HomeMy WebLinkAbout111 NORTH COLLEGE - INSURANCE CERTIFICATEState Farm Fire and Casualty Company RENEWAL CERTIFICATE SUPPLEMENTAL. PAGE
1555 Promontory Circle POLICY'NUMRBR 98 J9 2084 8
- Greeley, CO 80638-0001 Business Policy
JUN 152008 to JUN 152009
-- -
., 1-20. 2359-F913 Z 3 F
001791 CONTINUED
THE CITY OF FORT COLLINS ---- -------
PO BOX 580
FORT COLLINS CO 80522-0580 `
Forms, Options, and Endorsements
Policy Endorsement * FE-6851
*Effective: JUN 15 2008
*631 not Ai-v Agent BISCHOFF INS AGCY INC
N
Telephone (970) 223-9400 eo Prepared APR 22 2008
State Farm Fire and Casualty Company
f 555 Prornanfory Circle
Greeley, CO 80638.0001
Al 1 T-20- 2359-F913 Z 3 F
001701
THE CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
— Ilrrlrllrrrrlrlrrrlrirrlrlllrrrrlrlrl�rl�Iirrrlrrlrlir�rrri�ll
Insured: 111 N COLLEGE LLC
Location: i t i N COLLEGE AVE
FORT COLLINS CO
80524-2443
Mortgagee: THE ELLEN E WEBER TRUST
Forms, Options, and Endorsements
Special Form 3
FP-6103
Amendatory Endorsement
FE-6206. 1
Tree Debris Removal
FE-6451
Business Policy Endorsement
FE-6464
Glass Deductible Deletion
FE-6538. 1
Fungus (Including Mold) Excl
FE-6566
Terrorism Insurance Cov Notice
FE-6999
Policy Endorsement - Business
FE-6610
Inc Cost and Demolition Gov
FE-6587
Dist Mat Violat Statues Excl
FE-6655
Policy Endorsement
FE-6656
Loss Payable Endorsement
FE-6309
Continued on next page
"Effective: JUN 152008
RENEWAL CERTIFICATE
PottcrNUMBER `. 90-J9.2084 8
--- -
Business Policy
JUN 152008 to JUN 152009
PAID BY SPECIFIED PARTY
Coverages and Limits
Section I
A Buildings
$941,600
B Business Personal Property
Excluded
C Loss of Income
Actual Loss
Deductibles - Section I
Basic
1,000
Other deductibles may
apply - refer to policy
Section It
L Business Liability
$1 , 000, 000
M Medical Payments
5,000
Gen Aggregate (Other than POO)
Products -Completed Operations
2,000,000
2,000,000
(POO Aggregate)
Annual Premium
$1, 939.00
Bus Liability - Cov L.
1,086.00
'Total Amount
$3, 025.00
Premium Reductions
Renewal Year Discount
Claim Record Discount
Cov. A - Inflation Index: 178.4
Cov. B - Consumer Price: N/A
g NOTICE: Information concerning changes in your policy language is included. Please call your agent if
you have any questions.
s
m
9
O�Ifyou have moved, please contact your agent.
/,Jr/,"�'w Gellfd� C4S'ift'�'pB See reverse side for important information.
4630 401 Y,1N Agent BISCHOFF INS AGCY INC
N " Telephone (970) 223-9400 Hen Prepared APR 22 2008
State Farm Fire and Casualty Company
f 555 promontory Circle
'" -- Greeley, CO 80638.0001
All T-20- 2369-P913 2 3 F
o01M
THE CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
—(InlrlluulJudJnIrlllnnlilJulrlludnlrlluurlrll
Insured: 111 N COLLEGE LLC
Location: 111 N COLLEGE AVE
FORT COLLINS CO
80524-2443
Mortgagee: THE ELLEN E WEBER TRUST
Forms, Options, and Endorsements
Special Form 3
FP-6103
Amendatory Endorsement
FE-6206. 1
Tree Debris Removal
FE-6451
Business Policy Endorsement
FE-6464
Glass Deductible Deletion
FE-6538.1
Fungus (Including Mold) Excl
FE-6566
Terrorism Insurance Cov Notice
* FE-6999
Policy Endorsement - Business
FE-6610
Inc Cost and Demolition Cov
FE-6587
Dist Mat Violat Statues Excl
FE-6655
Policy Endorsement
FE-6656
Loss Payable Endorsement
FE-6309
Continued on next page
"Effective: JUN 152008
RENEWAL CERTIFICATE
ISOLICYNUMBER - 98 J9.2084-8
Business Policy
JUN 152008 to JUN 152009
PAID BY SPECIFIED PARTY
Coverages and Limits
Section I
A Buildings
$941,600
B Business Personal Property
Excluded
C Loss of Income
Actual Loss
Deductibles - Section I
Basic
1,000
Other deductibles may
apply - refer to policy
Section II
1- Business Liability
$1,000,000
M Medical Payments
5,000
Gen Aggregate (Olherthan POO)
2,000,000
Products -Completed Operations
2,000,000
(POO Aggregate)
Annual Premium
$1, 939.00
Bus Liability - Cov L
1,086.00
Total Amount
$3, 025.00
Premium Reductions
Renewal Year Discount
Claim Record Discount
Cov. A - Inflation Index: 178.4
Cov. B - Consumer Price: N/A
NOTICE: Information concerning changes in your policy language is included. Please call your agent if
you have any questions.
m
9
ffyou have moved, please contact your agent.
,�iyr.C�ur"7Qttd'S'Hpv6c�iXt... See reverse side for important information.
4610 U 401 X1-v Agent BISCHOFF INS AGCY INC
N ' Telephone (970) 223-9400 Aes Prepared APR 22 2008