HomeMy WebLinkAboutBULL RIDGE PLUMBING & HEATING INC - INSURANCE CERTIFICATE90013894 12/01/18
CERTIFICATE HOLDER PAFZ,. Farm Bureau
Family of Insurance Services
WS1693 CERTIFICATE OF INSURANCE 12/01/18
THE MOUNTAIN WEST FARM BUREAU MUTUAL INSURANCE COMPANY - 931 BOULDER
DRIVE - LARAMIE WYOMING 82070 - ISSUES THIS CERTIFICATE AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THE INSURANCE
AFFORDED IS SUBJECT TO ALL TERMS, EXCLUSIONS, AND CONDITIONS OF THE POLICIES.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CERTIFICATE ISSUED TO:
Ill�lillllll,I.II...u11u�1nllll„Ilil„i„1,1,1,i11ill��l11111
CITY OF FT COLLINS CO
PO BOX 58
FT COLLINS CO 80526
POLICY NUMBER 90013894 EFFECTIVE DATE 1//19/19 EXPIRATION DATE 1/19/20
AGENT 267 GARTH SIMKINS 307 632--
TYPE OF INSURANCE
GGENRERALLAGGREGATEOLIMIT (OTHER
PRODUCTS/COMPLETED OPERATIONS)
PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT
PERSONAL AND ADVERTISING INJURY LIMIT
EACH OCCURRENCE LIMIT
FIRE DAMAGE LIMIT
AUTOMOBILE LIABILITY
AUTOS - COVERAGE SYMBOL 7
SPECIFICALLY DESCRIBED VEHICLES
HIRED AUTOS - COVERAGE SYMBOL 8
NON -OWNERSHIP - COVERAGE SYMBOL 9
GARAGE LIABILITY
GARAGE KEEPERS
EXCESS LIABILITY
UMBRELLA FORM
POLICY NUMBER
LIMITS OF LIABILITY
2,000,000
2,000,000
1,000,000
1,000,000
$50,000 ANY ONE FIRE
$1,000,000 COMBINED SINGLE LIMIT
NOT COVERED
COMBINED SINGLE LIMIT
GENERAL INFORMATION
HAS SUBROGATION BEEN WAIVED? YES NO X
ADDITIONAL NAMED INSURED -
WE WILL GIVE THE CERTIFICATE HOLDER 30 DAYS NOTICE IF THE POLICY IS
CANCELED BY US OR IF WE MATERIALLY CHANGE COVERAGE DURING THE TERM OF THIS POLICY.
INSURED NAME AND ADDRESS:
BULL RIDGE PLUMBING & HEATING INC
5150 COLUMBIA DR
CHEYENNE WY 82009-3196
AUTHORIZED SIGNATURE
12/01/18
DATE ISSUED
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