HomeMy WebLinkAboutRICHARD MARTIN - INSURANCE CERTIFICATE 2019-2020�Atlsfate.
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CERTIFICATE bF fNSURANCE - C�MMERCIAL
ALLSTA'TE INSUAANCE COMPANY - NORTFlBROOK, IL
THIS CERTIFlCATE 15 ISSUEOAS A MATTER OF INFORMATION ONLYANQ COIVF�RSNO RIC�iTS UPON THE CERIIFlCA7E HOL�EFi. THIS
GERTIFICATE DOES NOTAMEND, EX7EN0 OR AITER THE COVERAGE AFFORDED BY THE POLIC E5 BELO'W.
Description of Operation:
ATTORNEY
CERTIFICAT� HOI.DER
Name and Address of Party ta Whom this Cenificate is Issued
CITY OF FORT COLLINS
215 N MASON ST
FORT COLLINS, CO 80524-4902
NAME�[NSURED
Name and Addressof Insured
RICHARD MJ�RTIN
155 SOARDWALK DR STE 900
FORT COLLIN5, CO 80525-3040
Lacation Address (if dilterent ihan a#ove)
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17tiis is lo cerlify that policies of insurance listed below havebeen issued to the insured named above subjectto the expiration daie indicated below,
notwithslandi�g arry requrement, term or cond ition otany oonVactor othar documentwith respect 6o which this certilicate may be i�ued or may
pertain. The insurance afforded by ihe policies described herein is subject to all ti�e terms, exclusior�, and cond tions oi such policies.
'fYPE OF INSURIWCE AND LIMiTS
POIiCy NLirtlbef: 648813342 E�fBCtIV@ Qdt@: 04-05-2019 Expiration Date: D4 - 05-2�20
COVEFIAGE SUMMAFiY
BUSINE5S LIABILl1Y AMQUNT
COMPREMENSIVE LIABII.I�Y S 1, 000, D90 Per Occurrence
RAMAGE TO PREMISES RENTED TO YOU $ 5 0, o 0 0. o o Any One Premisas
MEDICAL PAYMENTS S 10, 00o per Person
OTHER THAN PRODUCTS I COMPLETED OPEFiATiOAfS AGC�EGAiE S 2, 000, o00 . o0
PRODUCTS / COMPLETED OPERATION AGGREGAI"� S z, 000, q00 . ov
PRQPERT'Y INSURANCE
POLICY TYPE
� 5PECIAL FdAM � BROAD FORM � BASIC FORM � BUiLDERS RISK SPECfAL FORM
� BUILDING � Replacement Cosl [� Actual Cash Value � Blanket Limit
� CONTENTS S io. 2Q� � F3eplacement Cosl � Aclual Cash Val�e � Blanket Limit
DeduCtible S 500 Wind Deduclible % o ExClude Wind � YES � NO
ADDITiQNAL COVERAGE'S:
EQUIPMENT BREAKDOWN,PROFE$SiONAL OFFICE SHIBLD ENHANCEMENT
i�IlOR7GAGE CLAUSE —'fhe policy contains a Ahortgage Clause n favor of:
Mortgagee
Address
CERTIFICATE PERIOD
TFiIS CERTIFICATE WILL REMAIN IN FORCE FROM TME INCEPTION OF THE POLICY UNTIL THE POLiCY IS CANCELLED OR EXPIRES.
PO�ICY INCEPTION DATE: �a �!' S 2� i� � 12:01 RM � 12:00 NOON Standard Trme at the location of ihe Insured Premises.
PROVISIONS
This form is rat the conlraci of insurance, but attests that a policy as ideM fied above has been issued. The provisions of the policy shall prevail
in all respects.
SHOULD THE ASpVE OESCRI6EpPOLICY BE CAN(�E.I.ED BEFORE 7HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN
ACCpFiDANCE WITH THE PpLICY PRQV SIONS.
SEAN C[iRRY 03-24-20
Author�zad Representative Dale
CI CW 01 Oi 14
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