HomeMy WebLinkAboutEARTHPOWER LANDSCAPE - INSURANCE CERTIFICATE (2)RENEWAL CERTIFICATE
State Farm Fire and Casualty Company
3001 8th Avenue
Greeley, CO 80638-0001
J- 1508-F625 F E 3
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
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Insured: EARTHPOWER LANDSCAPE INC
Location: i 727 RIDGECREST RD
FORT COLLINS CO
SFPP No: 0058595820
Loss Payee: CHASE MANHATTAN MORTGAGE CORP
Add Ins -II: HENSEL PHELPS CONSTRUCTION CO
Add Ins -II: CITY OF FORT COLLINS
Forms, Options, and Endorsements
Special Form 3
FP-6100
Amendatory Endorsement
FE-6206.1
Tree Debris Removal
FE-6451
Contractors Policy Endorsement
FE-6467
Glass Deductible Deletion
FE-6538.1
Inland Marine Attaching Dec
FE-8750
Inland Marine Conditions
FE-8751
Loss Payable Endorsement
FE-6309
Blank Endorsement
FE-7315.1
Mobile Equipment Form
FE-8760
Additional Insured
FE-6324
Fungus (Including Mold) Excl
FE-6566
Audit period: Annual
Policy number 96-GR-2971-6 replaces 96-GK-6019-7.
POLICY NUMBER 96-G_R-2971-6
CONTRACTORS POLICY
JAN 01 2003 to JAN 01 2004
DATE DUE PLEASE PAY THIS AMOUNT
BILLED THROUGH SFPP
Coverages and Limits
Section
A Buildings $16,000
B Business Personal Property 7,300
Deductibles - Section I
Basic 250
Section 11 250
Other deductibles may
apply - refer to policy
Section II
L Business Liability $1,000,000
M Medical Payments 5,000
Gen Aggregate (Other than PCO) 2, 000, 000
Products -Completed Operations 2, 000, 000
(POO Aggregate)
Estimated Prem (Sec 1) $265.00
Estimated Prem (Sec II) $1, 357.00
Forms, Opts, & Endrsmnt 346.00
Total Amount $1, 968.00
Premium Reductions
Your premium has already been reduced
by the following:
Renewal Year Discount
Yrs in Business Discount
Claim Record Discount `
Cov. A - Inflation Index: 140.3
Cov. B - Consumer Price: 180.7
Agent RAD BI CHOFF
Telephone (970) 223-9400 Prepared OCT 21 2002
IF YOU HAVE MOVED, PLEASE CONTACT YOUR AGENT. J-15084625 F
A
INSURED
EARTHPOWER LANDSCAPE INC
POLICY NUMBER
96-GR-2971-6 CONTRACTORS
138-3076 f.5 Rev. 02-2001 Printed in U.S.A. (olf00
OR OFFICE USE ONLY 5014 401
Prepared OCT 21 2002
N
Al
4= 71 3077 7141
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
Please contact your State Farm
Agent to make any policy
changes.
2009000009
State Farm Insurance Companies
REP