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Home My WebLink AboutWRIGHT BALLARD - INSURANCE CERTIFICATE (5)CERTIFICATE OF LIABILITY INSURANCE American Family insurance Company ❑ American Family Mutual Insurance Company if selection box is not checked 6000 American Pky Madison Wisconsin 53783-0001 Insured s Name and Address Agents Name Address and Phone Number (Agt /Oast ) Wright Ballard Construction Inc Less Ringklob (970 223-0940) 6821 Aaron Drive 375 E Hortietooth Bkig 6 Ste 100 Fort Collins CO 80521 Ft Collins CO 80525 (OGS/316) Thus canificata is Awa ad as a matter of information only and eonfera no nghts upon the CoAdreate Helder Thlz ccn!f!Cee de net eiaemdaxtand or alter the covers" afforded by the policies listed below term weMrcfi a0y Tklea[D amy inn pollrlcd nwiellCe landbelow heVBhNnley,etln Me mural named abwaiw do PatcY padoO lntllABatl notwllheandOghO% Auu$ POiid- tldaumemwlmreBDacltowNdtdax cena(ab rray ba aeuedwmiN p•bl tre iMYrna NardW by ilia pMld dncdiMd M,Na biMbei M"nitre awware end condeene of sash pMleiw TYPE OF INSURANCE POLICY NUMBER if LIMfiS OF LIABILITY MF NE"Ny E lO TqN 9otlN nury rMdPnab amaga Homeoarnars/ am occurrence $ 000 Mobdateomaowners Liability easy ropy and "Any DataDa 60atewmern LrabiliN Ego ocammce $ 000 9odN mlury entl Prcaery DAriteee Personal Umbrella Liability seas oxunance $ 000 sum' eredno uaMliry $ FemJRanch Liability E �n occv rerce o FMm Emplayere LANNY $ Eadi OM re M st1mory AaAAMawAMaa workers Compensation and Earn Aeddwq $ 100 000 Employers Liability t 05 X3484591 02/18/2008 0211 WOO DieLLLL as, snowed, $ 100 OOo oaeLLe EMxy umn $ 500 OOD a nem Am Ste $ 2 000 OIX1 General Liability M Commercial General p,w,ree cc ee ad 0 entims A a ale $ 2000 000 1,:anai And m $ 1 000 Liabli tr (occurrence) 05 X92387-06 12122/2007 12/22/2008 $ 1 000 ❑ eacn Oocurrnae o00 Dam to Pnmku named fo you $ 100,000 ❑ Mecical Ex rise A One Penn) $ 5 000 am occumncat t $ 000 Businessewners Liability Agengeeft $ 000 Ccmman Cau"uret S coo Liquor Liability A(gragab lane $ 000 Automobile Liability away into" bad, pason $ 000 ❑ Any Auto Body Injury E"oh A icl m $ 000 ❑ All owned Autos ❑ Scheduled Autos Propero DaMAga $ 000 ❑ Hired Auto — ❑ Noionenad Autos auci nd PnpMry Damace CMnbnAd $ 000 Excess Laabllrty ❑ Commercial Blanket Exeees Eaen oceuireM✓Adaredae $ 000 Other (Ml4eellaneeu6 Coverages) DE9CRI NOF OPEMTION r ONS/BPECULL creme tTPe MtlhAtlual of paMan Mw"M ae e,su,ed ❑Have OH.OM "aeYd a Ce O"llBretl ai MrpbpLL uiMealle DoacY Certificate holder is listed as Additional Insured tt Puxudacwnpieud Operebane "careers Is equal b Mace oxunence rimllrtl a included pacyaeerepw PI�xTE MiOL`GE K1� Yeti it�tlq " n Llitbl? ' hquld arry tat the above described fOl es cancelled belore the City of Fort Collins expiration date thereof the company vnlI endeavor to nail ( 30 days) written noib to the CeinRcate med Holder nabut falkire to marl such Department Purchasing P notice shall Imlioso no obllgason ar IIabIIIN of arty land upon Me days di8ersnt P O Box 580 company ds agents or represerltadvaa o unless Ft Collins CC 80522 number of days shown ❑ This cenidee coverage on the date of issue only The above policies amIllation in conformity with their ctstat lby icies dermaand otsuthe ofcanc Fax a 221 6707 PATE 13SUEp AUniO IZEO EaENTATNE �4 02/1 S 2008 U-201 Ed SM Cerbkcate Holder Stock No 066M Rev 7102