HomeMy WebLinkAbout433042 EVANS INTERIOR DESIGN - INSURANCE CERTIFICATE12/19/2007 10.17 9702216373
FRY EUA`C INTEPICR GEBIGN
Dec. tg 2467 9 52M
LINCOLN CENTER
FRX NO. 19704901544
CCvntry :�SVYdf^.Y
PAGE 03
Dec 19 2007 1 _
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LAC Q J" L CERTIFICATE QF LIABILITY INSURANCE
P?Y' AMI K Ou AW
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EVANB NAAEN I DOARVANS 079111OR OWBIWNS
� MU"AENT I � CA MNOITION 0 ANY 1WACT OR OTTWR WODULI WRH ! INeCT TO WHICH TNW CWRRTTIPFCATE NA a WM OR
NAY PMTAIN " 4VAMOt AFFORDED Vt WM WLICIM DUCRIM IYWRWW IS 3U&MGT TO ALLTHE TWRMW, EMOLWBIMM ANOCONDM" OF SUCH
PCUG766 PAID QM4.
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A 81.000.070
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CITY OF FORT 006LINS
417 W MAONOLU
FORrtOLtm Co 1667s
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6WDIWA ANYOPTWrArvlr BROM1tD PpMYFMGNItALWIWiRatl YHYyw/.TRIN
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12/19/2007 10 17 9702216373
FPOVI :ELIiN15 INTERIOR DESIGN FAX NO .9704901s44
DeI.19 4007 9,43AM Nah3oeide h5vdn.e
CERTIFICATE OF INSURANCE
LINCOLN CENTER
PAGE 04
De_. 19 2007 11 04PM F2
N; 1349 P 3
The Insuranoe Company uxk abed behN eertlllos dlat pro laattranoe afforded by ffle polcy numbered and desonoad
below Is M throe as dto effacNw date of this certificate Thda Cori ficatg of Insurance does not emend, extend or
otherwso after the Terms and Conditions of Inswena coverage contained Ir any polly or pollefes numbered and
desodbed below.
CaMficate Holders Name and Add=%
CRY of Ft. Colllne
Insured's Watts and Address'
Kad Rbdorn" y
DBM Roderneyer Wallpapering
8105 W Highway 34
LOYetand, CO 00937
INCTI
1VPa M'N/ayeaarCF
IOLIOV /AaaHHiAhu
apP1C11Ve
1p"ATI
e7pinAnar
Lgll7g OF LIAeIL1TY
baUl
Te
"To
wnaw
COMM" mnsuarVI'
P,asicas
AKAII ONWDE!
lDZRr
tora7rol
Appapala' 1 1000.e10 �
tor' OP /.pe' i=,pCa,Oaa
pr
Proiawb Completed OpratEna
araated
NA710NMn0E
0
Od'M
Mach oemoence a I,ao0,ow
lwre al a AdVanlaing Ilpey
1118URANCE CC1alpAN'r
Any Cm PeteaNOM 1 I,ODL,000
Medal EapWM
Any one Perron 1 6000
f» damaoa Legal
Any one Pug a
odle( LiadIIX
OarepaL-Fherrluea
4aa6AaadeM
AUTONVOLE UAeh.nv F
aualmm
soda/ Inlu'y
ob■w
NATIONMWCE
Mach Alfeae) a
owned
(EaC�yhAc dano a
HI
laf/VCMPAIIY
WaELOathAACCM@�W
�Ma
O S
1
Oa11MIMatl Salgle untr 1
a Fien allner carneMled
p Lmb a
FXDM LUBILITY
❑ LVA Mg Farm
Each ocau"Orms a
MATK*WIDE
AOamlate` a
WOUMNCF COWAW
❑ wM M ewppy,..p,n
stauaay Limas
aA1T)OMMM
Bodllylrlury Ea Almklent
ad
W Amdert a
WSURM1t1E 0WANY
Badly llgwy Each CmpWree
Q LmgWen Laday
by Daow 1
as KOM Po" Lm
W Dlaaeae a
InWroMe M tM a c* a hazards w4taled W x
OcacnpLon of pepoww „g
OporNkoM.00Nbhe!
tAWdeettaaarcfuaW
gpadal ham
Oda Caddcale!award I119rA
Gas, 304" (0-80)
Aug~ HMUMMM011w
Counharswaa at
T m Rdlh
FunWAUdarm. C saw ale 150
Fa4 Ca1►In. CO saw
12/19/2007 10 17 9702216373
FR7' .EPIS INTERIOR DESIGN
LINCOLN CENTER PAGE 05
�px NO 9-04901544 Deg 18 2007 03 09PM P2
RFFERENCE LIST
December, 2007
NAME
TELEPl1UNL•
NUMBER
Allen D Curtis, Architect
407-7290
Ellen 7.lhnll, Owner
Sense of Place/Perenrual Gardener
472-2640
Myra Monfort
472-5145
Rtek Callan, Realtor
219-2180
Dehorah Rom
Office
491-7326
Horne
229-9672
Kathy & John Nicol
Office
206.1030
Home
206-1116
1200 Bullunw,od Dn,r, Fn,t [olhns, LU 01,25 • Pnane f9'0' 491-6044 • F,tx ('1701 4 KI-i ,44