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Home My WebLink About491049 ORE CART TRUCKING - INSURANCE CERTIFICATEORECARI OF ID: OW '414. " CERTIFICATE OF LIABILITY INSURANCE OAT03/14DlYYYYI 03114113 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--.__ — _. ... _ __ .... _. I I :Phone: 801-943.2600 HUB T Transportation (UT) P. O. Boxox 17346 Fax: 801.943-3889 Salt Lake City, UT 84117 - Kevin R. Waldram CONTACT , NAME: PHONE FAX A/Q, No Exl : (AID No): E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAICN It0 INSURERA: Northland Insurance Co. (NTU) 24015 INSURED Teresa Adsit dba: Ore Cart Trucking INSURER B: INSURER C: 5406 Fairway Six Drive INSURER D: Fort Collins, CO 80525 INSURER E NSURER F' GUVIzbi CERTIFICATE NIIMRFR• 0EVS!ON 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 I TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY WN119150 03114113 03N4/14 DAMAGE TO RINE6 PREMISES Ea occurrence $ 100,00 CLAIMS FxIOCCUR -MADE MED EXP (Any are person) $ 5,000 PERSONAL B AOV INJURY $ - 1,000,000 .f GENERAL AGGREGATE $ 2,000,000 -- - - - GENT AGGREGATE LIMIT APPLIES PER PRODUCTS -,COMP/OP AGG S . 2,000,000 - _ - .. .POLICY •PRO- ..n hoc .. I $ .. AUTOMOBILE LIABILITY CEOM�BINEED SINGLE LIMIT $ 1,000,00 A ANY AUTO X WN119150 03/14/13 03/14/14 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED - - AUTOS BODILY INJURY (Per accident) $ NAUTOS ON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIgB CCUR OLAIMSMADE EACOCCURRENCE 8 TEH AGGREGA $ EXCESS LIAB C DIED RETENTIONS 1$ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY y I N R . EL EACH ACCIDENTCERIMEMBER $ ANY ETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEEXCLUDED'+ NIA ' E.L. DISEASE - EA EMPLOYEE $ (Mandate, in NH) I yes, describe under EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Motor Truck Cargo WN119150 03/14113 13114114 Limit 10,000 BROAD FORM THEFT DEDUCTABLE $2'000 Deduct. 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) This certificate applies to the Schedule of Vehicles on file with the insurance company. The Certificate Holder is named as Additional Insured as their interests may appear. Endorsement requested from the insurance company CITYFO4 City of Fort Collins 215 No. Mason Street 2nd Floor Fort Collins, CO 80522 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 �ray v IVOCIU AUUKU L UKVUKAI ION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD