HomeMy WebLinkAboutPOTTER COMMERCIAL WALLS AND CEILINGS - INSURANCE CERTIFICATE (4)P/NN/ICOL
ASSURANCE
CITY OF FORT COLLINS
P.O. BOX 580
FORT COLLINS CO 80522
INSURED:
POTTER COMMERCIAL WALLS AND CEILINGS
43600 HWY 50E
AVONDALE CO 81022
7501 E Lowry Blvd
Denver, CO 80230-7006
Phone: (303) 361-4000 / (800) 873-7242
Fax: (303) 361-5000 / (888) 329-2251
June 17, 2011
Policy #: 4102271
AGENT:
WESTERN GROUP, INC - PUEBLO
PO BOX 1958
PUEBLO, CO 81002
(719) 543-3604
Notice To Certificate Holder Of Pending Cancellation
Pinnacol Assurance would like to inform you that the workers' compensation insurance policy through our
company for:
Policy #: 4102271
Insured: POTTER COMMERCIAL WALLS AND CEILINGS INC
for whom you currently hold a certificate of workers' compensation insurance, is scheduled to terminate as of
July 27, 2011.
If the insured listed above elects to maintain the policy, we will send you a notice rescinding the cancellation.
As always, Pinnacol Assurance continues to be Colorado's premier workers' compensation insurance company.
If you have any questions regarding this letter, or if I can be of further help, please contact me at the numbers
listed below.
Sincerely,
Ryan Lanter, Underwriter
Phone: (303) 361-4524 / (888) 852-2263
Fax: (303) 361-5500 / (888) 329-2209
P,nnacol Assurance' 7501 E Lowry Blvd' Denver, CO 80230
Page 1 of 1 UB4001 - 06/17/2011 19:05:40 4102271 Updated: 12/13/2006 P719