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HomeMy WebLinkAbout- - (35) State Farm Insurance El PO Box 2915 Bloomington, IL 61702-2915 t StateFarm State Farm Fire and Casualty Company CITY OF FORT COLLINS PURCHASIN A stock company with home offices in Bloomington, Illinois P.O. BOX 580 FORT COLLINS CO 80522 S� S� �gM Inland Marine Attaching Declarations Policy number, 96-KQ-8075-5 Effective date: May 30, 2025 Policy period: 12 months Expiration date: February 17, 2026 The policy period begins and ends at 12:01 am standard time at the premises location. ATTACHING INLAND MARINE Automatic renewal -If the State Farm'policy period is shown as 12 months, this policy will be renewed automatically subject to 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 notice in compliance with the policy provisions or as required by law. Annual policy premium: $80.00 The above premium amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS,OPTIONS AND ENDORSEMENTS FE-1401 Exclusion-Cyber Incident FE-1401 Exclusion-Cyber Incident FE-8739 Inland Marine Conditions FE-8743.1 Inland Marine Computer Property Form FE-8759 Inland Marine Miscellaneous Articles Form See below for schedule page with limits ATTACHING INLAND MARINE SCHEDULE PAGE Endorsement Coverage Limit of insurance Deductible amount Annual premium number FE-8743.1 Inland Marine Computer Property Form $25,000 $500 Included Loss of Income and Extra Expense $25,000 Included FE-8759 Inland Marine Miscellaneous Articles Form $5,000 $500 $80 Replacement Cost Policy number:96-KQ-8075-5 Page 1 of 2 CIM Att Dec 3P C0.1 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 1009481 2002 153089 202 03-06-2021 I - -