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HomeMy WebLinkAbout491049 ORE CART TRUCKING - INSURANCE CERTIFICATE (2)ORECARI OF ID: DW A,iC"RD CERTIFICATE OF LIABILITY INSURANCE D 04/12/13YY) 04112113 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 Phone: 801.943-2600 HUB Transportation (UT) - P. 0. Box 17346 Fax: 801-943-3889 Salt Lake City;;UT84117 ______ ____ ______.___ __ -. _ - Kevin R. Waldram CONTACT t .. 7,. ,i L NAME: PHONE N E.0, = FAX rvo - -- E-MAIL I ... _..__. ADDRESS: INSURERS AFFORDING COVERAGE - NAIC N - d� INSURER A:NOrthland Insurance Co. (NTU) 24015 INSURED Teresa Adsit dba: Ore Cart Trucking 5406 Fairway Six Drive INSURER B: INSURER C: INSURER D: Fort Collins, CO 80525 INSURER E INSURER F COVERAGES CPPTIFIr ATF MI IMRGD 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, TERN; 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 ADD INSI SUER POLICY NUMBER M,DUCYEFF MIDDIYYYY POI-IOYEXP MMIDDIVYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X, OCCUR WN119150 03/14/13 03/14/14 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL B AOV INJURY $ 2,000,000 GENERAL AGGREGATE $ - -2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 71 POLICY f� PRO- LOC PRODUCTS - COMPIOP AGO $ 2,000,000 - $ AUTOMOBILE LIABILITY ' ANY AUTO"I"`=' X- 1 _ - WN119150._ - 03/14/13 03114114 COMBINED SINGLE LIMIT ,..art 2,000y0U BDOILvwdugYlPer.personl.. _ $ - ...-. -' IALL OWNED SCHEDULED _ ;AUTOS - - - BODILY INJURY (Per accident) $ NON -OWNED - HIRED AUTOS AUTOS - PROPERTY DAMAGE Peraccitlenl+ $ ' UMBRELLA LIAB OCCUR EACH'OCCUH HENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ OED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA RVLIMIT E.L. EACH ACCIDENT $ EL DISEASE -EA EMPLOYEE $ (Mandatory, in NH) If yes, describe under E. L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS belcw A Motor Truck Cargo 'WN119150 03/14/13 03/14/14 Limit 10,000 BROAD FORM THEFT DEDUCTABLE $2,000 Deduct. 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aftach 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 FAX 970-223-3576 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD