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Home My WebLink AboutCITY VISIONS - INSURANCE CERTIFICATEStateFarm • •�. a �� a O STATE FARNf FIRE AND CASUALTY COMPANY A STOCK COMAANY WITN HOME OFFfCES 1N BLOOMlNGTON, 1LLIIYOIS RENEWAL DECLARATIONS P BoX 29 f 5 8�oomington !L 8 f 702-29 i5 Addl Insured-Section II Only Ar2 M-20-1623-FAF1 F U 003728 3125 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522-058D ��u�lll�t��li��lllf��i�l�i�lll�il„�iii,�,i,��i��n�i�i��,,�� Policy Number 96-BR-0$54-1 Policy Perind Effective Date Expiration Date 12 Months MAY 4 2024 MAY 4 2025 The pol�y period be�ins and ends at 12:01 am standard Ume at e premises ocaUon. Named Insured WOODS, KATHERINE DBA CITY VISIONS Office Policy Automatic Renewal - If the policy period is shown as 12 months , this policy will be renewed automaticaliy subjectto the premiums, rules and forms in effectfor each succeeding policy period. If tfiis policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Individual NQiICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIIlM Minirnum Premium Disaster Mitigation Total Amount $ 225.00 $ 2.00 $ 227.00 Claim Record Discounts Applied: Renewal Year Years in Business Prepared JAN 22 2024 cMP-400a 025177 294 AI N '�J Copynghi, State Farm Mutual Automobile Insurance Company, 20�B Includes copyrighted matenal of lnsurance Services pHice, Inc., with its permission. Continued on Reverse Side of Page Page i of 7 can cnc,e nc �� nu i..uay. RENEWAL DECLARATlONS (CONT#NUED) 4fflce I'olicy for CITY OF FORT COLLINS Policy Number 96-B�t-0854-1 • ' i • ' i . 1 . � Locatfon Location of Limit of tn�urance* Lim{t of Insurance" Seasonal Number DesCribed Increase- Premises Covera e A- Coverage B- Businsss Build�itgs Business Personal Personal Property Property 001 315 S SHERWUDD ST No Cover�ge $ 15,400 25% FORT COLLINS CO 80521-2635 '' As o t e e ective date of this policy, t e Limii of Insurance as shown includee any increase in the iimit due to Inflation Coverage. ��TIOfd I- I FL, 710N COYERAGE ��DEX(ES} Cov A- lnflation Coverage Index: N/A Cov B- Consumer Price Index: 307.8 SECTfON I • DEDUC�,TIB�ES Beslc DeduCtibie $5Q0 Special Deductibles: Money and Securities Equipment Breakdown $250 Employee Dishortesty $500 $250 OEher deductibfes may apply - refer to policy. Prepared JAN 22 2024 CMP-40Q0 025177 t�i Copyrlpht, Stete FarmMutualAutomobile InsUf�Ilce Company,2008 Includes capyrighted materisl of Insurance Services 0(jipe, In�., with its permission. Continued on Next Page Page 2 of 7 Statefarrn • • • RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF FORT COLLINS Policy Number 96-BR-0854-1 :� . . SECTION I- EXTENSIONS OF COVERAGE - LIMIT AF INSURANCE -��M DESCRIBED PR�M ES ? The coverages and corresponding limiis shown below apply separately to each described premises shawn in these � Declarations, unfess indicatecf by "See Schedule." If a coverage does not have a corresponrfing limit shown below, � but has "Inclucfed" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises Qif Premises Arson Reward Back-Up �f Sewer Or Drain Collapse Damage To Non-Owneci Buildings From Theft, Burglary Or Robbery Debris Removal Equipment 8reakdown Fire Department Service Charge Fire Extinguisher Systems Recharge Expsnse Forgery Or Alteratian Glass Expenses Increased Cost Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basis} Money And Securities (Off Premises) Money And Securities {On Premises) Money �rders And Counterfeit Money Newly Acquired Business Personal Property {applies only if this policy