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Home My WebLink About463897 HENRY HERSH TRUCKING INC - INSURANCE CERTIFICATEA ��a C CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/6/2018 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 Utah -Hub International Transportation Insurance Se 6440 Wasatch Blvd Suite 235 CONTACT NAME: Mairy Ortiz PHOIAIC.NEto, 800-748-5012 ac No): 866-436 4685 E-MAIL ADDRESS: TISCERTREQ@Hubinternational.com INSURERS AFFORDING COVERAGE NAIC # Salt Lake City UT 84121 INSURER A: Northland Insurance Company 24015 INSURED HENRHER-01 Henry Hersh Trucking, Inc. 202 E. Vine Drive INSURER B : The Travelers Indemnity Company 25658 INSURER C Fort Collins CO 80524 INSURER D : INSURER E : INSURER F rn\/FDAlVGC CERTIF!CATF NUMBER: 134950960? RGVICInN 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 ADDL INSID SUB- WVD POLICY NUMBER POLICY EFF MM/DD/YYri POLICY EXP MM/DDIYYri LIMITS A X COMMERCIAL GENERAL LIABILITY VVN242244 6/1/2018 6/1/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE I -XI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL 8. ADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 PRO- X POLICY 7 JECT ❑ LOC EC OTHER: A AUTOMOBILE LIABILITY WN242244 6/1/2018 6/1/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION PER STATUTE EERH AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA E.L. DISEASE - POLICY LIMIT $ It yes, oescribe under DESCRIPTION OF OPERATIONS below B Motor Truck Cargo OT 660 9472B521-TIL-18 9/14/2018 9/14/2019 Limit $1,000,000 Deduct. $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Schedule of vehicles on file with company. Certificate Holder is named Additional Insured (endorsement ordered from company) 1'00Tlrl1`ATC Wni n1=1D CANCELLATION 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 V ] VOO-ZU-14 AUL)IMLI "'Limr-UMA 1 Milli. Mn nynw Icxr vwu. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD