HomeMy WebLinkAbout320030 MORRIS TRUCKING LLC - INSURANCE CERTIFICATE (2)ACORD,M CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDDNYYY)
10/03/2012
PRODUCER
Pinnacol Assurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Denver, CO 80230-7006
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
Moms Trucking LLC 0
3900 Ideal Dr.
INSURER A: Pinnacol Assurance
41190
INSURER B'.
INSURERS:
Fort Collins, CO 80524
INSURER D:
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
ADD'L
POLICY EFFECTIVE
POLICTEXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POUCYNUMBER
DATEIMMIDDIYYYY
DATE(MMODNYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MED EXP An oneperson)
PERSONAL B ADV INJURY
GEN'L AGGREGATE LIMIT APPLIERS PER:
GENERAL AGGREGATE
PRODUCTS COMPIOP AGG
POLICY PROJECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(EX gccaem)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
)Par person)
_
BODILY INJURY
HIREDAUTOS
NO&OWNEDAUTOS
(Peraccaenp
PROPERTY DAMAGE
IPx acaeeml
GARAGE LIABILT'
AUTO ONLY EA ACCIDENT
OTHER THAN Eq qcc
ANYAUTO
AUTO ONLY: qG
EXCESSNMBRELLA LIABILITY
EACH OCCURRENCE
AGGREGATE
OCCUR El CI -AIMS MADE
DEDUCTIBLE
RETENTION 5
WORKERS COMPENSATION AND
WCSTATU- OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETORIPARTNEWEXECUTIVE
4108931
10/01/2012
10/01/2013
TORT LIMITS
E.L EACH ACCIDENT
$100,000
OFFICERIMEMBER EXCLUDED?
EL DISEASE CA EMPLOYEE
$100,000
Ryes, pleesaEeacrOauMerSPECIAL PROVISIONS Belaw
EL DISEASE -POLICY LIMIT POLICY
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1410609
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Attn Purchasing
MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
P O Box 580
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Fort Collins, CO 80522
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Sean ViS
ACORD 25(2001I08)
Underwriter ACORD CORPORATION 1988