provides Coverage 8- Business Personal Property) Newly Acquired Or Constructed Buildings {appfies only if this policy provides Coverage A - Buildings) Prepared JAN 22 2024 CMP-4000 o2�»s zsa N C Copyright 5tate Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted matenal of Insurance Serwces D1f�ce, inc., with its permusion. Continued on Reverse Side af Page $50,000 $1 �,oao $s,oao $15,0�0 Included Coverage B Limit 25% of covered loss Included $5,000 $5,000 $1 Q,000 Included 10% $5,000 $� o,aoo $1, 000 $100, 000 $250,000 Page 3 of 7 RENEWAL DECLARAI'iONS (CONTINUED) Office Poficy for CITY OF FORT COLLINS Policy NumE�er 98-BR-0854-1 Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Cove�age S- Business Personal Property) Personal Property Oit Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B- Business Personal Property) Signs Unauthorized Business Card Use Va4uable Papers And Records On Premises Off Premises Water Damage, �ther Liquids, Pawder Or Mofien Material Damage Included $5,000 $5,00� $15,000 �� a,000 30 Days $2,50Q $2,500 $5,000 $50,000 $15,000 fncluded SECTION I- EXTENSIONT�O� C��K�tAGE - LIMIT OF INSURA[VC� - PER POUCY , � The coverages and corresponding limits shown befow are the most we wfil pay regardless of the number of described premises shown in these Declarations. COV�RAGE Dependent Property - Loss Of income Employee Dishonesty Utifity Interruption - Loss Of Income Loss Of Income And Extra Expense LIMIT OF INSURANCE $5,000 $10,oaa $i o,00a Actual Loss Sustained - 12 Months Prepared JAN 22 2024 m Copyr�ght Stete Farm Mutual Automob le Insurence Compeny, 2008 CMP-4000 Includes copynghted matenal of Insurence Servi ces Office, nc., wrth its permission. o25� �8 Continued on Next Page Page 4 af 7 SiateFarm � •• RENEWAI. DECI.ARATIONS (CONTINUED} Office Policy for CITY OF FOR'F COL�lNS Poficy Number 96-BR-0854-1 � _��:� S � N � 0 � 0 SECTION !I - LIABfI,ITY COVERAGE Coverage L - Business Liability Coverage M- Medical Expenses {Any One Person} Damage To Premises Rented To You AGGREGATE LIMITS Products!Completed Operations Aggregate Gensral Aggregate LIMIT OF INSURANCE $1,000,000 $5,000 $300,000 LIMIT O� INSURANCE Excluded $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please reier to Section fl - liability in the Coverage Form anci any attached endorsements. Your policy consists of these Declaraiions, Ehe Bl1SINESSOWNERS C�VERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as iMose issued subsequent ta the issuance oi this policy. F AND END R E S CMP-4100 FE-6999.3 CMP-a206.2 CMP-4845 CMP-4819.1 CMP-4706 CMP-4704.1 CMP-4710 CMP-47D9 CMP-4703.1 CMP-4705.2 FE-3650 CMP-4561.4 Prepared JAN 22 2024 CMP-4000 Businessawners Coverage Form `Terrarism Insurance Cov Notice Amendatory Endorsement Excl Product Comp Operatn Liab Unauthorized Business Card Use Back-Up oi Sewer or Drain Qependent Prop Loss of Income Employee Dishonesty Money and Securities Utility Interruption Loss Incm Loss of Income & Extra Expnse Actual Cash Value Endorsement Policy Endorsement m Copynght Stete Fatm Mutual Automobde insurance Company, 2008 Includes copynghted matenal of Insurance Services Office, Inc., with rts permiss�o� 025179 294 Continued on Reverse Side of Page Page 5 of 7 N RENEWAL DECL.ARATIONS (CONTiNUED) Office Palicy for CITY OF FORT COLLINS Policy Number 96-BF�-0854-1 CMP-4786 Addl Insd Owners Lessee Sched FD-fi007 Inlar�d Marine Attach Dec * New Form Attached This po4icy is issued by the State Farm Fire and Gasualty Company. Participating Pollcy You are entitled to participate in a distribution of the earnings of the comp�tily as detsrmineci by our Board of Directo�s in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire �nd Casualty Company has caus�d this policy to be signed by its President and Secretary at Bloomington, Illinois. 