HomeMy WebLinkAboutPRYOR ROBERT & DONNA - INSURANCE CERTIFICATEState Farm Fire and Casualty Company
P.O. Box 82542
Lincoln, NE 68501-2542
RENEWAL CERTIFICATE LJ
25 2013 to JUN 25 2014'
AT1
Y-20- 2288-FAFI
002078 0001
CITY OF FORT COLLINS
215 N MASON ST FL 2
FORT COLLINS CO 80524-4402
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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 10'/c/ $17,170 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 $34,340 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 $171700
B Personal Property 128:775
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
235.6
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
$758.00
�/ O Moving? See your State Farm agent.
/Ira/IKS[ts57i treC• �iE GY,rrQyX CUS'tA+YeI�. See reverse for important information.
N 10099 sot M Ag t DANNY BAFRNHART CPCU, CLU, CHFC Prepared
o,g Telephone (970) 226-1800 RER MAY 02 2013
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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.
10100 001 M Agent DANNY BARNHART CPCU, CLU, CHFC
4 Telephone (970) 226-1800 REB Prepared MAY 02 2013