HomeMy WebLinkAboutIVERSON CONCRETE - INSURANCE CERTIFICATE (2)OLD REPUBLIC SURETY COMPANY
* BROOKFIELD, WI 53008-0941 CONTINUATION CERTIFICATE
BOND NUMBER BOND DESCRIPTION BOND AMOUNT EFFECTIVE DATE EXPIRATION DATE
MSA-1158336 NONSTRUCT. CONCRETE 1 10,000 1 3/24/2005 1 3/24/2006
IVERSON CONCRETE
IVERSON, KEITH DBA
2107 KEYWOOD COURT
FORT COLLINS, CO 80575
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CITY OF FT. COLLINS
P.O. BOX 580
FORT COLLINS, CO 80522
THIS BOND CONTINUES IN FORCE TO THE ABOVE EXPIRATION DATE CONDITIONED AND PROVIDED THAT THE LOSSES OR RECOVERIES ON
IT AND ANY AND ALL ENDORSEMENTS SHALL NEVER EXCEED THE PENALTY SET FORTH IN THE BOND AND WHETHER THE LOSSES OR
RECOVERIES ARE WITHIN THE FIRST AND/OR SUBSEQUENT OR WITHIN ANY EXTENSION OR RENEWAL PERIOD, PRESENT, PAST OR FUTURE.
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.
SIGNED AND DATED THIS FOURTEENTH DAY OF NOVEMBER . 2004
24-4274
AMERICAN FAMILY BROKERAGE
6000 AMERICAN PARKWAY
MADISON, WI 53783-0001
OLD REPUBLIC TRETY COMPAHY
SURETY
By ��,.ti 9-
-ASSISTANT WGRETARY
OLD REPUBLIC SURETY COMPANY
' P O BOX 941
BROOKFIELD, WI 53008-0941 CONTINUATION CERTIFICATE
BOND NUMBER BOND DESCRIPTION BOND AMOUNT EFFECTIVE DATE EXPIRATION DATE
MSA-1158337 CONTR. LICENSE -OTHER 20,000 1 3/24/2005 1 3/24/2006
IVERSON CONCRETE
IVERSON, KEITH DBA
2107 KEYWOOD COURT
FORT COLLINS, CO 80525
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CITY OF FORT COLLINS
ENGINEERING DEPT.
281 N. COLLEGE AVE.
FORT COLLINS, CO 80521
THIS BOND CONTINUES IN FORCE TO THE ABOVE EXPIRATION DATE CONDITIONED AND PROVIDED THAT THE LOSSES OR RECOVERIES ON
IT AND ANY AND ALL ENDORSEMENTS SHALL NEVER EXCEED THE PENALTY SET FORTH IN THE BOND AND WHETHER THE LOSSES OR
RECOVERIES ARE WITHIN THE FIRST AND/OR SUBSEQUENT OR WITHIN ANY EXTENSION OR RENEWAL PERIOD, PRESENT, PAST OR FUTURE.
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.
SIGNED AND DATED THIS FOURTEENTH DAY OF NOVEMBER . 2004
24-4274
AMERICAN FAMILY BROKERAGE
6000 AMERICAN PARKWAY
MADISON, WI 53783-0001
OLD REPUBLIC iRETY COMPANY
SURETY
By
ASSISTANT WCRETARY