HomeMy WebLinkAbout439705 BELFORD WATKINS GROUP LLC - INSURANCE CERTIFICATE (2)ti
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CERTIFICATE OF INSURANCE - COMMERCIAL
ALLSTATE INSURANCE COMPANY - NORTHBROOK, IL
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INTERESTED PARTY TYPE: ADDITIONAL INSURED
Comments:
CERTIFICATE HOLDER
NAMED INSURED
Name and Address of Party to Whom this Certificate is Issued
Name and Address of Insured
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
BELFORD WATKINS GROUP LLC
PO BOX 1306
FORT COLLINS CO 80522
Location Address (if different than above)
231 S HOWES ST
FORT COLLINS CO 80521
This is to certify that policies of insurance listed below have been issued to the insured named above subject to the expiration date indicated oeiow,
notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may
pertain. The insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies.
TYPE OF INSURANCE AND LIMITS
Policy Number: 50818845 Effective Date: 7/8/11 Expiration Date: 7/8/12
COVERAGE SUMMARY
BUSINESS LIABILITY
AMOUNT
COMPREHENSIVE LIABILITY
$ 2,000,000 Each Accidental Event
FIRE and SPECIFIED PERIL LEGAL LIABILITY
$ 50,000 Each Accidental Event
ADVERTISING INJURY LIABILITY
$ 300,000
MEDICAL PAYMENTS
$ 5,000 Each Person
$ 25,000 Each Accident
PROPERTY INSURANCE
POLICY TYPE
® SPECIAL FORM ❑ NAMED PERIL FORM ❑ BUILDERS RISK SPECIAL FORM
❑ BUILDING $ ❑ Replacement Cost ❑ Actual Cash Value ❑ Replacement Cost Safeguard
® CONTENTS $ 57 ® Replacement Cost ❑ Actual Cash Value
Deductible $ 250
Wind Deductible% Exclude Wind ❑ YES ❑ NO
ADDITIONAL COVERAGE'S: EMPLOYER NON -OWNER AUTO, HIRED AUTO
MORTGAGE CLAUSE — The policy contains a Mortgage Clause in favor of:
Mortgagee
Address
CERTIFICATE PERIOD
THIS CERTIFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OF THE POLICY UNTIL THE POLICY IS CANCELLED OR EXPIRES.
POLICY INCEPTION DATE: 7/8/11 ® 12:01 AM ❑ 12:00 NOON
Standard Time at the location of the Insured premises.
PROVISIONS
This form is not the contract of insurance, but attests that a policy as identified above has been issued. The provisions of the policy shall prevail in all
respects.
IT IS AGREED THAT SHOULD THE INSURANCE PROTECTION EVIDENCED HEREIN TERMINATE, THE ISSUING COMPANY WILL ENDEAVOR
TO MAIL NOTICE OF SUCH TERMINATION WITHIN 10 DAYS FOR THE FOLLOWING INTERESTED PARTIES: MORTGAGEE, LIEN HOLDER,
ADDITIONAL INSURED AND ADDITIONAL INTERESTED PARTY.
JAMES E COMER ING 11/21/11
Authorized Representative Date
COI 10444 CUSTOMIZER (8/05)