Ev TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 100,000 OFFICER/MEMBER EXCLUDED? Ifyes, describe under SPECIAL PROVISIONS below E.L. DISEASE- EA EMPLOYEE 100,000 E.L. DISEASE - POLICY LIMIT 500,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS EXCAVATION AND HAULING CERTIFICATE HOLDER IS AN ADDITIONAL INSURED FOR GL. CERTIFICATE HOLDER CANCELLATION City of Fort Collins - PURCHASING DEPARTMENT Attn: Purchasing -Jenny Beck PO Box 580 Fort Collins, CO 80522 fax 221.6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) QF 0 ACORD CORPORATION 1988