HomeMy WebLinkAbout509412 WARD ALTERNATIVE ENERGY LLC - INSURANCE CERTIFICATEDILLINGHAM INSURANCE
P 0 BOX 1669
ENID, OK 73702
894509 10635 1 AT 0.384 PPACS01A 041 010635
CITY OF FORT COLLIN
PO BOX 580
FORT COLLINS, CO 80522
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Additional insured endorsement
Name of Person or Organization
CITY OF FORT COLLIN
PO BOX 580
FORT COLLINS, CO 80522
M949REl1/!/E'
Policy number: 01998979-1
Underwritten by:
Artisan and Truckers Casualty Co
Insured: WARD ALTERNATIVE ENERGY,
October 14, 2013
Policy Period: Oct 12, 2013 - Oct 12, 2014
Mailing Address
Artisan and Truckers Casualty Co
PO Bolt 94739
Cleveland, OH 44101
1-800-444.4487
For customer service, 24 hours a day,
7 days a week
The person or organization named above is an insured with respect to such liability coverage as is
afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of
another insured and then only to the extent of that liability. We also agree with you that insurance
provided by this endorsement will be primary for any power unit specifically described on the
Declarations Page.
Limit of Liability
Bodily Injury Not applicable
Property Damage Not applicable
Combined Liability $1,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 01898979.1
Issued to (Name of Insured): WARD ALTERNATIVE ENERGY, 150 412
LLC L
Effective date of endorsement:10/12/2013
ram 1198 (01104)
Policy expiration date: 10/12/2014