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Home My WebLink About114992 ALBERTSON CLARK ASSOCIATES - INSURANCE CERTIFICATE09/24/2009 23:23 9702263195 BOB SANDERSON PAGE 91 A6�a CERTIFICATE OF LMILITY INSURANCE os/2512009zoo9 PRODUCER THIS CERTIFICATE 18 ISSUED AS MATTER OF INFORMATION Bob Sanderson/State Farm Insurance ONLY AND CONFERS NO ROOM" UPON THE CERTIFICATE 608 E harmony Rd., Ste 201 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fort Collins, CO 80525 ALTER THE COVERAGE AFFORDED BY THE POLICIESAMC BELOW. INSURERS AFFORDINfI: COVERAGE NAIL i IINUlgD ALBERTSON CLARK, SHERRY 013A ALHERT80N CLARK ASSOCIATES 5313 FAIRWAY 6 DR FORT COLLINS 00 80525-9102 UMNE 1A:State Farm Fire and Caswdtk any 25143 tNSl1RERe: U45URER C: INSURER& D18UAER E THE POLICIES OF DfSURANCE LISTED BELOW HAVE BEEN ISSUED TO 711E MURED NAMED ABOVE FOR THE POLICY PERIOD NIWATEO_ N07WRHSTANDWO ANY REQUIREMENT. TERM OR OONDIITON OF ANY CONTRACT OR OTHER DOCUMENT VMW RESPECT TO 1WIACH THIS CERTIFICATE MAY BE ISSIIBD OR MAY PERTAIK TIE VISURAMM AFFORDED BY THE POUCIESES DES NBED HEREN IS SUBJECT T+0 ALL Ti1E TERM EXCLIMM AND CONDR9M OF SUCH POLESAGGREGAIE LWT S SHPVVMMIIf11 HAVE BEEN REDUCED I Y PAID CLAM& LTI1 TVMGFmgmmm POLCYNU®1 SATE09MM VATS ulel5 A X snffinALUABsmr GENERAL IuANAY CLAIIES E FXICCCUR 96-BC-W459-6 MM-27-09 MAR-27-10 L40 Ogg= 1, 000, 000 XCOMERCIAL 300,000 N®QP om i 5,000 axV000RY S 11000,000 GEMMLAGGAEOAT6 i 2,000,000 LIParr X � x LOC PAOWCq_CQMF1QPA9D a 21000,000 AvnO�OBRE Ltl18SlIY AxrAu ro ALL OUMMAUTOS SPHEPAWAUIOS Now AUTOS RON4NMED AUTOS CwMMO 31116LE LIMIT (Es oaa-1 4 s SOMYOULari (paos�wlt BODILY KAPZVi (Pqt ecddtno PROPEM OANAGE IPs, aoddwAT i canAOFLIABBOV AUYAUTO AUTO Y_ OTHER THU EAACC AUTO OMV i Ali IEEINLLAU481UTT OCCUR F1C1AIMISMIIOE OEDUCi1BLE REIBIIT1011 i 9AMOCCUMENCE i AGGREGATE i i i i )NANO EMPLOVOW LWAILM ANVMEXECUTWE O 8lEMUDEM If demeft WON banELCZEASE. �L6AN E4 EACHAOCIOENT i DTNa►sE-rAeuplvT s ATLWIL 9 orNel OE TIOA IW OPERAT MIS 1 LOOMPONS I WEEEMES I FQl.1UgO1q Aom LoCation of operations: above 6 various 84 aNcom l m" / iPECAL PpONS10N3 ME-! -III. I1-4. is, UP,, 4: �N I''r JEW r,'," Fort C011 i" P. urchas Ing S11p" Apr OF "M ADM 06pLIGNIMI ppAMI 115 GYICIRtIS fff� TM �TpN F.O Boa 580 Fort Collins, CO 80522 BATE a TM IialMMG HIVA FR TIgLL ONNAVOR TO BAIL J. DAVE WRIMM IIOTICE TO THE CERIN CATS ISO A= NANO TO THE LEST. BUT FAILURE TO DD sA SWJA SWUM ND 0IRMATT011 OR UABL"Y OF ANT IM UPON 7fN Dom. ITS AGMTS OR ATTYES 122819 03� •'.o n�.�naaq.....VPYTi uwu�v wa slop w we rrruna uTv�r �pewre wrwla .,/AWRY w�v AQ 1 16mY8a 10/04/2009 22:25 9702263195 BMW Policy No. 96-BC-W459-6 BOB SANDERSON FIRE OPERATIONS UP DATE SEP 25 2009 1732-F913 SECTION If ADDITIONAL. INSURED ENDORSEMENT Polley No.: -96-BC-W459-6 Named insured: ALBERTSON CLARK, SHERRx DBA ALBERTSON CLARA ASSOCIATES 5313 FAIRWAY 6 DR FORT COLLINS CO 80525-9102 Additional Insured {Include address): CITY OF PORT COLLINS PO Box 580 FORT COLLIN8 CO 80522-o584 PAGE 02 PAGE 02 FE-WN A WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to Include as an insured the Additional Insured shown above, but only to the extent that liabilityis i because of Your work pe►famted for that Addltlonal Insureda°n that Additional Insured solely shown ataove. Any insurance provided to the Additional Insured shalt only apply with respect to A claim made or a suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an "X' in the box. ❑ Primary Insurance, The insurance provided to the Additional Insured shown above shall be primary insurance, Any insurance carried by the Additional Insured shall ba noncontributory with respect to coverage provided to you. All other policy provysions apply. F6-8808 Printed In U.S.A.