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HomeMy WebLinkAbout463897 HENRY HERSH TRUCKING - INSURANCE CERTIFICATE (3)HERSHTI OP ID: MO ,a►`*. o CERTIFICATE OF LIABILITY INSURANCE DAT08/2113 Y) 08/21/13 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 endorsements . - - - PRODUCER Phone: 801-943-2600 HUB Transportation (UT) P. O. Box 17346 801-943-3889 Salt Lake City,UT 8411 Z_ _ _ Matthew D. ex � LU CONTACT NAMEFax: PHONE FAX A/C No Ext : - AIC No).'-'- "' '_ _....... . E-MAIL' ADDRESS: ----- ----- ------ INSUREPI AFFORDING COVERAGE - NAIC 11 - INSURER A: Northland Insurance Co INSURED' Henry Hersh Trucking _ 202 E. Vine Drive Fort Collins, CO 80524 INSURER B: INSURERC: INSURER D NSURER E: 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 REOLIIREMFNT, TEPM OR CONDITION nF ANY CONTRACT OR OTHER DOCLIMENT 11,4T,u RESPECT To VLHICH 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 rypE OF INSURANCE POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Eaoccurrence $ 100,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR TF661700 06/01/13 06/01/14 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 _ ._ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ - " 2,000,00 --' POLICY PRO- LOC -"— $ -'- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ., - 1y000,00 BODILY INJURY(Per•person)ALL A ANY AUTO TF661700 06/01/13 06/01/14 OWNED X AUTOS SCHEDULED AUTOS BODILY INJURY (Per accitlaccident)$- HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Par accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION WC STATUS OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/ ARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N I A E,L EACH ACCIDENT $ E.L DISEASE- EA EMPLOYEE $ (Mandatory in NH) Ude.odne under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ B Motor Truck Cargo OT-660-947213521-TIL-13 09/14/12 09/14/14 Limit 1,000,00 Deduct 5,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Schedule of vehicles on file with company. CITYFO2 City of Fort Collins PO Box 580 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 A4A -D &/,a © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD