HomeMy WebLinkAboutROLEXIS INC DBA TEAM SPORT PHOTOS - INSURANCE CERTIFICATE (5)SENTRY INSURANCE A MUTUAL COMPANY SENTRY'S BUSINESSOWNERS
STEVENS POINT, WISCONSIN POLICY
(A PARTICIPATING MUTUAL COMPANY)
A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES
POLICY NUMBER 49-99863-01
NAME INSURED: ROLEXIS INC DBA
TEAM SPORT PHOTO
ADDITIONAL INSURED
SCHEDULE
The following information is required to complete the accompanying
additional insured endorsement which forms a part of the Named Insured's
BUSINESSOWNERS POLICY.
ADDITIONAL
INSURED ENDORSEMENT
CITY OF FORT COLLINS BP 04 50 07 13
215 N MASON ST 2ND FL
PO BOX 580
FORT COLLINS, CO 80522
(CERTIFICATE NUMBER 0010)
LOCATIONS) OF COVERED OPERATIONS
CITY OF FORT COLLINS
PO BOX 580
215 N MASON ST 2ND FL
FORT COLLINS, CO 80522
JOB: GOING ONSITE TO TAKE PHOTOS
BP 89 05 01 87 (MECH)
TEA 49-99863-01 00 171
10-25-2016
(000 0010)
FOR ENDORSEMENT TEXT,
SEE OVER.
EFFECTIVE
FROM JANUARY 01, 2017
TO JANUARY 01, 2018
0111HORG
00788