HomeMy WebLinkAbout509412 WARD ALTERNATIVE ENERGY LLC - INSURANCE CERTIFICATE (6)DILLINGHAM INSURANCE
P 0 BOX 1669
ENID, OK 73702
PROGRFUME'
COMMERCIAL
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: 01998979-5
Underwritten by:
Artisan and Truckers Casualty Co
Insured:
WARD ALTERNATIVE ENERGY,
October 16, 2017
Policy Period: Oct 14, 2017 - Oct 14, 2018
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 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: 01898979-5
Issued to (Name of Insured): WARD ALTERNATIVE ENERGY,
LLC
Effective date of endorsement: 10/14/2017
Form 1198 (01(04)
Policy expiration date: 10/14/2018