HomeMy WebLinkAboutEMPIRE CARPENTRY - INSURANCE CERTIFICATE (4)CERTIFICATE HOLDER COPY
JOHN STEPHEN
CITY OF FP COLLINSIPURCHASING
PO BOX 580
FORT COLLINS CO 80522-0580
POLICY NUMBER: 1519590
BUSINESS LOCATION: EMPIRE CARPENTRY LLC
CLASSIFICATION OF OPERATION
CLASS DESCRIPTION
564505 CARPENTRY -RESIDENTIAL
COVERAGE
COVERAGE
RATING
EFFECTIVE
EXPIRES
TYPE
09/01/2003
09/01/2004
EM
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.