HomeMy WebLinkAboutMATHEW DANTONIO WHATS POPPIN - INSURANCE CERTIFICATEJun 10 08 1102p
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CERTIFICATE OF LIABILITY INSURANCE
American Family MAmerican utual Insurance ryCompany rce if sSelleection boxx is not checked.
6000 American Pky Madison Wisconsin 537ssi
Insured s Name and Address
Mathew D amonlo (Whata Poppin) Agsnrs Name Address and Phone Number(AgL/oral )
4615 eagle Lake Dr1ve Larry Lincoln (303) 400-6508
Fort Collins Co 80524 5657 S Himalaya SL Ste 210
Aurora CO 80015-5309 (199'3o5)
This certificate is issued as a matter of rrdormstron only and confers no rights upon the certificate Holder
This Certificate does not amend extend or after the coverage afforded by the polrcks listed below
Ttia lB to aMa qa pcede0 plhaurYminktl hebw Mre lNn efxc[ the ebpneramah:EOYa fume ptlicy penM ndcaiee MrMUeandn an r
do ume tMth respect q wM sib cWdea, may be 4abep maY pMin tMl axe xe atkroa-oy ay ppHpoycresi M1ereln es a Y e9n amen iemraohrdhpn sir any coned-r clhar
hjM tp ell tM remy de-ec paCles. TYPE OF INSURANCE POLICY NUMBER EFFECTIVE FIMTIDR e.OM1` re-na er4 -tlndh-nr
Ibmeowners/ y LIMITS OF LIABILITY
-- I Boatowners Liability
Personal Umbrella Liability
FermfRanch Liability
Workers Compensation and
Employers Liability t
General Liabaldy,
® Commercial General
Labikiy (occurrence)
Q
BusrneseowTI Liability
Liquor LiMmlity
Automobile Llabeliry
❑ Any Auto
❑ All owned Autos
❑ Schaduledquics
—' ❑ Hired Auto
❑ NonOwned Attics
Emma liebllhy
❑ Oommercral Blanket Excess
El
05XM484301 CD 37
The commercial GL policy is endorsed to include The
Its aHlhates subsidiaries and parent on the CG 201n1
City of Ft Collins
Purchasing DIVISion
P O Box 580
Ft Collins Cc 80522
1.11-201 Ed 5/00
4/9/2008
4/W2009
EeN Owrarerlw
$
BadW In1 -r a"PI
r -pe.rr Damaae
ODD
adr Cecmrw
S 000
Godly -I-v an0 P -perry Da'^sP
Eac-oca Hots
$ 000
'arm canna Pam-u i.rm ircy
:ern OF:jTya e
$ nrv.
Lmt
Exit Docrnmroet t _ E
AW.go att 000
$ rim
aW-r/ each Pare-r $ OOD
Bolo lNisY Each Acdcery $ 000
R-P-M Demaaa $
DDD
Godly lnlwy an]Pmpsrt/Daneae C-rWnaO $
000
EKh De .WWApa eagle $
D00
i eIna uaoavnenarem m MW ❑ea a oMa o„
of Ft Collins eladesgre opvsnauempioy-as d'argis porky
endorsement tt bMn'Natta abNcl°-1°aap"� aaaneale r ayua q sail,
poiry egaragan
M9/2008
Certificate Holder
..
iwn or rapresentetrvea 0 daysm� unn-
less d
overage on the date of Issue only The
She
es of the sttate of to rs�suellatron in conformity cal
No 06668 pfa—v7/02