HomeMy WebLinkAbout226403 CENTENNIAL FIRE & SAFETY - INSURANCE CERTIFICATE (3)THE AHBE GROUP PR98RFff1Yf®
7167 S ALTON WAY
CENTENNIAL, Co 80112
Policy number: 04701737-6
Underwritten by:
Artisan and Truckers Casualty Co
Insured: CENTENNIAL FIRE SAFETY
CITY OF FORT COLLIN May 13, 2015
PO BOX 580 Policy Period: May 11, 2015 - Nov 11, 2015
FORT COLLINS, CO 80522
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Additional insured endorsement Cleveland, OH 44101
1-800-444-4487
For customer service, 24 hours a day,
Name of Person or Organization 7 days a week
CITY OF FORT COLLIN
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 $100,000 each person/$300,000 each accident
Property Damage $50,000 each accident
Combined Liability Not applicable
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 04701737-6
Issued to (Name of Insured): CENTENNIAL FIRE SAFETY
Effective date of endorsement: 05/11/2015 Policy expiration date: 11/1112015
Form 1198 (01/04)