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HomeMy WebLinkAbout278819 HISTORITECTURE - INSURANCE CERTIFICATE. •,. o, o�. vu .t 51 RIL I-AHM P(aGL: 01 s cERTWICATE OF INSURANCE o This certifies that STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ElSTATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Aurora, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages Indicated below: Policyholder 141S'TORITECTURE LLC Address of policyholder PO BOX 4,19 -- i ---------._,� Location of operations 215h n7CGNAw tvrNCH tla R 1009 ""�"'"'----�'° _ Description of operations—'-'�'""'"�"""""""`" m--- - - - - The policies listed below have been issued to the policyholder for She Policy periods shaven. Ter® insurane destxitnad In these policies Is subject to all the ¢cams, e�cclusians, and conditions off those polices.rhe limits of liability shown may have been reduced by any Paid claims, POLICY NUMBER Tuns incufance incirades. POLICY NUMBER TYPE OF INSURANCE Businous Liability [?�' h"rorluc4R :'Corf,plecorl - IM Contractual Liability (� Personal Injury ® Advertising Injury EXCESS LIABILITY Umbrella Other Workers' Gomponsation and Employers Liability TYPE OF INSURANCE Efff®o4iva Date ERfiratIon Data 10/29/2007 10/29/2008 of .. _.__.._i._____.__--_ PROi'LeRiY DAMAGE s Each Occurrence 1, 000, 0000 General Aggregate S 2, 000, 000 Products - Completed $1,00o,000 O Ore One A I'® ate 130 ICY PERIOD BODILY INJURY AND PROPERTY DAMAGE Ve LbgBe �'aipfra DDow (COMbined Single Limit) Eaach Occurrence S vyVrKt'�1F3 C:®mprinsation gat uabi� Pad 11 - Cenplogars I_ia4iliQy Each Accident Disease - Each Employee Disease - Policy Limit � ILICY PERIOD GMITf 4 r LIA016 cake iExpiration Data -.. (at begloitnina of n0ficwr v.ec rNOVKArsueIrk PS�STACONTRACT OrIN:URSaNCE ANE9 —NEITHER AFF6Rf49A'F3! AIYI�NpTS, PX�'F:Qt9t,P",� dgR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED Hr=REIN. Name and Address Of Certificate Holder City 04 TO.Ct collina PO riot $00 215 N Mason Fort Collins, Co 8052] 580-it" n.O P(IntoOln U.S.A. Rov.05-08-2008 If any of @he d's"fibed policies at,-' canceled before their expiration dal®, State Falrn will try to mail a written na¢ltm to the WiffiG ate bolder days befom concailration. If however, we fall to mall such notice, no obligation or IiabIlity will be imposed on State Farm ar is age E r mpronentr Ives. F t $19ustufa Of Authorized R-Omsont3sv© � `— Agent 09/1'7/2008 'rleto --- --- Unto EKic Mosl:alslu Argent Name -- TclephonoNamber 970-493-1808 A(ggnQ'0 Ctld® Slamp - AffontGOr7t9 2187 AFO Code f913 GEICO GENERAL INSURANCE COMPANY Date Issued: 08-27-08 T-J VEHICLE 1 96 JEEP 1J4FJ28S7TL213632 2 01 KIA KNAFB121815054888 U-31-DP-20 (7-07) Policy Number: 0114-9844-04 RATED LOCATION CLASS ESTES PARK CO 80517 A -M - -L ESTES PARK CO 80517 A -N - -L COVERAGES LIMITS OR Coverage applies where a premium or 0.00 is shown for the vehicle. DEDUCTIBLES BODILY INJURY LIABILITY EACH PERSON/EACII OCCURRENCE $501000/$100,000 PROPERTY DAMAGE LIABILITY $50,000 UNINSURED & UNDERINSURED MOTORISTS EACH PERSON/EACH OCCURRENCE $25,000/$50,000 COMPREHENSIVE $250 DED COLLISION $250 DED PREMIUMS Vehicle Vehicle Vehicle 39.30 39.30 49.30 49.30 24.00 .00 37.40 105.30 SIX MONTH PREMIUM PER VEHICLE: $ 112.60 $ 231,30 If you elect to pay your premium in installments, you may be subject to an additional fee for each installment. The fee amount will be shown on your billing statements and is subject to change. Premiums for these vehicles are based on the following Discounts and/or Surcharges: DISCOUNTS MULTI -CAR (VEH 1,2); 5 YEAR GOOD DRIVING (VEH 1,2) Lienholder Vehicle Lienholder Vehicle Lienholder Vehicle INSURED COPY PAGE 02