HomeMy WebLinkAboutJOHNSON TRUCKING - INSURANCE CERTIFICATEPFS INS GROUP LLC PR99REJf/YAF0
114 W 3RD AVE COMMERCIAL
PUMA, c0 80759
Policy number: 02014416-0
Underwritten by:
Artisan and Truckers Casualty Co
Insured:
CITY OF FORT COLLIN WES JOHNSON
PO BOX 580 April 11, 2020
FORT COLLINS, CO 80522 Policy Period: Apr 8, 2020 - Apr 8, 2021
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Additional insured endorsement Cleveland, CH44101
1400444-4487
Name of Person or Organization For customer service, 24 hours a day,
CITY OF FORT COLLIN 7 days a week
PO BOX 580
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 $2,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 02014416-0
Issued to (Name of Insured): WES JOHNSON
JOHNSON TRUCKING
Effective date of endorsement: 04/08/2020 Policy expiration date: 04/08/2021
Form 1198 (01104)