HomeMy WebLinkAbout602382 FUSION FABRICATION INC - INSURANCE CERTIFICATE (4)QAllstate.
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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
PolicyNumber 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: 04 - 2 8 - 2 017
Policy Expiration Date: 04 - 2 8 - 2 018
Limits Of
$ 1, 000,000
1 Combined Single Limit (each accident)
Insurance:
BI Per Person
I BI Per Accident
PD Per Accident
Description tion of Operations/
Locations/Vehicles/ Endorse ments/S cial Provisions
Interested Party 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:02-05-18
a.
BU114R-3
Cl CW A02 10 11
Includes copyrighted material of Insurance Services Office, Inc., with its permission
Allstate Insurance Company
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Certificate Copy