HomeMy WebLinkAboutTHE TACO STOP - INSURANCE CERTIFICATE (3)III/MOUNTAIN PLAINS
4532 MCMURRYAVE #101
FT COLLINS, CO 80525
CITY OF FORT COLLIN
PO BOX 580
FORT COLLINS, CO 80522
Additional insured endorsement
Name of Person or Organization
CITY OF FORT COLLIN
PO BOX 580
FORT COLLINS, CO 80522
PR01GREIRME,
Policy number: 03751942-0
Underwritten by:
Artisan and Truckers Casualty Co
Insured: THE TACO STOP, LLC
June 3, 2015
Policy Period: May 29, 2015 - May 29, 2016
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
Not applicable
Not applicable
$500,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 03751942-0
Issued to (Name of Insured): THE TACO STOP, LLC
THE TACO STOP
Effective date of endorsement: 05/29/2015 Policy expiration date: 05/29/2016
Form 1198 (01/04)