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Home My WebLink AboutNEA COMPANY - INSURANCE CERTIFICATESTATE FARM INSURANCE C46V10AN!=_S OState Farm Fire and Casualty Company 1555 Promontory Circle Greeley, CO 80638-0001 T-20- 2015-F625 FZ 3 CITY OF FORT COLLINS 300 LA PORTE AVE FORT COLLINS CO 80521-2719 Il�rlrllrrrrl�lrrrlrlr�rllrrlrllrr�l�r�lllrlrrllrrrl Irrrrl�lrl Insured: NEA COMPANY Location: 5004 SAFFRON CT FORT COLLINS CO 80525-5549 SFPP No: 0201269620 Add Ins -II: CITY OF FORT COLLINS Forms, Options, and Endorsements Special Form 3 Amendatory Endorsement Tree Debris Removal Business Policy Endorsement Glass Deductible Deletion Fungus (Including Mold) Excl Inc Cost and Demolition Cov Policy Endorsement - Business Inland Marine Attaching Dec Inland Marine Conditions Computer Property Form Section II Additional Insured Continued on next page FP-6103 FE-6206.1 FE-6451 FE-6464 FE-6538.1 FE-6566 FE-6587 FE-6610 FE-8750.0 FE-8751 FE-8766.2 FE-6609 RENEWAL CERTIFICATE POLICY NUMBER 96-GP-2220-0 Business - Mercantile / Service Policy JUN 24 2005 to JUN 24 2006 I DATE DUE PLEASE PAY THIS AMOUNT I I BILLED THROUGH SFPP I Coverages and Limits Section I A Buildings Excluded B Business Personal Property 4,200 C Loss of Income Actual Loss Deductibles - Section I Basic 500 Other deductibles may apply - refer to policy Section II L Business Liability $500, 000 M Medical Payments 5,000 Gen Aggregate (Other than PCO) 1, 000, 000 Products -Completed Operations 1, 000, 000 (PCO Aggregate) Annual Premium Forms, Opts, & Endrsmnt Bus Liability - Cov L Total Amount Premium Reductions Your premium has already been reduced by the following: Renewal Year Discount Claim Record Discount Cov. A - Inflation Index: N/A Cov. B - Consumer Price: 193.3 Agent D BO N Telephone (970) 667-2211 or (800) 266-1315 Prepared MAY 02 2005 $100.00 94.00 31.00 $225.00 46-i 71 3308 6139 See reverse side for important information. Please keep this part for your record. IF YOU HAVE MOVED, PLEASE CONTACT YOUR AGENT. T-2015-F625 F NOTE: DO NOT PAY - PREMIUM BILLED THROUGH STATE FARM PAYMENT PLAN. wlrw i+�unwwly I RENEWAL CERTIFICATE 1 I State Farm Fire and Casualty Company 1555 Promontory Circle Greeley, CO 80638-0001 T-20- 2015-F625 FZ 3 CITY OF FORT COLLINS 300 LA PORTE AVE FORT COLLINS CO 80521-2719 i1.r1111rr�rlrirrrlrl��rllrrlrll�rrirr1111rlrrllrrrll��lrl�irl Insured: NEA COMPANY Location: 5004 SAFFRON CT FORT COLLINS CO 80525-5549 SFPP No: 0201269620 Add Ins -II: CITY OF FORT COLLINS Forms, Options, and Endorsements Special Form 3 Amendatory Endorsement Tree Debris Removal Business Policy Endorsement Glass Deductible Deletion Fungus (Including Mold) Excl Inc Cost and Demolition Cov Policy Endorsement - Business Inland Marine Attaching Dec Inland Marine Conditions Computer Property Form Section II Additional Insured Continued on next page FP-6103 FE-6206.1 FE-6451 FE-6464 FE-6538.1 FE-6566 FE-6587 FE-6610 FE-8750.0 FE-8751 FE-8766.2 FE-6609 POLICY NUMBER 96-GP-2220-0 Business - Mercantile / Service Policy JUN 24 2005 to JUN 24 2006 DATE DUE PLEASE PAY THIS AMOUNT BILLED THROUGH SFPP Coverages and Limits Section 1 A Buildings Excluded B Business Personal Property 4,200 C Loss of Income Actual Loss Deductibles - Section I Basic 500 Other deductibles may apply - refer to policy Section II L Business Liability $500, 000 M Medical Payments 5, 000 Gen Aggregate (Other than POO) 1, 000, 000 Products -Completed Operations 1, 000, 000 (POO Aggregate) Annual Premium Forms, Opts, & Endrsmnt Bus Liability - Cov L Total Amount Premium Reductions Your premium has already been reduced by the following: Renewal Year Discount Claim Record Discount Cov. A - Inflation Index: N/A Cov. B - Consumer Price: 193.3 Agent D BO N Telephone (970) 667-2211 or (800) 266-1315 Prepared MAY 02 2005 F0 IF YOU HAVE MOVED, PLEASE CONTACT YOUR AGENT. T-2015—F625 F INSURED NEA COMPANY POLICY NUMBER 96-GP-2220-0 BUS -MERCANTILE 138-3076t.5 Rev.02-2001 Rirdedin U.S.A. (o1F0081q $100.00 94.00 31.00 $225.00 *-= 71 3308 6139 See reverse side for important information. Please keep this part for your record. NOTE: DO NOT PAY - PREMIUM BILLED THROUGH STATE FARM PAYMENT PLAN. DATE DUE PLEASE PAY THIS AMOUNT THIS IS FOR INFORMATION ONLY 5004 SAFFRON CT FORT COLLINS CO 2009507241 State Farm Insurance Companies FOR OFFICE USE ONLY 9 Prepared MAY 02 2005 N M REP I FIRE REN 1 10724 400520500000000 696617262220002520> O STATE FARM INSTJPANCF- COVr'AN!ES State Farm Fire and Casualty Company 1565 Promontory Cirole Greeley, CO 80638-0001 RENEWAL CERTIFICATE SCHEDULE PAGE POLICY NUMBER 96-GP-2220-0 Business - Mercantile / Service Policy JUN 24 2005 to JUN 24 2006 T-20- 2015-F625 F Z 3 DATE DUE CONTINUED CITY OF FORT COLLINS 300 LA PORTE AVE FORT COLLINS CO 80521-2719 IIrdJLrrrLl��rl�LrrILJJIr�Jrr1111rL�IL�rllrrr�IJ�I Forms, Options, and Endorsements Terrorism Insurance Cov Notice Agent ED BOWEN Telephone (970) 667-2211 or (800) 266-1315 A FE-6999 IF YOU HAVE MOVED, PLEASE CONTACT YOUR AGENT INSURED NEA COMPANY POLICY NUMBER 96-GP-2220-0 BUS -MERCANTILE 550-638 a.1 Rev. 02-2001 Rimed in U.S.A.01 PLEASE PAY THIS AMOUNT 71 3308 6139 Please keep this part for your record. Prepared MAY 02 2005 T-2015-F625 F DATE DUE PLEASE PAY THIS AMOUNT CONTINUED 2009507241 State Farm Insurance Companies FOR OFFICE USE ONLY 8404 401 M Prepared MAY 02 2005 N REP 400520500000000 696617262220002520>