HomeMy WebLinkAbout971662.tiffFlood and Peterson Insurance, Inc.
June 11, 1997
COUNTY OF WELD
933 N. 11TH AVENUE
GREELEY, CO 80631
RE: WILLIES GRAIN, INC.
GREAT WEST CASUALTY COMPANY
POLICY #CLP31960G
Dear Gentlemen:
Enclosed is an Additional Insured Endorsement issued on behalf of Willies Grain,
Inc. for all trucks, tractors, & trailers owned, leased, hired, rented, or borrowed
which are used by Willies Grain, Inc.
Please look the enclosed over, and if you should have any questions feel free to
give me a call.
Sincerely,
Judy Gustafson
Customer Service Representative
dlb
Enclosure
211 First Street • Eaton, Colorado 80615 • (970) 454-3381 • Fax (970) 454-3252 • (970) 68(
"Serving People Since 1939"
971662
CA 49 01 03 92
Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 1
Copyright, Insurance Services Office, Inc., 1986
POLICY NUMBER: CLP31960G
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL AUTO COVERAGE PART
This endorsement changes the policy effective on the inception date of the policy unless
indicated below.
Named Insured
WILLIES GRAIN, INC.
Endorsement effective
JUNE 1 1997
GREAT WEST CASUALTY COMPANY
Co tersigned by
.24 }eliaraiam---)
another date is
SCHEDULE
Policy Expiration Date JUNE 1 1998
Name of Additional Insured
COUNTY OF WELD
933 N 11TH AVENUE
GREELEY CO 80631
(Authorized RepregWntative)
Described Auto
APPLIES TO ALL TRUCKS, TRACTORS, & TRAILERS OWNED,
LEASED, HIRED, RENTED, OR BORROWED WHICH ARE USED
BY THE NAMED INSURED
LIABILITY COVERAGE WHO IS AN INSURED is
changed to include as an Insured the person or
organization shown in the SCHEDULE only if they
are liable for the conduct of an Insured shown in the
WHO IS AN INSURED provisions and only to the
extent of that liability.
CA 49 01 03 92
Coverage provided by this endorsement applies to
"Autos" described in the SCHEDULE.
The coverage provided by this endorsement ends
when the Additional Insured is not liable for your
conduct or the Policy Expiration Date, whichever
occurs first.
Includes copyrighted material of Insurance Services Office, Inc., with its permission
Copyright, Insurance Services Office, Inc., 1986
Page 1 of 1
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