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Home My WebLink AboutPATRICE HUXLEY DBA PATTY CAKES - INSURANCE CERTIFICATEQ)Allstate. You're in Rood hands. ALLSTATE INS 9 7 0 4 8 2 - 2 2 0 0 FAX 970 482-2427 FACSIMILE TRANSMITTAL SHEET T0: FROM: David Carey Beth COMPANY: DATE: 08/09/2013 FAX NUMBER. 10'1'AL NO. OF PAGES INCLUDING COVL'R: 2216707 9 PIIONE NUMBER: 5PNF)FR'C RPTERFNCF NUMRr R: R[;: YOUR REFL-RP_NCE NUMBER: Certificate of insurance and dec pages for auto ❑ URGEN'1 d POR M-N11 W ❑ PT,T°.AS>• COMMENT 0 PLFASE RF.PT.Y 0 PT,FAS1:•; 111,CYC1.1- NU'IT:S/( OMMICN'I' 816 5 COLLEGE AVE, FORT COLf,iNS, CO R0526 R2P,53-2 From: GFI FaxMaker To: 19704822427 Page-. 212 Dates 818/2013 1:51:02 PM nra CERTIFICATE OF INSURANCE i'�un um I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 'I HIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ORAL tER THE COVERAGE AFFORDED BY THE POLICIEi4 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT! IF THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST BE ENDORSED. IF SUBROGATION IE. WAIVED, SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY, CERTAIN POLICIES MAY REQUIRE AN ENDORSEMENT. A STATEMENT (IN THIS CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S). ''. PRODUCER INSURER(S) AFFORDING COVERAGE Northeast Agencies, Inc INSURER A� Essex Insurance Company 6467 Main Street - Suite 104 Williamsville, NY 14221 INSURER BN/A INSURED INSURER. C� Patrice Huxley , d/b/a Patty CaKes INSURER D: 230 Youngs GUICh Road Bellvue, CO 80512 INSURER E: N/A COVERAGES — THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE Vol: THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCWIENT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS GENERAL LIABILITY 3DH3001 5182013 516f2014 GENERAL AGGREGATE 2.000.000 PRODUCTS-COMIOP ACC. Included 1.000.000 PERSONALSADV. INJURY 1000.000 EACHOCCURRENCE 100.000 AGE—PREM RENTED TO YOU 5,000 MED EXPENSE (Anyone Parsan) ''.PERSONAL LIABILITY COMBINDED SINGLE LIMIT _ MEDICAL PAYMENTS TO OTHERS ''. EXCESS LIABILITY EACH OCCURRENCE — .._— AGGREGATE E .. BUILDING PROPERTY ',,. -__ ''. CONTENTS BUSINESS IN CO ME - DESCRIPTION OF OPERATIONS I SPECIALTY ITEMS Store Push Cart CERTIFICATE HOLDER SHOULD ANY OP THC ABOVE DESORIGlD POLICIES BE CANCELLED Additiwal Insured•Clty of Fart Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. Attentiolt Purchasing _ PO Box 580 AUTHORIZED SIGNATURE w�l Fort Collins, CO 80522 This fax was sent with GFI FA)(maker Pax server. For more information, visit: httpWvAVw.gfLc0m Allstate. stateoF4redaClasualty Insurance Company RENEWAL Auto Policy Declarations Summary NAMEDINSURED(S) YOUR ALLSTATE AGENT IS YOUR BILL Patrice M Huxley Howell Ins Agency lists your payment options. and Daniel Baker (970) 482-2200 230 Youngs Gulch Rd Bellvue CO B0512-6507 816 S. College Ave Fort Collins CO 80524 POLICY NUMBER POLICY PERIOD 9 64 671680 11/11 May 11. 2013 to Nov. 11, 2013 at 12:01 a.m. standard time VEHICLES COVERED VEHICLE ID NUMBER LIENHOLDER 1. 02 Honda Accord JHMC056662CO21517 None 2. 94 Chevy Trk Kt Series _ 2GCEK19K5R1254136 None 3. 04 Chrysler 300M 2C3HE66G24H587397 None Total Premium Premium for 02 Honda Accord $430.55 Premium for 94 Chevy Trk K1 Series $279.79 Premium for 04 Chrysler 300M $324.60 Premium for Uninsured Motorists Insurance $78.11 Colorado Theft Prevention Fee $1.50 TOTAL Premium If you pay In full (Includes FuIIPay Discount) $1,017.31 TOTAL Premium If you pay In installments $1,114.55 If you pay less than the pay In full amount, you will he charged an Installment feels). Your Polity fll6ctve Ogre is May 11. 2V13 Your premium reflects the Gold Protection package Your policy reflects Allstate Preferred Package Savings. We have applied tI1Is savings to your policy because you own a residential property and insure more than one vehicle. AUr0'ate000s1]pne, al0a9ae0Gny IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIII�III�llllllllllllllllllll��ll��lll@IIIIIIIIIII�IIIIIIIIIIII �:;"ze;; " Page 1 R2853-2 Qt4to Ws ualty Insurance Company Polley Number: 96467168011111 Your Agent: Howell Ing Agency (970)482.2200 Palley Effeellre Date: May 11, 2013 Summary of Discounts - Your total premium includes the following discounts, which total.