HomeMy WebLinkAbout282740 SPORT AND FITNESS INC - INSURANCE CERTIFICATE (6)Allstate.
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CI CW A02 1011
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
PO BOX 580
FORT COLLINS, CO 80522-0580
Named Insured:
SPORT AND FITNESS, INC
1409 PIKES PEAK AVE
FORT COLLINS CO 80524-4313
Automobile Liability
Insurer Name: Allstate Insurance Company
li
Number. 648128822
1 —Any Auto
2 — Owned Autos Only
3 — Owned Priv. Pass. Autos Only
F
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
X
8 — Hired Autos Only
X
9 — Non -owned Autos Only
Policy Effective Date: 12 -17 - 2 016
Policy Expiration Date: 12 -17 - 2 017
Limits Of
$ 1, 000,000
Combined Single Limit (each accident)
Insurance:
BI Per Person
BI Per Accident
PD Per Accident
Description of Operations/
Locations/Vehicles/ Endorsements /S cial Provisions
j Interested PartVTVpe: ADDITIONAL INSURED - OTHER
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.
OLD TOWN INS INC
Authorized Representative:
Date:09-21-17
Includes copyrighted material of Insurance Services Office, Inc., with its permission
BU114R-3 CI CW A02 1011
Allstate Insurance Company
Certificate Copy
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