HomeMy WebLinkAboutA-MAIZE'N KETTLE CORN DANIEL & BETHANY PEER - INSURANCE CERTIFICATEAllstate Lienholder Service Center
PO Box 66O349
Dallas, TX 75166-0349
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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:
Effective date of certificate:
August 14, 2019 Page 1 of 2
Policyholder:
DANIEL PEER, BETHANY PEER
339 CHAPEL HILL DR
BRIGHTON CO 80601-4717
Policy number
976 879 880
Allstate Insurance Company
Northbrook, Illinois, certifies that
the following insurance is in force:
Policy period:
Beginning May 6, 2019
through November 6, 2019
at 12:01 a.m. standard time
CITY OF FORT COLLINS ❑ Lienholder Agent:
PO BOX 580 (Loss Payable Clause) DINO DICARLO
FORT COLLINS, CO 80522-0580 Z Additional Interested Party (303) 828-3386
Coverages designated below are afforded for each described vehicle:
Item VIN Limit of liability Deductible
2003 UNE 48BTE10243A062804 BI Each Person
PD Each Occurrence
• Collision
• Comprehensive
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: 08/13/19
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