HomeMy WebLinkAbout550966 POWERS RESOURCE CENTER LLC - INSURANCE CERTIFICATE (4)Allstate Lienholder Service Center
PO Box 660349
Dallas, TX 7S266-0349
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CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
Certificate of Insurance
The person or organization designated below is described in the policy as:
CITY OF FORT COLLINS ❑ Lienholder
PO BOX 580 (Loss Payable Clause)
FORT COLLINS, CO 80522-0580 0 Additional Interested Party
Coverages designated below are afforded for each described vehicle:
Item
2018 HIGHLANDER
• Collision
• Comprehensive
2011 ENCLAVE
• Collision
• Comprehensive
Effective date of certificate:
May 18, 2019 Page 1 of 2
Policyholder:
DANIEL C & TARA L POWERS
2877 TWIN LAKES CIR
LAFAYETTE CO 80026-8971
Policy number
917 502 620
Allstate Insurance Company
Northbrook, Illinois, certifies that
the following insurance is in force:
Policy period:
Beginning April 1, 2019
through October 1, 2019
at 12:01 a.m. standard time
Agent:
QUINATA AGENCY
(303) 776-9454
VIN Limit of liability Deductible
5TDDGRFHXJSO48988 BI Each Person $500,000
Each Occurrence $500,000
PD Each Occurrence $500,000
$500
$500
5GAKVBED7BJ235009 BI Each Person $500,000
Each Occurrence $500,000
PD Each Occurrence $500,000
$500
$500
See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded
by the policy referred to above.
Date: 05/17/19
0 .•:
Certificate of Insurance
Allstate Insurance Company
Policy number: 1917502 620
Page 2 of 2
The Loss Payable Clause of such policy provides:
"The company reserves the right to cancel such policy at any time as provided by its terms, but in such case the company shall
notify the Lienholder when not less than ten days thereafter such cancellation shall be effective as to the interest of said
Lienholder therein and the company shall have the right, on like notice, to cancel this agreement."
The Additional Interest Endorsement of such policy, in part, provides:
"...such insurance as is afforded by the policy" for automobile liability insurance listed on the reverse side hereof applies also to
the person or organization named as Additional Interested Party. "As respects such... interest, no cancellation ... and no
endorsement... adversely affecting such additional interest, shall be effective until ten (10) days following the mailing of written
notice (to the person or organization) of such cancellation or endorsement..."
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