HomeMy WebLinkAboutPOTTER COMMERCIAL WALLS AND CEILINGS - INSURANCE CERTIFICATE (3)P1NNAA coy
ASSURANCE
CITY OF FORT COLLINS
P.O. BOX 580
FORT COLLINS CO 80522
INSURED:
a Potter Commercial Walls and Ceilings
43600 Hwy 50e
Avondale, CO 81022
7501 E Lowry Blvd
Denver, CO 80230-7006
Phone: (303) 361-4000 1(800) 873-7242
Fax: (303) 361-5000 1(888) 329-2251
April 6, 2012
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--------,
w om urrently hold a certificate of workers' com on insurance, is scheduled to terminate as of
April 27, 2012.
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
Pinnacol Assurance' 7501 E Lowry Blvd' Denver, CO 80230
Page 1 of 1 UB4001 - 04106/201218:55:51 4102271 Updated: 12/LY2006 P719