HomeMy WebLinkAboutBOB & DONNA PRYOR - INSURANCE CERTIFICATE (3)805Oslate -arm r-ire ana casuany company
1555 Promontoyy Circle
t Greeley, 00-0001
RENEWAL CERTIFICATE
JUN 25 2011 to JUN 25 2012
AT1
Y-20- 1948-F913 A F
005973
CITY OF FORT COLLINS
215 N MASON ST FL 2
FORT COLLINS CO 80524-4402
Insured: PRYOR, ROBERT B & DONNA
Location:
See schedule page(s) for location of premises
Loss Settlement Provisions (See Policy)
A2 Replacement Cost -Common Construction -Coverage A
B1 Limited Replacement Cost - Coverage B
Forms, Options, and Endorsements
Farm/Ranch Policy FP-8105
Ordinance/Law 101/o/ $16,750 OPT OL
Special Limits - Money/Jf FE-8689
Farm/Ranch Policy Endorsement FE-1302
Fungus (Including Mold) Excl FE-8728
Terrorism Insurance Cov Notice FE-6999
Increase Dwlg up to $33,500 OPT ID
Policy Endorsement FE-8733
Mandatory Reportng Endorsement FE-5801
Additional Insured Endorsement FE-8568
TO BE PAID BY INSURED
Coverages and Limits
Section I
A Dwelling $167,500
B Personal Property 125,625
C Loss of Use Actual Loss
Deductibles - Section 1
All Losses 500
Section II
L Farm Liability
(each occurrence) 500,000
(annual aggregate) 1, 000, 000
M Medical Payments (each person) 1,000
Annual Premium
Premium Reductions
Renewal Discount
Inflation Coverage Index: 229.9
Please help us update the data used to determine your premium. Contact your agent with the year each of
your home's utilities (heating/cooling, plumbing, or electrical) and roof were last updated.
0
$711.00
11111151111
7-7 p_�4&feeyo kvq�awn Moving? See your State Farm agent.
32259 901 M Ag t RAY DEPL See reverse for reparedt information.
o1e Telephone (970) 226-1200 REB P MAY 02 2011
O State Farm Fire and Casualty Company
1555 Promontorryy Circle
Greeley, CO 80638-0001
f1GI�G��NL IiCA 1 if-IVNI C Jli F1LUULL 1'HUC I
POLICY NUMBER 96-BL-3300.7
Farm/ Ranch Policy
JUN 25 2011 to JUN 25 2012
iz
i, Y-20- 1948-F913 A F
is 005973
s CITY OF FORT COLLINS
215 N MASON ST FL 2
FORT COLLINS CO 80524-4402
LOCATION OF
COVERED PREMISES
Loc
No of
Portion
No
Acres
of Section
Section
Twnshp Range County and State
01
19
Described on
file in the
Regional Office.
02
5
Described on
file in the
Regional Office.
32260 904 M Agent RAY DEPLER
,� Telephone (970) 226-1200 REB Prepared MAY 02 2011