HomeMy WebLinkAboutSHEPLER ENTERPRISES LLC DBA NOMAD STREET CUISINE - INSURANCE CERTIFICATE (3)PROGRMIllE
BECKETT JOHN C & ASO
220 SMITH STREET
COMMERC/AL
FT COLLINS, CO 80524
Policy number: 05972142-0
Underwritten by:
Artisan and Truckers Casualty Co
Insured: SHEPLER ENTERPRISES LLC
CITY OF FT COLLINS
March 14, 2017
PO BOX 580
Policy Period: Mar 9, 2017 - Mar 9, 2018
FORT COLLINS, CO 80522
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Additional insured endorsement
Cleveland, OH 44101
1-800-444-4487
For customer service, 24 hours a day,
Name of Person or Organization
7 days a week
CITY OF FT COLLINS
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 app!icahl
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: 05972142-0
Issued to (Name of Insured): SHEPLER ENTERPRISES LLC
NOMAD STREET CUISINE AND
Effective date of endorsement: 03/09/2017 Policy expiration date: 03/09/2018
Form 1198 (01104)