HomeMy WebLinkAboutDEC CONCRETE - INSURANCE CERTIFICATECERTIFICATE HOLDER COPY
CITY OF FT COLLINS
281 NORTH COLLEGE
FORT COLLINS CO 80525
POLICY NUMBER: 4080273
BUSINESS LOCATION: DEC CONCRETE LLC
CLASSIFICATION OF OPERATION
CLASS DESCRIPTION
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, certian 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.
COVERAGE COVERAGE RATING
EFFECTIVE EXPIRES TYPE
522105 CONCRETE-FLATWORK & DRIVERS 05/01/2006 05/01/2007 EM