HomeMy WebLinkAboutCOLORADO IMPORT MOTORS LTD - INSURANCE CERTIFICATE (3)Additional Insured Copy
FEDERATED INSURANCE COMPANIES
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
INSURED:
COLORADO IMPORT MOTORS LTD
4455 S COLLEGE AVE
FORT COLLINS CO 80525
1. WHO IS AN INSURED for "bodily injury" and "property damage"liability is amended to include the Additional
Insured specified below but only with respect to liability arising out of your operations or premises owned by
or rented to you.
2. The insurance does not apply to "bodily injury" or "property damage" liability arising out of the sole
negligence of the Additional Insured named below.
3. We agree to notify the Additional Insured named below at the address stated below of any cancellation of, or
material change to, this policy.
Relationship of the Additional Insured to the Insured:
ANY COVERAGE PROVIDED BY THIS ENDORSEMENT APPLIES
ONLY TO THE DELIVERY OF VEHICLES THAT THE CITY OF
FORT COLLINS PURCHASES TO THE CERTHOLDER.
Additional Insured Name and Address:
CITY OF FORT COLLINS
PO BOX 580
281 N COLLEGE AVE
FORT COLLINS CO 80522
trl
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
CA-F-75 (10-13) Policy Number: 0630944 Transaction Effective Date: 07-01-2019