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HomeMy WebLinkAbout581986 ANDERSON CONSTRUCTION CO INC - INSURANCE CERTIFICATE (3)Allstate. You're In good hands. CERTIFICATE OF INSURANCE Cl CW A02 10 11 This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the Iterms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder. Named Insured: CITY OF FORT COLLINS ANDERSON CONSTRUCTION COMPANY C/O PURCHASING DIVISION INCORPORATED PO BOX 580 PO BOX 103005 FORT COLLINS, CO USA 805220580 DENVER CO 80250-3005 Automobile Liability Insurer Name: Allstate Insurance Company Poli Number: 648735184 1 --Any Auto 2 - Owned Autos Only 3 - Owned Priv. Pass. Autos Only 4 -- Owned Autos Other Than Priv. Pass. Autos Only 5 - Owned Autos Subject to No Fault 6 - Owned Autos Subject to a Compulsory UM Law X 7 -- Specifically Described Autos 8 - Hired Autos Only 9 - Nonowned Autos Only Policy Effective Date : 11-15 - 2 016 Policy Expiration Date: 11-15 - 2 017 Limits of $11000, 000 Combined Single Limit (each accident) Insurance: BI Per Person i BI Per Accident PD Per Accident Description of O rations/Locations/Vehicles/Endorsements/S cial Provisions Interested Party Type: Additional Insured - Municipality THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer: JAMES MICHALKA Authorized Representative: Date:05-15-17 Includes copyrighted material of Insurance Services Office, Inc., with its permission BU114R-1 CI CW A02 10 11 Allstate Insurance Company Pddmonal Insured Copy Page 1 of 1