HomeMy WebLinkAbout119979 QUALITY TRAFFIC CONTROL - INSURANCE CERTIFICATE (18)CERTIFICATE HOLDER COPY
THE CITY OF FORT COLLINS
PURCHASING DEPARTMENT DIVISION
215 N MASON STREET
2ND FLOOR
FORT COLLINS CO 80524
POLICY NUMBER: 3087822
BUSINESS LOCATION: QUALITY TRAFFIC CONTROL INC
CLASSIFICATION OF OPERATION
CLASS DESCRIPTION
COVERAGE COVERAGE RATING
EFFECTIVE EXPIRES TYPE
550605 STREETIROAD CONST: PAVING OR REPAVING & DRIVERS O4101/2005 04/01/2006 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.
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