HomeMy WebLinkAboutIVERSON CONCRETE - INSURANCE CERTIFICATEOLD REPUBLIC
P O BOX 941
BROOKFIELD,
SURETY COMPANY
WI 53008-0941
CONTINUATION CERTIFICATE
IVERSON CONCRETE
IVERSON, KEITH DBA
2107 KEYWOOD COURT
FORT COLLINS, CO 80575
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 THIRTEENTH DAY OF NOVEMBER. 2005
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24-4274 k,,�„;.,
AMERICAN FAMILY BROKERAGE
6000 AMERICAN PARKWAY OLD REPUBLICsSqETY 00�
MADISON, WI 53783-0001
By L SkC T
ASSISTANT RE ARY