HomeMy WebLinkAbout602382 FUSION FABRICATION INC - INSURANCE CERTIFICATE (3)Allstate.
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CERTIFICATE OF INSURANCE
CI CW A02 1011
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, regardless 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
PO BOX 580
FORT COLLINS,
COLLINS
CO USA 805220580
Named Insured:
FUSION FABRICATION INC
6766 E COUNTY ROAD 18
JOHNSTOWN CO 80534-4015
Automobile Liability
Insurer Name: Allstate Insurance Company
Polic 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 - Nonowned Autos Only
Policy Effective Date: 0 = - 2 8 - 2 018
I Policy E,piratinn Date: 0 4 - 2 8 - 2 0 ] 9
Limits of
$1, 000, 000
Combined Single Limit (each accident)
Insurance:
BI Per Person
I BI Per Accident
I PD Per Accident
Description of Operations/Locations/Vehicles/Endorsements/Special Provisions
Interested Party Type: Additional Insured - All Other
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:
W.W.
3U114R '3
CI CW A02 10 11
Date:03-02-18
Includes copyrighted material of Insurance Services Office, Inc., with its permission
Allstate Insurance Company
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Faiditondl Insured Copy