HomeMy WebLinkAbout2010 07 01 Bozeman Property BinderForm Letters3
EVIDENCE OF PROPERTY INSURANCE ISSUE DATE (MM/DD/YY)
07/01/10
THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND
CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
PRODUCER
ALLIANT INSURANCE SERVICES, I NC.
1301 DOVE STREET
SUITE 200
NEWPORT BEACH, CA 92 660
PH (949) 756 -0271 /FAX (949) 756 -2713
LICENSE NO.0C36861
COMPANY
VARIOUS PER ATTACHED SCHEDULE
CODE SUB -CODE
INSURED PUBLIC ENTITY PROPER TY INSURANCE PROGRAM (PEPIP)
MONTANA MUNICIPAL IN TERLOC AL AUTHORITY (MMIA)AND
ITS MEMBER:
C ity of Bozeman
PO Box 1230
Bozeman MT 59771 --1230
EVIDENCE NUMBER
PEPIP 1011
POLICY NUMBER
P101654 -011
E FFECTIVE DATE (MM/DD/YY)
07/01/10
EXPIRATION DATE (MM/DD/YY)
07/01/11
CONT. UNTIL
TERMINATED
IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATION / DESCRIPTION
PENDING RECEIPT OF C OMPANY POLICY(IES),THIS DOCUMENTATION I S PROVIDED AS EVIDEN CE OF PROPERTY AND
BOILER & MACHINERY I NSURANCE COVERAGE FO R LOCATIONS ON FILE WITH ALLIANT INSURAN CE SERVICES.
COVERAGE INFORMATION
COVERAGE / PERILS / FORMS / AMOUNT OF INSURANCE & DEDUCTIBLE
“ALL RISK” OF D IRECT PHYSICAL LOSS OR DAMAGE AND ALL EX TENSIONS AND SUBLIMI TS OF COVERAGE PER P EPIP
MANUSCRIPT POLICY FO RM. SUBJECT TO POLI CY TERMS, CONDITIONS AND EXCLUSIONS.
LIMITS & DEDUCTIBLE ATTACHED FOR THE FOL LOWING:
PROPERTY
COVERAGE
BOILER & MACHINERY
C OVERAGE
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
SI GNATURE OF AUTHORIZED AGENT OF COMPANY
X
X