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Home My WebLink About150588 WALSH CONSTRUCTION INC - INSURANCE CERTIFICATE (11)Policy Issued By Shelter General Insurance Co. Columbia, MO 65218-0001 1-800-SHELTER Notice to the Additional Insured: Your interest will be continuous until cancellation notice is mailed to you. WALSH CONSTRUCTION INC 8139 OPEN VIEW PL LOVELAND CO 80537-9481 Policy Declarations and Schedule Motor Carrier Coverage Addl. Interest or Addl. Insured Copy Agent u SHELTER INSURANCE COMPANIES (05-OE246-10) 4025 AUTOMATION WAY UNIT C4 FORT COLLINS CO 80525 PHONE: 970-377-2070 Policy Number: 5-1-C-4999249-6 Effective Date: September 17, 2011, 12:01 A.M. Central Time Policy Form Number: CA 00 20 03 10 Expiration Date: March 17, 2012, 12:01 A.M. Central Time Policy and Endorsements are available upon request (Item #3) vehic_le Year Make/Model Vehicl1.e ID 1994 INTER #AAAA3527 1 HTSDPPNORH578074 Bodily Injury and Property Damage 67 $1,000,000 Limit $226.UU Collision 67 $500 Deductible $99.00 Comprehensive 67 $500 Deductible $57.00 CO Uninsured Motorists Cov Limits 67 $450,000 Per Person CA 21 50 01 11 $30.00 Split Uninsured Motorist (Coverage) 67 $500,000 Per Accident CA 21 02 11 06 Total for Term (This is Not a Bill): $414.00 Additional Insured CITY OF GREELEY CA 20 01 03 06 Loss Payable Clause CA 99 44 12 93 Designated Insured CITY OF FORT COLLINS CA 20 48 02 99 Designated Insured CITY OF BRI GHTON CA 20 48 02 99 Designated Insured CITY OF FT COLLINS WATERS WAY CA 20 48 02 99 Designated Insured CITY OF LONGMONT PUBLIC WORKS CA 20 48 02 99 Amendatory Endorsement A-672.3-A Colorado Changes CA 01 13 01 11 (Information May Continue on Back) (For Office Use Only) RENEW RATE CLASS 16A TERRITORY 3 TERM 6 H.O. CODE 414.00 03302011 DATE ISSUED: 09142011 COST SYMBOL F PACKAGE -CD 1 TIER: N/A Countersigned By i v A-2.54-A Policy Issued By Shelter General Insurance Co. Columbia, MO 65218-0001 ® 1-800-SHELTER Notice to the Additional Insured: Your interest will be continuous until cancellation notice is mailed to you. {Item #1) Named Insured: WALSH CONSTRUCTION INC 8139 OPEN VIEW PL LOVELAND CO 80537-9481 IIIIIIIIIIII - Policy Declarations and Schedule Motor Carrier Coverage Addl. Interest or Addl. Insured Copy SHELTER INSURANCE COMPANIES (05-OE246-10) 4025 AUTOMATION WAY UNIT C4 FORT COLLINS CO 80525 PHONE: 970-377-2070 Policy Number: 5-1-C-4999249-6 Effective Date: September 17, 2011, 12:01 A.M. Central Time Policy Form Number: CA 00 20 03 10 Expiration Date: March 17, 2012, 12:01 A.M. Central Time Policy and Endorsements are available upon request 1994 INTER#AAAA3527 1HTSDPPNORH578074 Bodily Injury and Property Damage 67 $1,000,000 Limit $228.00 Collision 67 $500 Deductible $99.00 Comprehensive 67 $500 Deductible $57.00 CO Uninsured Motorists Cov Limits 67 $250,000 Per Person CA 21 50 Ot 11 $30.00 Split Uninsured Motorist (Coverage) 67 $500,000 Per Accident CA 21 02 11 06 Total for Term (This is Not a Bill): $414.00 Additional Insured CITY OF GREELEY CA 20 01 03 06 Loss Payable Clause CA 99 44 12 93 Designated Insured CITY OF FORT COLLINS CA 20 48 02 99 Designated Insured CITY OF BRIGHTON CA 20 48 02 99 Designated Insured CITY OF FT COLLINS WATERS WAY CA 20 48 02 99 Designated Insured CITY OF LONGMONT PUBLIC WORKS CA 20 48 02 99 Amendatory Endorsement A-672.3-A Coloredo Chances CA 01 13 Ot 11 (Information May Continue on Back) (For Office Use Only) RENEW RATE CLASS 16A TERRITORY3 TERM 6 H.O. CODE 414.00 03302011 DATE ISSUED: 09142011 COST SYMBOL F PACKAGE -CD 1 TIER: N/A Countersigned By A-2.54-A Shelter Insurance Companies 1817 W Broadway Columbia, MO 65218 1-800-SHELTER POLICY NUMBER: 5-1-C-4999249-6 001958 ADD1091411 CITY OF FT COLLINS WATERS WAY 215 N MASON ST FORT COLLINS CO 80524-4402