- $902.75 Safe Driving Club $514.41 3 qualified driver(s) Multiple Policy $112.33 Responsible Payer $73.21 Early Signing $77.76 Homeowner $65.85 The following discount(s) apply to Vehicle # 1: 2002 Honda Accord Antiloek Brakes $31,05 The following discount(s) apply to Vehicle S 3: 2004 Chrysler 300M Antiloek Bmkos $28.14 Driver(s) Listed Patrice - married, female, age 60 Daniel - married, male, age 61 Maggie - single, female, age 25 111,�111-1 Page 2 +r•. 1.1013 commmo R2853-2 Qst ualty Insurance Company Polley Number: 9646716801111 Your Agent: Howell Ins Agency (970)482.2200 Polley Effective Dote: May 11. 2013 COVERAGE FOR VEHICLE x 1 2002 Honda Accord COVERAGE LIMITS DEDUCTIBLE PREMIUM Automobile Liability Insurance Not Applicable $239.77 • Bodily Injury $50,000 each person $100,000 each accident • Property Damage $100,000 each accident Auto Collision Insurance Actual Cash Value $500 $124.15 (Safe Driving Deductible Reward - doductilble reduction amount available is $100 ) Auto Comprehensive Insurance Actual Cash Value $500 $48.03 Towing and Labor Costs Coverage $100 each disablement Not Applicable $6.40 Rental Reimbursement Coverage up to $20 per day for Not Applicable $12.20 a maximum of 30 days Total Premium for 02 Honda Accord $430.55 AUTO •ma0005,aom�oaoo9aso6osfl fl m InI IeI np I I�� II I��I��IIIIIIIIIg I��III�II�IIIIIIII��III�IAu�IIA��l�lllllllll l�l WIM1IA a Page 3 3 R2853.2 A sta{{e tat�oen�a�sualty Insurance Company Policy Number: 96467158011111 Your Agent: Howell ins Agency (970)482.2200 Policy Effective Date: May 11, 2013 COVERAGE FOR VEHICLE # 2 1994 Chevy Trk K1 Series COVERAGE LIMITS DEDUCTIBLE PREMIUM Automobile Liability Insurance Not Applicable $135.74 • Bodily Injury $50,000 each person $100.000 each accident • Property Damage $100,000 each accident Auto Collision Insurance Actual Cash Value $500 $62.96 (Safe Driving Deductible Reward - deductible reduction amount available is $100 ) Auto Comprehensive Insurance Actual Cash Value $500 $42.49 Towing and Labor Costs Coverage $100 each disablement Not Applicable $6-40 Rental Reimbursement Coverage up to $20 per day for Not Applicable $12.20 a maximum of 30 days Total Premium for 94 Chevy Trk K1 Series $279-79 H.l Page 4 W. 1. 2013 M010A9D R2853-2 Q4t,%q,&ua1ty Insurance Company Pal Icy Number: 9 64 67168011/11 Your Agent: Howell Ins Agency (970)482.2200 Policy Effective Date: May 11, 2013 COVERAGE FOR VEHICLE k 3 2004 Chrysler 300M COVEAACE LIMITS DEDUCTIBLE PREMIUM Automobile Liability Insurance Not Applicable $139.61 • Bodily Injury $50.000 each person $100,000 each accident • Property Damage $100.000 each accident Auto Collision Insurance Actual Cash Value $500 $113.63 (Safe Driving Deductible Reward - deductible reduction amount available Is $100 ) Auto Comprehensive Insurance Actual Cash Value $500 $52.71 Towing and Labor Costs Coverage $100 each disablement Not Applicable $6.40 Rental Reimbursement Coverage up to $20 per day for Not Applicable $12.20 a maximum of 30 days Total Premium for 04 Chrysler 300M $324.60 AUTaIn'1Ot Oa005ta0aat a]a0I9�E50801a�' 1m� Im� ��11 I1 1��I I� I� �I I�IA��IIIII��III�III�IIII�I�IIII��III�III�IIIIIIIIIII�I�IIIIIIIII��I�IIII��IIIII "',o, " Page 5 R7n53-7 Qfiflatoo,&ualty Insurance Company Policy Number: 96467168011111 YourAgent: Howelllns AeencY (870)482.2200 Policy Effective Dale: May 11. 2013 Additional Coverage The following policy coverage is also provided COVERAGE LIMITS PREMIUM Uninsured Motorists Insurance $50,000 each person $78.11 for Bodily Injury $100,000 each accident TOTAL $7&11 Your Policy Documents Your auto policy consists of this Policy Declarations and the documents listed below. Please keep them together. - Colorado Auto Policy form AU14512 - Claim Satisfaction Guarantee Endorsement AP4780 - Colorado Amendatory Endorsement form AU14610 Important Payment and Coverage information Your Gold Protection package contains the following features: • Accident Waiver Enhancement feature • Safe Driving Deductible Reward feature IN WITNESS WHEREOF, Allstate has caused this policy to be signed by its Secretary and its President at Northbrook, Illinois, and If required by state law, this policy shall not be binding unless countersigned on the Policy Declarations by an authorized agent of Allstate. Steven P. Sorenson President Mary J. McGinn Secretary Page 6 R2853-?