HomeMy WebLinkAbout2011 07 01 Bozeman Prop BinderForm Letters3
EVIDENCE OF PROPERTY INSURANCE ISSUE DATE (MM/DD/YY)
07/01/11
THIS IS EVIDENCE THAT INSU RANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND
CONVEYS ALL THE RIGHTS AND PRIVIL EGES AFFORDED UNDER THE POLICY.
PRODUCER
ALLIANT INSURANCE SERVICES, INC.
1301 DOVE STREET
SUITE 200
NEWPORT BEACH, CA 92660
PH (949) 756-0271 / FAX (949) 756-2713
LICENSE NO. 0C36861
COMPANY
VARIOUS PER ATTACHED SCHEDULE
CODE SUB-CODE
INSURED PUBLIC ENTITY PROPERTY INSURANCE PROGRAM (PEPIP)
MONTANA MUNICIPAL INTERLOC AL AUTHORITY (MMIA), AND
City of Bozeman
PO Box 1230
Bozeman MT 59771
EVIDENCE NUMBER
PEPIP1112
POLICY NUMBER
P112695-011
EFFECTIVE DATE (MM/DD/YY)
07/01/11
EXPIRATION DATE (MM/DD/YY)
07/01/12
CONT. UNTIL
TERMINATED
IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATION / DESCRIPTION
PENDING RECEIPT OF COMPANY POLICY(IES), THIS DOCUMEN TATION IS PROVIDED AS EVIDENCE OF PROPERTY AND
BOILER & MACHINERY INSURANCE COVERAGE FOR LOCAT IONS ON FILE WITH ALLIANT INSURANCE SERVICES.
COVERAGE INFORMATION
COVERAGE / PERILS / FORMS / AMOUNT OF INSURANCE & DEDUCTIBLE
“ALL RISK” OF DIRECT PHYSICAL LOSS OR DAMAGE A ND ALL EXTENSIONS AND SUBLIMITS OF COVERAGE PER PEPIP
MANUSCRIPT POLICY FORM. SUBJECT TO PO LICY TERMS, CONDIT IONS AND EXCLUSIONS.
LIMITS & DEDUCTIBLE ATTACHED FOR THE FOLLOWING:
PROPERTY
COVERAGE
BOILER & MACHINERY
COVERAGE
REMARKS (INCLUDING SPECIAL CONDITIONS)
CANCELLATION
SEE ATTACHED
ADDITIONAL INTEREST
NAME AND ADDRESS NATURE OF INTEREST
MORTGAGEE ADDITIONAL INSURED
EVIDENCE OF COVERAGE
LOSS PAYEE X (OTHER)
EVIDENCE OF COVERAGE
SIGNATURE OF AUTHORIZED AGENT OF COMPANY
X
X