HomeMy WebLinkAbout226403 CENTENNIAL FIRE SAFETY EQUIPMENT - INSURANCE CERTIFICATEAHBE GROUP INC THE
7167 S ALTON WAY
CENTENNIAL, CO 80112
PHOGAEUMAE®
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
Policy number: 04701737-7
Underwritten by:
Artisan and Truckers Casualty Co
Insured: CENTENNIAL FIRE SAFETY
November 13, 2015
Policy Period: Nov 11, 2015 - May 11, 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 $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: 04701737-7
Issued to (Name of Insured): CENTENNIAL FIRE SAFETY
Effective date of endorsement: 11/11/2015 Policy expiration date: 05/11/2016
Form 1198 (01104)