HomeMy WebLinkAboutAMELIA CARUSO - INSURANCE CERTIFICATEs STATE FARM INSURANCE COMPANIES®
RECEIPT OF PAYMENT
FOR SFPP ACCOUNT 1045-8931-20
ACCOUNTHOLDER(S)
AMELIA CARUSO LLC
PO BOX 271024
FORT COLLINS, CO 80527-1024
PAYMENT DATE PAYMENT TYPE
08-19-2008 CASH
AGENT
LINDA HORTON
106 E OLIVE
FORT COLLINS, CO 80524-2861
(970) 482-1936
CHECK#/REF# AMOUNT
$ 200.00
TOTAL AMOUNT PAID: $ 200.00
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AUTHORIZED SIGNATURE:
BARBARA J HARNER
THANK YOU FOR YOUR PAYMENT. PAYMENTS ARE RECEIVED SUBJECT TO COLLECTION
AND POLICY PROVISIONS. WE APPRECIATE YOUR BUSINESS.
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State Farm Fire and Casualty Company
Business Policy
Prepared: 08-19-20081 Quote Effective Date: 08-19-2008
Prepared for
AMELIA CARUSO LLC
PO BOX 271024
FORT COLLINS, CO 80527-1024
Number of locations quoted: 1
Basic Policy Deductible
Policy Coverag®
Coverage B - Business Personal Property
- Tenant's Improvements & Betterments
Coverage C - Loss of Income -12 Months
Coverage L - Business Liability - Per Occurrence
Coverage L - Business Liability - Annual Aggregate
Coverage M - Medical Payments
Basic Premium
Credits/Charges which have been applied
Years in Business Discount
Total Annual Premium
Total Monthly Premium
Prepared by
Linda Horton
Linda Horton Ins Agcy Inc
106 E OLIVE
FORT COLLINS, CO 80524-2861
Phone: (970) 482-1936
Email: linda.horton. nsd4@statefarm.com
$1,000
Amount Premium
$20,000
$0 Included in Coverage B
Actual Loss Sustained
$1,000,000
$2,000,000
$5,000
$375.00
$376.00
$31.25
Business Information
Rating Information"
Fine Art Dealers
5032 W 5th Ave
Year built: 1955
Territoryzone: 60
Timanth, CO 80547
Years in business: 10
Yoartructioncommercial: 2008
5ubzone: 01
n
StatClass:481
Inside city limits: No
Counry:Larimer
Construction: Masonry
Gross Receipts: 20,000
Tenant
This is a sample quote that contains only a general description of some available coverages and limits with an approximate premium, subject to eligibility. it
is not a contract, binder of coverage or coverage recommendation. All coverages are subject to the terms, provisions, exclusions, and conditions in the
policy and its endorsements. If information used for rating changes or different rates are effective at the time of policy issuance, this rate quote may be
revised. if you have any questions, please contact my office.