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Home My WebLink About585521 TRYBA ARCHITECTS - INSURANCE CERTIFICATEP OGREWIfL m INS SERV OF CO INC 350 INDIANA ST #750 COMMERCIAL GOLDEN, CO 80401 Policy number: 02996964-3 Underwritten by: Artisan and Truckers Casualty Co Insured: CITY OF FORT COLLIN DAVID OWEN TRYBA PO BOX 582 May 2, 2019 FORT COLLINS, CO 80522 Policy Period: May 1, 2019 -May 1, 2020 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland, OH44101 1-800-444-4487 Name of Person or Organization For customer service, 24 hours a day, CITY OF FORT COLLIN 7 days a week PO BOX 582 FORT COLLINS, CO 80522 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: 02996964-3 Issued to (Name of Insured): DAVID OWEN TRYBA ARCHITECTS, PC Effective date of endorsement: 05/01/2019 Form 1198 (01/04) Policy expiration date: 05/01/2020