HomeMy WebLinkAboutDANIEL PEER, BETHANY PEER - INSURANCE CERTIFICATEAllstate Lienholder Service Center
PO Box 660349
Dallas, TX 75266-0349
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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:
May 6, 2020 Page 1 of 2
Policyholder:
DANIEL PEER, BETHANY PEER
339 CHAPEL HILL DR
BRIGHTONCO 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, 2020 .
through November 6, 2020
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 9 Additional Interested Party (303) 828-3386
Coverages designated below are afforded for each described vehicle:
Item VIN Limit of liability Deductible
2003 LINE 48BTE10243AO62804 BI Each Person
PD Each Occurrence
• Collision
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: 03/27/20
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Certificate of Insurance Page 2 of 2
Allstate Insurance Compan
Policy number: 976 879 880
The Loss Payable Clause of such policy provides:
"The company reserves the right to cancel such policy at any time as provided by its terms, but in such case the company shall
notify the Lienholder when not less than ten days thereafter such cancellation shall be effective as to the interest of said
Lienholder therein and the company shall have the right, on like notice, to cancel this agreement."
The Additional Interest Endorsement of such policy, in part, provides:
"...such insurance as is afforded by the policy" for automobile liability insurance listed on the reverse side hereof applies also to
the person or organization named as Additional Interested Party. "As respects such... interest, no cancellation ... and no
endorsement... adversely affecting such additional interest, shall be effective until ten (10) days following the mailing of written
notice (to the person or organization) of such cancellation or endorsement..."