HomeMy WebLinkAboutTHE TACO STOP - INSURANCE CERTIFICATE (6)COMMERCIAL
III/MOUNTAIN PLAINS
4532,MCMURRYAVE #101
FT COLLINS, CO 80525
CITY FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
Additional insured endorsement
Name of Person or Organization
CITY FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
Policy number: 01551820-0
Underwritten by:
Artisan and Truckers Casualty Co
Insured:
THE TACO STOP
March 18, 2020
Policy Period: Dec 18, 2019 Dec 18, 2020
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Cleveland. OH 44101
1-800 444-4487
For customer service, 24 hours a day,
7 days a week
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
Property Damage
Combined Liability
$25,000 each person/$50,000 each accident
$15,000 each accident
Not applicable
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 01551820-0
Issued to (Name of Insured): THE TACO STOP
Effective date of endorsement: 03/17/2020
Form 1]98(O1/04)
Policy expiration date: 12/18/2020