HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATESTATE FARM CERTIFICATE OF INSURANCE
T is t t ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
_in tJft�f#4@'f l wing policyholder for the -coverages indicated below:— - - - -
ame of policyholder COMPUTER TERRAIN MAPPING
Address of policyholder PO BOX 4982
BOULDER, CO 80306-4982
Location of operations 14 01' WALNUT ST STE A, B & H
Description of operations BUSINESS -OFFICE
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been redurted by any nail riaimc
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
LIMITS OF LIABILITY
Effective Date Expiration Date
at be ginning of policy period)
Comprehensive
BODILY INJURY AND
96-26-5433-7
Business Liability
09-09-08
109-09-09
PROPERTY DAMAGE
This insurance includes: ® Products - Completed Operations
® Contractual Liability
® Underground Hazard Coverage
Each Occurrence $ 1, 0 0 0 , 0 0 0
® Personal Injury
® Advertising Injury
General Aggregate $ 2, 0 0 0, 0 0 0
❑ Explosion Hazard Coverage
Products - Completed
❑ Collapse Hazard Coverage
Operations Aggregate $ 2 , 0 0 0 , 0 0 0
❑ General Aggregate Limit applies to each project
EXCESS LIABILITY
POLICY PERIOD
BODILY INJURY AND PROPERTY DAMAGE
Effective Date Expiration Date
(Combined Single Limit)
❑ Umbrella
Each Occurrence $
❑ Other
$
_Aggregate
Part 1 STATUTORY
Part 2 BODILY INJURY
Workers' Compensation
and Employers Liability
Each Accident $
Disease Each Employee $
Disease - Policy Limit $
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
LIMITS OF LIABILITY
Effective Date Expiration Date
at beginning of policy period)
Name and Address of Certificate Holder
Additional Insured:
CITY OF FORT COLLINS
215 N MASON ST, 2ND FLOOR
FORT COLLINS, CO 80522
558-994 a 2-90 Printed in U.S.A.
If any of the described policies are canceled before its
expiration date, State Farm will try to mail a written notice to
the certificate holder 3 0 days before cancellation. If,
however, we fail to mail such notice, no obligation or liability
will be imposed on State Farm or its agents or
representatives.
Signature of Authorized Repro entative
Title
Date a r • r%C 7 JCtS
AGENT
1600 38th Street, Ste 101
Li
Boulder, CO 80301
Bus: (363) 444-0490
Fax; (303) 444.0495