HomeMy WebLinkAboutMOFROZ LLC - INSURANCE CERTIFICATEPROGRESSIVE
PO BOX 94739
CLEVELAND, OH 44101
802367 37601 1 MB 0,405 PATLS010 125 037601
CITY FORT COLLINS
215 N MASON
FORT COLLINS, CO 80522
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Additional insured endorsement
Name of Person or Organization
CITY FORT COLLINS
215 N MASON
FORT COLLINS, CO 80522
PRIUMEUME®
Policy number: 02199046-0
Underwritten by:
Progressive Southeastern Ins Co
Insured: MOFROZ, LLC
January 23, 2014
Policy Pedod: May 8, 2013 - May 8, 2014
Mailing Address
Progressive Southeastern Ins Co
PO Box 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
Property Damage
Combined Liability
Not applicable
Not applicable
$500,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 02199046-0
Issued to (Name of Insured): MOFROZ, LLC
Effective date of endorsement: 01/22/2014 Policy expiration date: 05/08/2014
Form 1198(01/041