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HomeMy WebLinkAboutDAM GOOD SYSTEMS LLC DBA THE BUTTERFLY CAFE - INSURANCE CERTIFICATEPROGRESSIVE C/O INCS DISTRIBUTION CENTER PO BOX 5045 TROY MI 48007-5045 ELECTRONIC SERVICE REQUESTED LIENHOLDER NOTIFICATION 1214130512-EDS01130512=002873:002873`1/1 #BWBBFTJ #3475 4520 1712 14E3# city of fort collins 215 north mason st fort collins CO 80524-4402 INTERESTED IN RECEIVING NOTICES ELECTRONICALLY AT NO COST? CONTACT INCS.OPS@DXC.COM PAGE POLICY NO: INSURED: LESSOR: Michael J Falco city of fort collins 918099432 324 S. Howes St. 215 north mason st FortlCollins CO 80521 fort collins CO 80524 POLICY AGENCY/AGENT: IC94549 800-888-7764 INSURER: CHANGE PROGRESSIVE DIRECT PROGRESSIVE DIRECT INSURANCE CO PO BOX 31260 TAMPA FL 33631 POLICY EFFECTIVE DATE: 11/16/2017 PROCESS DATE: 12/13/2017 NON-CONTINUOUS-EXP DATE: 5/16/2018 CHANGE EFF DATE: 12/13/2017 VIN: 2HKYF18557H539735 2007 HONDA PILOT COVERAGE: BI 25,000 PER PERSON LIMIT BI 50,000 PER OCCURRENCE LIMIT PD 151000 PER OCCURRENCE LIMIT INTERESTED PARTY: city of fort collins POLICY NO: 918099432 POLICY CHANGE POLICY NO: 918099432 POLICY CHANGE INSURED: Michael J Falco 324 S. Howes St. Apt 1 Fort Collins CO 80521 LESSOR: city of fort collins 215 north mason st fort collins CO 80524 AGENCY/AGENT: IC94549 800-888-7764 INSURER: PROGRESSIVE DIRECT PROGRESSIVE DIRECT INSURANCE CO PO BOX 31260 TAMPA FL 33631 POLICY EFFECTIVE DATE: 11/16/2017 PROCESS DATE: 12/13/2017 NON-CONTINUOUS-EXP DATE: 5/16/2018 CHANGE EFF DATE: 12/13/2017 VIN: 2HKYF18557H539735 2007 HONDA PILOT COVERAGE: BI 25,000 PER PERSON LIMIT BI 50,000 PER OCCURRENCE LIMIT PD 151000 PER OCCURRENCE LIMIT INTERESTED PARTY: city of fort collins INSURED: Michael J Falco 324 S. Howes St. Apt Fort Collins CO 80521 LESSOR: city of fort collins 215 north mason st fort collins CO 80524 AGENCY/AGENT: IC94549 800-888-7764 INSURER: PROGRESSIVE DIRECT PROGRESSIVE DIRECT INSURANCE CO PO BOX 31260 TAMPA FL 33631 POLICY EFFECTIVE DATE: 11/16/2017 PROCESS DATE: 12/13/2017 NON-CONTINUOUS-EXP DATE: 5/16/2018 CHANGE EFF DATE: 12/13/2017 VIN: 2HKYF18557H539735 2007 HONDA PILOT COVERAGE: BI 25,000 PER PERSON LIMIT BI 50,000 PER OCCURRENCE LIMIT PD 15,000 PER OCCURRENCE LIMIT INTERESTED PARTY: city of fort collins Correspondence or inquiries directed to the insurer must include a copy of this notification.