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HomeMy WebLinkAboutLickskillet LLC - Insurance Certificate AGENCY INC PO BOX PROGREMME' PO BOX 55 LOVELAND,Co 80539 C04fAfFRC/4L Policy number: 02945975 Underwritten by: City of Fort Collins Artisan and Truckers Casualty Co CORNDOGGI ES Insured: 215 N MASON ST LICKSKILLET LLC FORT COLLINS,CO 80524 July 31,2023 Policy Period: Mar 24,2023-Mar 24,2024 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Cleveland,OH 44101 1-800-444-4487 For customer service,24 hours a day, 7 days a week Waiver of Subrogation Endorsement This endorsement modifies insurance provided under the following: Commercial Auto Policy Motor Truck Cargo Liability Coverage Endorsement Commercial General Liability Coverage Endorsement We agree to waive any and all subrogation claims against the person or organization designated below. Name of Person or Organization: City of Fort Collins 215 N Mason St Fort Collins, CO 80524 This endorsement applies to policy number: 02945975 Issued to: LICKSKILLET LLC CORNDOGGIES Endorsement effective: July 28, 2023 Expiration: March 24, 2024 All other terms, limits and provisions of this policy remain unchanged. Form 8610(02;19) WEEDIN AGENCY INC IPROGREMYT I PO BOX 55 COMMERCIAL LOVELAND,CO 80539 629053 6357 1 AB 0.537 PPACSO4A 019 006357 Policy number: 02945975 Underwritten by: Artisan and Truckers Casualty Co City of Fort Collins Insured: CORNDOGGIES LICKSKILLET LLC 215 N MASON ST July 31,2023 FORT COLLINS,CO 80524 Policy Period: Mar 24,2023-Mar 24,2024 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland,CH44101 1-800-444-4487 Name of Person or Organization For customer service, 24 hours a day, City of Fort Collins 7 days a week 215 N Mason St Fort Collins, CO 80524 This endorsement modifies insurance provided under the commercial auto policy and any endorsements thereto affording liability coverage. The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page and showing liability coverage. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 02945975 Issued to(Name of Insured): LICKSKILLET LLC CORNDOGGIES Effective date of endorsement:July 28, 2023 Policy expiration date: March 24, 2024 Form 1198(07/16) WEEDIN AGENCY INC PROGRFff1YF LO BOX COMMERCIAL OVELAND,CO 80539 648385 8246 PPACSO4Y 026 008246 Policy number: 02945975 Underwritten by: Artisan and Truckers Casualty Co City of Fort Collins Insured: 215 N MASON ST LICKSKILLET LLC FORT COLLINS,CO 80524 March 24,2024 Policy Period: Mar 24,2024-Mar 24,2025 tiilni�i���trinlr��l�ilnnni� lr�lirtlli��l�rllti ,itli Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland,OH44101 1-800-444-4487 Name of Person or Organization For customer service,24 hours a day, City of Fort Collins 7 days a week 215 N Mason St Fort Collins,CO 80524 This endorsement modifies insurance provided under the commercial auto policy and any endorsements thereto affording liability coverage. The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page and showing liability coverage. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms,limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 02945975 Issued to(Name of Insured): LICKSKILLET LLC CORNDOGGIES Effective date of endorsement: March 24, 2024 Policy expiration date: March 24, 2025 Form 1198(07/16) BOX 55 AGENCY INC PO PR499REll/UE£ PO BOX LOVELAND,CO 80539 COMMERC/AL Policy number: 0294S97S Underwritten by: Artisan and Truckers Casualty Co City of Fort Collins Insured: 215 N MASON ST LICKSKILLET LLC FORT COLLINS,Co 80524 March 24,2024 Policy Period: Mar 24,2024-Mar 24,2025 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Cleveland,OH 44101 1-800-444-4487 For customer service,24 hours a day, 7 days a week Waiver of Subrogation Endorsement This endorsement modifies insurance provided under the following: Commercial Auto Policy Motor Truck Cargo Liability Coverage Endorsement Commercial General Liability Coverage Endorsement We agree to waive any and all subrogation claims against the person or organization designated below. Name of Person or Organization: City of Fort Collins 215 N Mason St Fort Collins,CO 80524 This endorsement applies to policy number: 02945975 Issued to: LICKSKILLET LLC CORNDOGGIES Endorsement effective: March 24, 2024 Expiration: March 24, 2025 All other terms, limits and provisions of this policy remain unchanged. Form 8610(02/19)