HomeMy WebLinkAbout602382 FUSION FABRICATION INC - INSURANCE CERTIFICATE®Allstate.
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Cl CW A02 10 11
CERTIFICATE OF INSURANCE
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have
been issued to the Named Insured. It dos not grant any rights to any party nor can it be used, in any way, to modify
coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions
of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard-
less of the provisions of any other contra Ict, such as between the certificate holder and the Named Insured. The limits
shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits.
Certificate Holder. Named Insured. -
CITY OF FORT COLLINS FUSION FABRICATION INC
PO BOX 580 2508 ZURICH DR UNIT 2
FORT COLLINS, CO 80522-0580 FORT COLLINS CO 80524-1495
- - - - - - - - - -, - - - - - - - - - - - - - - - - - - - - - - - - -I - - - - - - - - - - - - - - - - - - ` - - - "- - - - - - - - - - - - - - -- - - - - - - - - - -
Automobile Uability
Insurer Name: Allstate Insurance Company
P icyNumber. 648237096
1 —Any Auto
— Owned Autos Only
3 — Owned Priv: Pass. Autos Only
4 — Owned Autos Other Than Priv.
Pass. Autos OnIV
4 — Owned Autos Subject to No
Fault
I
6 —Owned Autos Subject to a Compulsory UM Law
X
7 — Specifically Described Autos
X
8 —
Hired Autos OnIv
X
9 — Non -owned Autos Only
Policy Effective Date: 04-28-2020
Policy 'ration Date: 04-28-2021
UmitsOf
$ 1, 000,000
Combined Single Limit (each accident)
Insurance'
BI Per Person
BI Per Accident
PD Per Accident
Description of 0
tions/Locations/Vehicles/Endorsements/S (.Provisions
CITY OF FORT COLLINS IS INCLUDEp
LIABILITY AS REQUIRED BY WRITTEN
AS AN ADDITIONAL INSURED WITH RESPECT TO AUTO
CONTRACT.
IInterested PartvTvae: ADDITIONAL INSURED - OTHER I
THIS CERTIFICATE DOES NOT GRANT ANY C
IF THIS CERTIFICATE INDICATES THAT
MUST EITHER BE ENDORSED OR CON'
ADDITIONAL INSURED STATUS. THE CI
ERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
E CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
N SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH
FIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT
Producer.
RICHARD SNYDER INSURANCE AGENCY
Authorized Representative:
Date:06-05-20
Includes copyrighted) material of Insurance Services Office, Inc., with its permission
BU114-3 Cl CW A021011 Allstate Insuranoe Company
Certificate Copy
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