HomeMy WebLinkAbout593124 HILLCREST TREE FARM - INSURANCE CERTIFICATE (2)KINGSBURG INS AGCY PROGREWYE'
PO BOX 100 COMMERCIAL
KINGSBURG, CA 93631
Policy number: 08010166-7
Underwritten by:
United Financial Cas Co
Insured:
CITY OF FORT COLLIN MELISSA BAUTISTA
PO BOX 580 April 18, 2018
FORT COLLINS, CO 80522
Policy Period: May 26, 2018 -May 26, 2019
Mailing Address
United Financial Cas Co
PO Box 94739
Additional insured endorsement Cleveland, CH44101
1-800-444-4487
Name of Person or Organization For customer service, 24 hours a day,
CITY OF FORT COLLIN 7 days a week
PO BOX 580
FORT 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 $1,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 08010166-7
Issued to (Name of Insured): MELISSA BAUTISTA
SEAN P BAUTISTA
Effective date of endorsement: 05/26/2018
Form 1198 (0 J/04)
Policy expiration date: 05/26/2019