HomeMy WebLinkAboutCOLLINS COMMUNICATIONS INC - INSURANCE CERTIFICATE�Allstate.
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CERTIFICATE OF �NSURANCE
CI CW A021017
This t:ertfic�be is issued for i�orrrrational purposes onty. li certi�ies that the poficies lisbed in this document have been issued
to the Named Insured. It dces not grant any rights to any party nor pn it be used, in any way, to mod'rfy coverage provided
by such pdicies. Afberation of this certificatie dces not change t�e temis, exclusions or conditians of such policies. Coverage
is subjecE to tlie provisions of the policies, including any exclusions or condidans, regardless of the provisions of any otner
contract, such as between the certiAficaCe hoider and the Named Insut�d. The limits shown below are tt�e tirnits provided at
the pdicy inception. Subsequent paid daims may reduce these limits.
Certificate Ho}der.
CiTY OF F'ORT COLLINS
JAK� RECTOR
300 LAPORTE AVE
FORT COLLINS, CO USA 805212719
NameB Ineured:
COLLINS COMMUNICATIONS INC
101 N LINK LN # 1
FORT COLLINS CO 80524-4787
Automobile Liabili
Insurer IVame: Allstate Insurance Com an
Pol' Number. 648853693
i-- An Auta 2- Owned Autos Onl 3- Owned Priv. Pass. Autos Oni
4-- Owned Auios Other Than Priv. 5- Owned Autos Subject ta 6- Owned Autos Subject to a Compulsory UM Law
Pass. Autos Oni No Fault
X 7-- S cificall Described Auios 8- Hired Autos Onl 9- Nonowned Autos Qnl
Pol' EffectiveDate: 06-03-2023 Poli E'rationQate: 06-03-2024
Limitsof $1, 000, 000 Combined Single Limit (each accideni)
����' 8f Per Person BI Per Accident PQ Per Accident
Desai ion of O rationslLocations/Vehides/E�dor�ements/S cial Provisions
ln3er�estedPa 7 : Additional Insured - Munici alit
TH1S CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TQ THE CERTlFICATE HOLDER.
IF THlS CERTIFICATE 1NDICATES THA7THE CERTIFICAiE HOLDER IS AN ADDITlpNAL INSl1REn, THE PbLICY(IESy MUST
EITHE�i 8E ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIQING THE CERTIFICATE HOLDER WITH ADDITIONAL
INSURED STATUS. TNE CERTIFICATE HOLDER IS AN ADDiTIONAL {NSURED ONLY TO THE EXTENT INDICATED iN SUCH
POL.ICY LANGUAGE OR ENDORSEMENT.
Producer.
JAMES MFCHALKA
Authorized Repre�entative:
Date:04-07-23
��
Y Includes copyrighted material of Insurance Services Office, Inc., with its permission
''' ',' CI CW A021011 Altsta�e Insurance Canpany Page 1 of 1
Addibonal Insured Copy
�Alistate.
Yalro M �o�Mlu�ds
P(.)LICY NUMBER:648853&93
COMMERCIAL AUTO
CA20481013
THIS ENDORS�MENT CHANGES THE POLICY. PLEASE READ iT CAREFUU.Y.
DEStGNATED INSURED F�R
COVERED AUTOS LIABILITY COVERAGE
7his endorsement modifies insurance pravided under ihe following:
AUTO DEALERS C01/ERAGE FORM
BUSINESS AUTO COVERAGE FUAM
MOTOR CARRIER COVERAGE FORM
Wiih respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modi(ietl by this endorsement.
7his endorsement identifies person(s) or organization(s} wh4 are "insureds" for Covered Autos Liability Coverage
under ihe Who ts An Insured provisian of the Coverage Farm. This endorsement dces not alter coverage
provided in the Coverage Form.
Thfs endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
Named fnsured: COLLINS COMMUNICATIONS INC
Endorsement Effective Dabe: 0 6- 0 3- 2 0 2 3
SCHEDULE
Name Oi Person(s) Or �rganization(s):
CITY OF FORT COLLINS
JAKE RECTOR
300 LAPORTE AVE
FORT COLLINS, CO USA 805212719
Information reauired to com�Iete this Schedule, if not shown above, will be shown in the Declarakions.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to theextent that person or organizaiion qualifies
as an "insured" undar the Who Is An Insured
provision cantained in E'aragraph �11. of Section 11—
Covered Autos Liabflity Coverage in the Business
Auto and Motor Garrier Coverage Forms and
Paragraph D.2 of Section 1— Covered Auios
Coverages af 1he Auta Dealers Coverage �orm.
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/a�:Ifi.F
�" ,' , � CA 20 4810 13
O lnsuranee Services Office, 1nc., 2011
Page 1 af 1
hiditianai Insured Copy