HomeMy WebLinkAboutWHATS POPPIN - INSURANCE CERTIFICATE (2)Jun 10 08 11 02p
P1
CERTIFICATE OF LIABIUTY INSURANCE
AnYemm AmericaFamly Muhey can F" bYuaanea ConVany C7
Carrpeny dealocbon bait"not checkaLL
00 Am@rl n Pky Mad"on Wlaaeeen a378330001
InaaaM a Nama and Address WOO
Mathser D anionic(WhaL s Poppin) Aganya Name Address grad Phone Numbar(A9c7)"1)
4815 eagle Lake Drive Larry Lincoln (303) 400e50S
Fort Collins Co SM24 8887 S HMOkya SL Ste 210
Aurora CO 30D15S309 (19e'308)
Thle eerbheehr""Sued ce a ytter Or adornralraU only and Confers no n9hla Upon the CertlhbatS Molder
Tale certificate dose not an"nd "Und or alter the oow1199 afforded by d» poholee IM M h 10%
111•Nr eay aw aeaYwdraar�a�lare •m•wrew arneMCl re rwrraar ae•w r•rM OC Wr aMT MeeelbwMc•aee[eraerrnrtbbwea r rrwr ltil w•nral.e•enrP•rYrarweM rwraernal"rr eyemere lrarr anewn deq•mnYMaMr
TYPE OF fNBURANCE d•a b Ylar arm" aaenlrr •Maeneas• aalo+erw•
POLICY NUAMER e 1 LBIITSOFuAWLfry
IlOnteoerrlen/
�abltefaea"ewnafa Lrabdby M R+r arW
aaebwr"rm Liabilityeaa oaa"a• a
-- e•W•lar•neparary D•megr 000
Panerul Umbrefh Lbftley iwi%c a nee s 000
eay rrY.lu P Mary o•"aem
I'mmlRaash Liability E%thMoon nm a 000
Warts Compwmmon end
Em byes LWArwt
Genorm LM&MY
M CommeMW General
L"brMY(ooeunsnee)
06XM484301 CD 37 I 4AW008 I 4,S2009
Busrnsss"nora L "rty
LKMW Liability
❑ AN Owned Aube
0Scheduled Ataos
to
—' M Hired Au
top Nonowned Amos
CgneceroN Blanket Exoew
The CCrnmerclat GL ." 'Gn'D'"n
its affiliates subsidiaries and ndoBed to include The
parent on the CG 201(y
Cny of Ft. Collins
Purchasing Division
P O Box 5B0
Ft Collins Co S0522
LL201 Ed MM
t
1
Lr_"u"TT t
I eanea.r e.ue.ae s a
tuna a
a•dy pup e•en P•+r a
"" Era ACW" a
I'me" Damage a
eCw rM•ym Pagay DSngv gateaee a
000
000
I Eerh Oem�nx•4gp qa• S
1100
t Ile navi "e ewra Yawar rW eaa wnro of Ft Collins .rowmeerwMraeYoree "earr
endorsement tt PaeawcamYda grasses woeMr r•ea b •sn,
I "Moe
Cerescete Holder
or
In dMe of Inoue gray 7
l 0araeeaaban in oenfomaty
0r Ma'am
0ee0e W9V 7A2