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HomeMy WebLinkAbout463897 HENRY HERSH TRUCKING INC - INSURANCE CERTIFICATE (2)--li r? A<7"R" CERTIFICATE OF LIABILITY INSURANCE II DATE (MMIDDM/W) 5/30/2018 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 Salt Lake City UT 84121 CONTACT NAME: Mary Ortiz PHONE t - 800-748-5012 FAX Not, 866-436 4685 E-MAIL ADDRESS: TISCERTREQ@Hubinternational.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Northland Insurance Company 24015 INSURED HENRHER-01 Henry Hersh Trucking, Inc. 202 E. Vine Drive Fort Collins CO 80524 INSURER B : The Travelers Indemnity Company 25658 INSURERC: INSURERD: INSURER E : INSURER F : r.ncru r.i"RA011=0- COVERAGES CEPTIFICA I t M! t1bt`: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 ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY WN242244 6/1/2018 6/1/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED g 100,000 CLAIMS -MADE 1K OCCUR PREMISES Ea occurrence MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO 7 LOC JECT PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED x SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS WN242244 6/1/2018 6/1/2019 COMBINED SINGLE LIMIT Ea accident $ 00� 000 A BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE N / A EACH OCCURRENCE $ $ AGGREGATE PER OTH- STATUTE iER DED I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) cus desc-ibe under DESCRIPTION OF OPERATIONS below Motor Truck Cargo E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE . Pnl_lry LIMIT $ OT 660 9472B521-TIL-17 9/14/2017 9/14/2018 Deduct. 000 $5,000 B DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Schedule of vehicles on file with company. Certificate Holder is named Additional Insured (endorsement ordered from company) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD