HomeMy WebLinkAboutCITY OF FORT COLLINS - INSURANCE CERTIFICATE (17)PROGRESSIVE
PO BOX 94739
CLEVELAND, OH 44101
896605 11035 1 AT 0.406 PPACS01 W 041 011035
CTY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
„Ilr,Irgrr,I,qn,,,I,LII'�nvll„Irn,r�q�II�IrPl�ldlllll
Additional insured endorsement
Name of Person or Organization
CTY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
PRWREMME
Policy number: 02110106-1
Underwritten by.
Artsan and Truckers Casualty Co
Insured: CLASSIC CONTRACTORS, INC
March 11, 2014
Policy Period: Mar 12, 2014 - Mar 12, 2015
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Cleveland, OH 44101
1-800-895-2896
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: 02110106-1
Issued to (Name of Insured): CLASSIC CONTRACTORS, INC
Effective date of endorsement: 03/1212014
Form 1198(01/04)
Policy expiration date: 03/12/2015