HomeMy WebLinkAboutLARIMER HUMANE SOCIETY - INSURANCE CERTIFICATE (8)B * S1*05/03/04*PAC5373770-00 C37304308 *D/B ORIGINAL COPY
0227082
Administrative Offices
sao walnut street CG 74 00 ( Ed .07 / 01
GREAT Cincinnati, Ohio 45202
AMERICAN Tel: 1-513-369-5000
INSURANCE GROUP POI icy: PAC 537-37-70 OC
BUSINESSPRO GENERAL LIABILITY COVERAGE PART
DECLARATION PAGE
NAMED INSURED: LARIMER HUMANE SOCIETY
POLICY PERIOD:
5/01/2004to 05/01/200
LIMITS OF INSURANCE:
General Aggregate Limit (Other Than Products -
Completed Operations)
S
2,000,000
Products - Completed Operations Aggregate Limit
$
2,000,000
Personal and Advertising Injury Limit
$
1,000,000
Each Occurrence Limit
$
1,000,000
Damage to Premises Rented to You Limit
S
100,000 Any One Premise
Medical Expense Limit
S
10,000 Any One Person
FORM OF BUSINESS: CORPORATION
TOTAL ESTIMATED PREMIUM: $5,357.00
Products/Completed Operations
All Other
S 358.00 Min.Premium
S
4,999.00
;HEDULE OF LOCATIONS
ocation: 0001 Building: 0001
6317 KYLE AVE
FORT COLLINS, CO
80525
vlassification: GIFT SHOPS - NOT -FOR -PROFIT
Products/Completed Operations
EXPOSURE: 27,249
RATE: .263
PREMIUM: $358.00
Incl. Balance to Min. Premium
BUSINESSPRO (Reg. U.S. Pat. Off.)
CG 74 00 07/01 (Page 1 of 3)
All Other
EXPOSURE: 27,249
RATE: 2.701
PREMIUM: $74.00
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