HomeMy WebLinkAboutMILE HIGH LOBSTER SHACK LLC - INSURANCE CERTIFICATE (2)PROGRESSIVE PRagREMIKE�
PO BOX 94739
CLEVELAND, OH 44101
Policy number: 03217384-1
Underwritten by:
Artisan and Truckers Casualty Co
Insured: MILE HIGH LOBSTER SHACK,
CITY OF FT COLLINS July 21, 2015
215N MASON 2F Policy Period: Jul 21, 2015 - Jul 21, 2016
FT 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 FT COLLINS
215N MASON 2F
FT 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 $500,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 03217384-1
Issued to (Name of Insured): MILE HIGH LOBSTER SHACK,
LLC
Effective date of endorsement: 07/21/2015 Policy expiration date: 07/21/2016
Form H 98 (0 U04)