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CERTIFICATE OF INSURANCE
Cl 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 berms, exclusions or conditions of such policies. Coverage
is subject 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
ATTN: JANET MCTAGUE
PO BOX 580
FORT COLLINS,
CO USA 805220580
Named Insured:
PRECISION SURVEY & MAPPING, INC
9025 E KENYON AVE STE 150
DENVER CO 80237-1804
Automobile Liability
Insurer Name: Allstate Insurance Company
Poli Number: 648547977
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
X
7 -- Specifically Described Autos
X
8 - Hired Autos Onl
I X
19 - Nonowned Autos Only
Policy Effective Date : 12 - 0 9 - 2 018
1 Policy Expiration Date: 12 - 0 9 - 2 019
Limitsof
$1, 000, 000
Combined Single Limit (each accident)
Insurance:
BI Per Person
I BI Per Accident
PD Per Accident
Description of Operations/Locations/Vehicles/Endorsements/Special 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.
ALEXANDER COLE
Authorized Representative:
Date:10-15-18
Includes copyrighted material of Insurance Services Office, Inc., with its permission
BU114R-3
CI CW A02 10 11
Allstate Insurance Company
Additional Insured Copy
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Allstate.
You're in good hands.
POLICY NUMBER: 648547977
COMMERCIAL AUTO
CA20481013
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER 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 person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage
under 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.
Named Insured: PRECISION SURVEY & MAPPING, INC
Endorsement Effective Date: 12 - 0 9 - 2 018
SCHEDULE
Name Of Person(s) Or Organization(s):
CITY OF FORT COLLINS
ATTN: JANET MCTAGUE
PO BOX 580
FORT COLLINS, CO USA 805220580
Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organization qualifies
as an "insured" under the Who Is An Insured
provision contained in Paragraph A.1. of Section II —
Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D.2. of Section I — Covered Autos
Coverages of the Auto Dealers Coverage Form.
......6A 20 48 10 13
C Insurance Services Office, Inc., 2011
Additional Insured Copy
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