HomeMy WebLinkAbout304772 COLLINS DOOR & HARDWARE INC - INSURANCE CERTIFICATE63
AMERICAN FAMILY
6000 American Pkwy I Madison, WI 53783-0001 I 1-800-MYAMFAM (692-6326) I amfam.com
January 8, 2013
+0000063 005-316 HNC003
CITY OF FORT COLLINS
215 N MASON ST 2ND FLOOR
FORT COLLINS CO 80524
POLICY NUMBER: 05X7256614
RE: COMMERCIAL LIABlI Y UMBRELLA POLICY
CANCELLATIONDATE : 01/21/2013
INSURED: Collins Door & arc ware hic
394 DELOZIER DR
FOI2TCOLLINS CO 80524-8482
LOAN NUMBER:
'Phis letter is to notify you of an important change. indicated by the paragraph checked below. in regard to your
interest in this policy.
X I. 7'he coverages afforded by the above -numbered policy, issued by the company as identified thereon, will
be canceled on the dates shown above at the time stated in the policy. All liability on the part of the
company, as to your interests, if any, will cease as of that date and time. Any return premium, which
results from cancellation, has been sent to insured directly or through the agent. Please contact same if
questions arise as it result of any premium payment from an escrow account.
_ 2. We have been informed that you no longer have an interest in die above -numbered policy because your
loan has been satisfied. Therefore, its shown above, we have removed all indications of your interest in
the policy.
3. We have been in'or ned 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 dale shown above at the time stated in
the policy. Physical damage other than collision coverage will remain in force. The action was taken al
the request of the insured.
5. The physical damage other Than collision coverage will he removed from this vehicle(s) on the date
shown above at the lime slated in the policy. Collision coverage will remain in force. This action was
taken at the request of the insured.
6. The physical damage other than collision and collision coverages, provided by this vehiele(s), will be
removed on the date shown above at the time stated in the policy. This action was taken at the request of
[lie insured.
7. The policy numbered ahovc is canceled and replaced by policy Number:
Commercial Lines - Farm/Ranch Division
American Family Mutual Insurance Company
AGENT: 005-316 PHONE: 970-484-2881
DANIEL B RICHMOND AGENCY, INC.
923 E PROSPECT RI)
FORTCOLLINS CO 80525-1110
U B L-89-4
Stock No. 17764