HomeMy WebLinkAboutZAHAKIS PIZZA CASBAH - INSURANCE CERTIFICATECERTwFf ATE OF 911Et1RANCE
Thb rertinn Ihtt ® STATE FARM FIRE AND CASUALTY COMPANY abo "I(IIl,1111na s
❑ STATE FARM GENERAL INSURANCE COMPANY Bloomington Iwhieis
❑ STATE FARM FIRE AND CASUALTY COMPANY, Sarbaagh Oribrb
❑ STATE FARM FLORIDA INSURANCE COMPANY Winter Hagan, Florida
❑ STATE FARM LLOYDS Dawes Tam
msures the following po5gholda for Nm eoverapea indicated below
ZAPM3 111C (dba Pizza Casbah)
126 N Laurel Fort Collins CO
The policies NOW batow have been leveed so the policytwkW for the policy periods atwlen The Irma ence described In ytese policies is
suNed to all the tams exclusions, and condil to s of tlicse ptillms. The Amits of watt ft shown may have been reduced by any paid claims
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
INfecii" ab Eipkdon Daces
UNITS OF LIABILITY
(at begimriig of Pally period)
96-GS-9299-9 F
Compretiaisive 04/_5/2008 04/15/2009
BODILY INJURY AND
Business gab"
PROPERTY DAMAGE
This insurance includes.
® Products - Completed Operations
❑ Contractual Liability
❑ Underground Hated Coverage
❑ Personal Injury
Each Occurrence $ _ 000 000
❑ Adverting Injury
❑ EXPIOSM Hazard Coverage
General Aggregate $ 2 000 000
❑ Collapse Hazard Covers"
Products - Completed $ 2 000 000
❑
Operations Aggregate
EXCESS LIABILITY
POLICY PERIOD
jilleWvs Dab Expiration Dab
BODILY INJURY AND PROPERTY DAMAGE
(Combined Single Lord)
❑ tJmbrewa
Eadi Occurrence $
OMter
Aggregate $
Part i STATUTORY
Pert 2 BODILY INJURY
Workers Compensation
and Employers Liability
Each Accident $
Disease - Each Employee$
Disease - Policy Lmit $
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
IrbcBvs OaUExprimilornDab
UNITS OF LIABILITY
(at beginning of Irby pwtod)
THE CERTMVE OF F
RVIIANCE M NOT A CONTRACT
OF INSURANCE AND N1151WE
t APnMATNELY MOR NFaATNFLY
--------- ---------------
AMENDS EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DE1t RIWO HERBIN
Re City of Fort Collins is named as additional insured as II any of the described policies are canceled before
their interests dray appear Its expiratlonn dab, State Farm will try to maw a written
notice to the cerb'wcde hOkkr io days before
cancelName and Address of Certificate Holder won if however we fail to mail such notice
no obligation or liability win be imposed on State
City of Fort Collins Purchasing Division Farm or its or represeraahves
P O Box 58C
Fort Collins CO 80522
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AFO Cods f625M0
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558494 a4 11 12-2002 Fa M U SA
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