HomeMy WebLinkAbout493216 CLASSIC CONTRACTORS INC - INSURANCE CERTIFICATE (5)BOUCHARD INSURANCE
PO BOX 6090
CLEARWATER, FL 33758
CTY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
Additional insured endorsement
Name of Person or Organization
CTY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
PRWREGIYES
Policy number: 02110106-2
Underwritten by.
Artisan and Truckers Casualty Co
Insured: CLASSIC CONTRACTORS, INC
March 6, 2015
Policy Period: Mar 12, 2015 - Mar 12, 2016
Mailing Address
Artisan and Truckers Casualty 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 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: 02110106-2
Issued to (Name of Insured): CLASSIC CONTRACTORS, INC
Effective date of endorsement: 03/12/2015
Form 1198 (01/04)
Policy expiration date: 03/12/2016