HomeMy WebLinkAbout320030 MORRIS TRUCKING LLC - INSURANCE CERTIFICATE (3)ACOR. CERTIFICATE OF LIABILITY INSURANCE
DATE(MM
M
9Y°( /2012I2012
0
PRODUCER
Pinnacol Assurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
Denver, CO 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 NAIC#
INSURED 0l 9
Trucking LLC Morris T7
3900 Ideal Dr.
INSURER A: Pinnacol Assurance
41190
INSURER B.
INSURER C
Fort Collins, CO 80524
IR D
ERER 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
ADD
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POLICYNUMBER
DATE(MMIDDIYYYY)
DATE(MM/OO/YYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MED EXP(Anyvnv person)
PERSONAL ADV INJURY
GEN'L AGGREGATE LIMIT APPLIERS PER;
GENERALAGGREGATE
PRODUCTS COMPIOP AGO
POLICY PROJECT LOC
AUTOMOBILE LIABILRY
COMBINED SINGLE LIMIT
ANY,AUTO
(Ea Autlenl)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULEDAUIOS
(Per peesvn)
BODILYIWURY
HIREDAUTOS
NON�OWNEDAUTOS
(PeraccNenl)
PROPERTYDAMAGE
(P.-
GARAGE LIABILITY
TO ONLY- EA ACCIDENT
HER THAN EAACC
rAUTOONLY
ANYAUTO
: AS
E%CESSIUMBRELLA LIABILITY
EACHOCCURRENCE
_
AGGREGATE
OCCUR CLAIMSMADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
WCSTATU- OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETOR/PARTNERIE%ECUTIVE
4108931
10/01/2011
10/01/2012
TOBY ITS
E.L EACHHACCIDENT
$100,000
OFFICERIMEMBER EXCLUDEDO
EL DISEASE - EA EMPLOYEE
$100.000
II yes, plvaseJeacNGewtler SPECIAL PROVISIONS Lebw
E LDISEASE-PoLICY LIMIT
�jOQ QQQ
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXC LUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1373111
CITY OF FORT COLLINS
ATTN PURCHASING
P 0 BOX 580
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
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
Andrew Lease
ACORD 25(2001/08)
Underwriter ACORD CORPORATION 1988