HomeMy WebLinkAboutPETERICH CUSTOM CONSTRUCTION INC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE bATE(MMloonvrv)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: R the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. It SUBROGATION IS WAIVED, subject to the
terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not center rights to the
certificate holder In Reu of such endoroement(s).
PRODUCEa
Talren J. Quarn_
Mountain Plelns Agency, LLC
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4532 McMury Ave
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Fort Collins CO_ 80525
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INSURED
Dan Peterich
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DBA: Peledch Custom Construction, Inc.
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6005 Bluespnuce Dr
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Bellvue CO 80512
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TFiE 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.
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DESCRIPTION Or OPFRA71ON6lLOCATION61 VEHICLES (AtLPOH ACORO tO1, AdOWOnPI Remake 8chedub, Rmen epPCP IP rnry1nM)
Residential and Commercial roofing contractor. Artisan remodel Contractor. Both dwellings and structures.
City of Fort Collins
281 N College Ave
Fort Collins
CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISHMS:
All
ACORD 25 (2010105) The ACORD name and logo are registered markrikof ACORD