HomeMy WebLinkAboutRonald Treiber - Insurance Certificate 2025 L
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Evidence of Insurance
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Additional Interest
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Interest Named Insured
90203707
CITY OF FORT COLLINS RONALD TREIBER
PO BOX 580 PO BOX 1523
FORT COLLINS, CO 80522 LAPORTE,CO 80535
Policy Number CS203707-29 Effective Date 03/25/2025
Amended Date 03/25/2025 Expiration Date 03/25/2026
This form is not the contract of insurance. It is a memorandum of coverage limited to the interest and applicable to the item below.
Liability
Risk# Coverage Limits of Liability Legal Location
Each Each
Person
Occurrence
11 Combined Single Limit NC" 500,000 1,000 ACRES AT TWSP 7N RNG
70W LARIMER, CO
11 Medical Payments To Others 1,000 10,000 200 ACRES AT TWSP 8N RNG 69W
LARIMER, CO
11 Fire Legal Liability (Farm Structures) NC* 25,000 70 ACRES AT TWSP 8N RNG 69W
LARIMER, CO
( 50 ACRES AT TWSP 08N RNG 69W
LARIMER, CO
540 ACRES AT TWSP 7 RNG 70
LARIMER, CO
Your interest in risk(s) 11 is as a Lessor-additional insured.
Coverage is restricted to this relationship.
*NC=No Coverage
Agent's Name KATIE ISABELLE
Agent's Address 400 E HORSETOOTH RD, STE 200
FORT COLLINS, CO 80525
Agent's Phone# (970) 482-3952
Date 02/13/2025
9028781 Colorado Farm Bureau Insurance Company Pg. 1
9177 E.Mineral Circle,Centennial,CO 80112