HomeMy WebLinkAbout581986 ANDERSON CONSTRUCTION CO INC - INSURANCE CERTIFICATE (4)Allstate,
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CI CW A02 10 11
CERTIFICATE OF INSURANCE
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 terms, exclusions or conditions
of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard-
less 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.
CITY OF FORT COLLINS
CIO PURCHASING DIVISION
PO BOX 580
FORT COLLINS, CO 80522-0580
Named Insured:
ANDERSON CONSTRUCTION COMPANY
INCORPORATED
PO BOX 103005
DENVER CO 80250-3005
Automobile Liability
Insurer Name: Allstate Insurance Company
PoicVNumber
648735184
1 —Any Auto
2 — Owned Autos Only
3 — Owned Priv. Pass. Autos Only
4 — Owned Autos Other Than Priv.
Pass. Autos Onl
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 — Non -owned Autos Only
Policy Effective Date: 11-15 - 2 016
Policy Expiration Date: 11-15 - 2 017
I :. ---c lef _ Y nnn nnn
rnmhinari Cin'g I imit (each accident)
Insurance: BI Per Person
I BI Per Accident
T PD Per Accident
Description of Operations/
Locations/Vehicles/ Endorsements/ Scial Provisions
Interested Party Type: CERTIFICATE HOLDER
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: 04 -26-17
Includes copyrighted material of Insurance Services Office, Inc., with its permission
5U114R-S Cl CW A02 1011
Allstate Insurance Company
Certificate Copy
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