HomeMy WebLinkAboutWRIGHT BALLARD CONSTRUCTION - INSURANCE CERTIFICATE (3)91
AMr IZICAN FAMILY IINSUIznINCI Gl OUP
6000 AMR RI AN PKWY • MADISON WI53753-0001 • PIIORE: (608) 249-2111
November 5, 2008
+0000091 008-316 CDG014 LOAN NUMBER:
CITY OF FORT COLLINS
PURCHASING DEPARTMENT
PO BOX 580
FT COLLINS CO 80524
POLICY NUMBER: 05X92387050007
RE: BUSINESS KEY POLICY"
CANC I-LATION DATE : 1 1 / 16/2008
INSURED: WRIGHT BALLARD CONSTRUCTION IN
6821 AARON DR
FORTCOLLINS CO 80524-8712
This letter is to notify you of an important change, indicated by the paragraph checked below, in regard to your
interest in this policy.
X 1. The coverages afforded by the above -numbered policy, issued by the company as identified thereon, will
be canceled on the dates shown above at the lime stated in the policy. All liability on the part of the
cotmpauy, as to your interests, if any, will cease aS of that date and time. Any return premium, which
results from cancelation, has been sent to insured directly or through the a,ent. Please contact same if
questions arise as a result Of any premium payment from an escrow account.
2. We have been informed that you no longer have an interest in the above -numbered policy because your
loan has been satisfied. Therefore, as shown above, we have removed all indications of your interest i❑
the policy.
-__ 3. We have been informed that you are no longer a co-insured under the above numbered policy.
Accordingly, we have canceled your interest as co-insured as shown above.
4. The collision coverage will be removed from this policy on the date shown above at the time stated in
the policy. Comprehensive coverage will remain in force. The action was taken at (he request of the
insured.
5. The comprehensive coverage will be removed from this policy on the date shown above at the time
stated in the policy. Collision coverage will remain in force. This action was taken at the request of the
nsured.
6. 'The comprehensive and collision coverages, provided by this policy, will be removed on the date shown
above at the time Stated in the pobcy.'This action was taken at the request of the insured.
7. 'The policy numbered above is canceled and replaced by Policy Number:
Commercial Lines - Farm/Ranch Division
American Family Mutual Insurance Company
AGENT: 008-316 PHONE: 970-223-0940
LESA RINGKJOB
375 F HORSI TOOTH RD BLDG 6100
FORTCOLLINS CO 80525-6900
U-89
Stock No. 07394 Rev. 11/9➢