0�►�- rn � y�"'�- i��'L�..�.� Secretary President Prepared JAN 22 2024 cnn�-aoao Q� Copyright, Staie Farm Mutual Automobde Insu{p��ce Company, 2008 Includes copynphted materrel of Insurance Services Of�i��, Inc., w�th its perm�ssian. a25n9 Continued on Next Pag� Page 6 of 7 StateFarm • �, RENEWAL DECLARATIONS (CONTINUED} Office Policy for CITY OF FORT COLLINS Policy Number 96-BR-0854-1 � fd� N0710E TO POLICYH�LDER: For a comprehensive description of coverages and forms, please refer to your policy. � Policy changes requested before the "Date Prepared', which appear on this notice, are effective on the Renewal Date � of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage � forms aflached to this notice are also effective on the Renewal Date of this pollcy. Pol cy changes requested after the "Date Preparsd" will be sent to you as an amended declarabons or as an endorsernent to your policy. BiHing 10• any addiiional premium For such changas will be mailed ai a later date. If, during the past year, you've acquired any valuable property items, made any impravements to insured property, or have any quest ons about your insurance coverage, contact your State Farm agent. Plsase keep this with your poi�cy. Prepared JAN 22 2024 cMP-aoao 025180 294 N � Copyright, State Farm Mutuel Automobile InsurnFice Company, ZODB Includes copyriqhted meterial of Insurance Services Office, Inc., with its permission Page 7 ot 7 StateFarm STATE FARM FiiiE AND CASUALTY COMPANY rQ_ A S7'GCK CQMPANY W1TN HOME pFFICES 1N BLOOMlNGTON, ILLIIVOlS INLAND MARINE ATTACHING DECLAAATIONS C!X� �%om/ng9onlL &t1022915 " Policy Number 96-BR-0854-1 NAmed Insured � Policy Period Effective Qate Expiration Date M-20-1623-FAF1 F U 12 Monihs MAY 4 2024 MAY 4 2025 The pnli y period begins and ends at 12 01 am standard WOODS, KATHERINE time at�e premisesTocation. ABA CITY UISIONS � �f�# S }:. � � � 0 ATTACHING INLAND MARINE Automatic Renswal - If the policy period is shown as 12 months , this pnlicy will be renewed automatical3y subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written noUce in compliance witt� the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on t�e Declaratinns Your policy consists of these Declarations, the INLAND MARlNE CQNDITIONS shown below, and any other forms and endorsements that apply, including those shown belaw as we#I as ihose issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE-8743.1 Inland Marine Compuler Prop FE-8739 Inland Marine Conditions 5ee Reverse for Schedule Page with Limits Prepared JAN 22 2024 FQ-6Q07 025181 � CopyrighL State farm Mutual Automobile Insurance Company, 2DOB Inciudes copyrightad material of Insurance Serviees Office, Inc., wnh its permission 530 686a.2 05 31 2011 lo1f323 96-8 R-0854-1 ATTACHING {NLAND MARINE SCMEDULE PAGE ATTACIiING INLAND MARINE �NOflRSEMEN7 NUMBER FE-$743.1 Prepared JAN 22 2Q2a FD-6007 COVERAGE Inland Marine Computer Prop Loss of Income and Extra Expense LlMIT QF INSUR�NCE 2��000 2�,Q00 OTHER LIMITS AND EXCLUSIONS MAY APPLY • REFER TO YQl1R POLlCY m Copynght, State Farm Mutuel Automobile lnsurp�lce Company, 2D08 lncludes copyrighted matenal of Insurance Seroices OK�r,g, Inc., with its permission. DEOUCTIBLE AMOUNT 500 ANNUAL PREMIUM Included i�cZuded 025t81 570 686 e.2 05 31 2011 fo11J233c