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HomeMy WebLinkAbout123880 ECOS COMMUNICATIONS - INSURANCE CERTIFICATELOAN # AUTHORIZED REPRESENTATIVE NAME AND ADDRESS ADDITIONAL INTEREST LOSS PAYEE MORTGAGEE ADDITIONAL INSURED REMARKS (Including Special Conditions) EVIDENCE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) COMPANY THIS REPLACES PRIOR EVIDENCE DATED: EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL TERMINATED IF CHECKED INSURED LOAN NUMBER POLICY NUMBER CODE: SUB CODE: AGENCY CUSTOMER ID #: THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY ADDRESS: FAX E-MAIL (A/C, No): (A/C, No, Ext): PHONE COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE COVERAGE INFORMATION LOCATION/DESCRIPTION PROPERTY INFORMATION THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. The ACORD name and logo are registered marks of ACORD ACORD 27 (2009/12) © 1993-2009 ACORD CORPORATION. All rights reserved. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INS027 (200912).02 6/17/2014 (303)688-9597 Co West Insurance Group P.O. Box 910 Castle Rock CO 80104 (303)688-8858 randy@cowest.com 0613430000 00071396 FRANK R ISENHART III 1555 OAK AVE BOULDER CO 80304-1221 Travelers Home & Marine Co 6060 S. Willow Drive Greenwood Village CO 80111 9835748361012 10/2/2013 10/2/2014 Collision 200 Comprehensive 100 Liaiblity limits $500 CSL X Additional interest Randolph Carey/HKL 2003 HONDA/PILOT EX-L 2HKYF18593H593663 2010 TOYOTA PRIUS JTDKN3DU4A0058610 Randolph Carey/HKL 2003 HONDA/PILOT EX-L 2HKYF18593H593663 2010 TOYOTA PRIUS JTDKN3DU4A0058610 City of Fort Collins Puchasing Dept PO Box 580 Ft Collins, CO 80522