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Home My WebLink About485432 ON POINT HAULING LLC - INSURANCE CERTIFICATE11/2/2012 11:13 AM FROM: Fax Welsh Insurance/PVIS inc. TO: 2216707 PAGE: 001 OF 001 AC"RF) ikiiii CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIY) YY) 11/02/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsemeni PRODUCER CONTACT NAME: Welsh Insurance Agency, Inc. aic NIN EO,Est), (970) 206-1810 FAX, No): (970) 206-1808 4033 Boardwalk Drive, Suite #200 ADDRESS: Bruce@wiainsurance.com INSURER(S) AFFORDING COVERAGE NAIC # Fort Collins, CO 80525 INSURER A : United Fire & Casualty 13021 Phone (970) 206-1810 Fax (970) 206-1808 INSURED INSURER B INSURER C On Point Hauling, LLC INSURER D 721 Waterglen Dr. G-124 INSURER E Fort Collins, CO 80524 970 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ILTR TYPE OF INSURANCE NSRADDL UBR MD POLICY NUMBER POLICY EFF (MOLIC YYYY) POLICY EXP (POLICYY)YY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE W OCCUR ❑ Y 60412846 03/22/2012 10/29/2012 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL &ADS INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER o POLICY ❑ JECT ❑ LOC PRODUCTS-COMP/OPAGO $ 2,000,000.00 $ A AUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED SCHEDULED ❑ AUTOS❑ AUTOS NON -OWNED HIRED AUTOS �/❑ AUTOS ❑ ❑ 60412846 03222012 10292012 COMBINED SINGLE LIMIT 1,000,000.00Edaccident $ BODILY INJURY (Per person) $ BODILY INJURY accident) $ PROPERTY DAMAGE Per accident $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY V / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH)1:1 If yes describe under DESCRIPTION OF OPERATIONS below NIA TORY ❑ WC S LIT TS ❑ ER E.L. EACH ACCIDENT $ E. L. DISEASE -EA EMPLOYE $ E. L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) POLICIES ARE CANCELED. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Purchasing PO Box 580 Fort Collins, CO 80522 fax 221.6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) OF The ACORD name and logo are registered marks of ACORD