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Home My WebLink About320032 WALDO TRUCKING INC - INSURANCE CERTIFICATE2/15/2013 9:16 AM FROM: Be. TO: 19702216707 PAGE: 001 OF 001 ,+'IC.s,, K*13V 141 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VVVV) 02/15/13 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 endorsement(s). PRODUCER CONTACT NAME: Welsh Insurance Agency, Inc. a//CONNo Est: (970)206-1810 a/c No: (970)206-1808 4033 Boardwalk Drive, Suite #200 ADDRESS: Bruce@wiainsurance.com INSURER(S) AFFORDING COVERAGE NAIC # Fort Collins, CO 80525 INSURERA : UNITED FIRE GROUP Phone (970) 206-1810 Fax (970) 206-1808 INSURED INSURER B: PINNACOL INSURER Waldo Trucking, Inc. INSURER D 9925 Waldo Lane INSURER E Wellington, CO 80549- 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MMIDD/YVVV POLICY EXP MMIDD/YVVV LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE ❑ OCCUR El 60369950 02/08/2013 02/08/2014 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000.00 MED EXP (Any one person $ 5,000.00 PERSONAL &ADv INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER d❑ POLICY ❑ ,Pj❑T ❑ LOC PRODUCTS - COMP/OPAGO $ 2,000,000.00 $ A AUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED SCHEDULED ❑ AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS ❑ ❑ 60400080 02/08/2013 02/08/2014 COMBINED SINGLE LIMIT a accident 1,000,OOO.00 BODILY INJURY (Per person) $ BODILY INJURY (Peraccident) $ PROPERTY DAMAGE Per accident $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOVERS'LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatoryin NH) If yes describe under DESCRIPTION OF OPERATIONS below N/A 4089513 03/01/2013 03/01/2014 0 WC WRY❑M LIMITS ❑ ORH E.L. EACH ACCIDENT $ 100,000.00 E.L. DISEASE - EAEMPLOYE $ 100,000.00 E.L. DISEASE -POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: PURCHASING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. PG BOX 580 FORT COLLINS CO 80522 AUTHORIZED REPRESENTATIVE 7 ' FAX970-221-6707 @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) OF The ACORD name and logo are registered marks of ACORD