HomeMy WebLinkAboutROBERT & DONNA PRYOR - INSURANCE CERTIFICATEState Farm Fire and casualty company
1555 Promontory Circle
Greeley, CO 8Q636-0001
RENEWAL CERTIFICATE
JUN 25 2012 to JUN 25 2013
N
No
AT1
Y-20- 2510-F633
002821 0001
CITY OF FORT COLLINS
215 N MASON ST FL 2
FORT COLLINS.CO 80524-4402
Insur . PRYOR, ROBERT B & DONNA
1�
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 1.
Farm/Ranch Policy FP-8105
Ordinance/Law 100/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 I
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.
$711.00
Moving? See your State Farm agent.
/ IUYIrf.S'P l4PS'YI` ,*M. � av' uMy 4VW CuS't` W,-e. See reverse for important information.
N om ,msot rs Ag t HEIDI POLLS' Prepared
.1. Telenhone (970) 226-1200 REe MAY 02 2012
1461
State Farm Fire and Casualty Company
1555 Promontory Circle
Greeley, CO 8Q636-0001
nCrvCwAL l.Cri i IriVAi C J4Y1CUUlt YHlat
nni v'iv nu u�ocn 9a.Rl-s3nn.7-.I
25 2012 to JUN 25 2013
9
Y-20- 2510-F633 A
002821 0001
CITY OF FORT COLLINS
215 N MASON ST FL 2
FORT COLLINS CO 80524-4402
F
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.
10637 901 M Agent HEIDI POLLY
N Telenhnne (970) 226-1200 AEe Prepared MAY 02 2012