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Home My WebLink About602382 FUSION FABRICATION INC - INSURANCE CERTIFICATE (2)Allstate.. You're in good hands. Cl C W A02 1011 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard- less of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder. CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 Named Insured: FUSION FABRICATION INC 6766 E COUNTY ROAD 18 JOHNSTOWN CO 80534-4015 Automobile Liability Insurer Name: Allstate Insurance Company Poli Number: 648237096 1 — Any Auto 2 — Owned Autos Only 3 — Owned Priv. Pass. Autos Only 4 — Owned Autos Other Than Priv. Pass. Autos Only 5 — Owned Autos Subject to No Fault 6 — Owned Autos Subject to a Compulsory UM Law X 7 — Specifically Described Autos X 8 — Hired Autos Only X 9 — Non -owned Autos Only Policy Effective Date: 0 4 - 2 8 - 2 018 Policy Expiration Date: 0 4 - 2 8 - 2 019 Limits Of $ 1, 000,000 Combined Single Limit (each accident) Insurance: BI Per Person BI Per Accident PD Per Accident Description of Operations/Locations/Vehicies/Endorsements/SpeciaI Provisions CITY OF FORT COLLINS IS INCLUDED AS AN ADDITIONAL INSURED WITH RESPECT TO AUTO LIABILITY AS REQUIRED BY WRITTEN CONTRACT. I Interested Partv Type: ADDITIONAL INSURED - OTHER I THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer. RICHARD SNYDER INSURANCE AGENCY Authorized Representative: Date:06-07-18 Includes copyrighted material of Insurance Services Office, Inc., with its permission BU114R-3 CI CW A02 10 11 Allstate Insurance Company Certificate Copy Page 1 of 1