HomeMy WebLinkAbout487375 W WEST EQUIPMENT AND FURNISHINGS CO LTD - INSURANCE CERTIFICATE (2)Allstate.
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CERTIFICATE OF INSURANCE
CI CW A02 10 11
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued
to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided
by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage
is sub)ect to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other
contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at
the policy inception. Subsequent paid claims may reduce these limits.
Certificate Holder.
CITY OF FORT COLLINS
215 N MASON ST
FORT COLLINS, CO USA 805244402
Named Insured: �T O 1 v I ✓
W WEST EQUIPMENT AND FURNISHINGS CO
LTD
9355 NORTHFIELD BLVD
DENVER CO 80238
Automobile Uability
Insurer Name: Allstate Insurance Company
Po f Number. 648637029
x
1 -- Any Auto
2 - Owned Autos Only
3 - Owned Priv. Pass. Autos Only
4 -- Owned Autos Other Than Priv.
Pass. Autos Only
5 - Owned Autos Subject to
No Fault
6 - Owned Autos Subject to a Compulsory UM Law
7 -- Specifically Described Autos
8 - Hired Autos Only
9 - Nonowned Autos Only
Policy Effective Date: 07-10-2014
Policy Expiration Date: 07-10-2015
Limits of
J$1,000,000
J Combined Single Limit (each accident)
Insurance:
BI Per Person
I BI PerAccidenl
PD Per Accident
Deshxi ion of 0 rations/LocationsNehides/Endorsements/S dal Provisions
Interested Party Type: Additional Insured - All Other
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST
EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL
INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH
POLICY LANGUAGE OR ENDORSEMENT.
Producer.
LARRY D. MEURISSE
Authorized Representative:
Date:
Includes copyrighted material of Insurance Services Office, Inc., with its permission
BU114R-3 CI CW A021011 Allstate Insurance Company Page 1 of 1
/dditienal Insured Copy
Allstate.
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POLICY NUMBER:648637029
COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGECOVERAGEFORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies persons) or organization(s) who are "insureds" und1. er the Who Is An Insured
Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below.
Endorsement Effective: 07-10-2014
Countersigned By:
Authorized Representative)
Named Insured: W WEST EQUIPMENT AND FURNISHINGS CO
SCHEDULE
Name of Persons) or Organization(s):
CITY OF FORT COLLINS
215 N MASON ST
FORT COLLINS, CO USA 805244402
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent
that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained
in Section II of the Coverage Form.
em14Ra CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page I of 1 ❑
Additional hwred Copy