HomeMy WebLinkAboutRICHARD W. MARTIN - INSURANCE CERTIFICATE®Allstate.
You're in good han& CERTIFICATE OF INSURANCE — COMMERCIAL
ALLSTATE INSURANCE COMPANY - NORTHBROOK, IL
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Description of Operation:
ATTORNEY
CERTIFICATE HOLDER
NAMED INSURED
Name and -Address of Party to Whom this Certificate is Issued
Name and Address of Insured
CITY OF FORT COLLINS
215 N MASON ST
FORT COLLINS, CO 80524-4402
RICHARD MARTIN
155 BOARDWALK DR STE 400
FORT COLLINS, CO 80525-3040
Location Address (if different than above)
This is to certify that policies of insurance listed below have been issued to the insured named abovesubjectto the expiration date indicated below,
notwithstanding any requirement, term or coed itlon of Any contractor other document with respect to which this certificate may be issued or may
pertain. The insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies.
-- - - --------------------------------------- --- TYPE OF INSURANCE AND LIMITS -------- ----------------- -------------- ----
a.N
Policy Number: 64B813342_. Effective Date: 04-05-2019 Expiration Date:. 04-05-2020
COVERAGE SUMMARY
BUSINESS LU 31LITY
AMOUNT
COMPREHENSIVE LIABILITY - ..
$ 1,000,000 -Per Occurrence
DAMAGE T PREMISES: RENTED TO YOU
$ 50,000.00_.. "AnyOne.Premises
MEDICAL PAYMENTS
$ 1o,00o Per Person.._.
OTHER THAN PRODUCTS? COMPLETED OPERATIONS -AGGREGATE
$ z,000,000.00
PRODUCTS/COMPLETED OPERATION AGGREGATE
$ .2,000,000.00
PROPERTY INSURANCE
POLICY TYPE
SPECIAL FORM ❑ BROAD FORM ❑`BASIC FORM �, BUILDERS RISK SPECIAL FORM
❑ BUILDING Replacement Cost ❑ Actual Cash Value ❑ Blanket Limit
x ] CONTENTS $ 10,200 Replacement Cost Actual Cash Value Blanket Limit
Deductible $ 500 Wind Deductible % 0 Exclude WindEl YES x NO
ADDMONALCOVERAGE'Si
EQUIPMENT BREAKDOWN,PROFESSIONAL OFFICE SHIELD ENHANCEMENT
MORTGAGE CLAUSE —The policy contains a Mortgage Clause in favor of -
Mortgagee
Address
CERTIFICATE PERIOD
THIS CERTIFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OF THE POLICY UNTIL THE POLICY IS CANCELLED OR EXPIRES.
POLICY INCEPTION DATE: 04-05-2019 M 12:01AM 12:00NOON Standard 'Tiimeatthelocation ofthe Insured Premises.
PROVISIONS
This form is not the contract of insurance, but attests that a policy as identified above has been issued. The provisions of the policy shall prevail
in all respects.
SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
SEAN CURRY 03-24-20
Authorized Representative Date
BU114-3
CICW010114
Certificate Copy