HomeMy WebLinkAboutRONALD TREIBER - INSURANCE CERTIFICATEFARM
BUREAU
INSURANCE
Evidence of Insurance
Additional Interest
Interest
90203707
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522
Policy Number CS203707-23
Amended Date 04/10/2019
Named Insured
RONALD TREIBER
PO BOX 1523
LAPORTE, CO 80535
Effective Date 03/25/2019
Expiration Date 03/25/2020
This form is not the contract of insurance. It is a memorandum of coverage limited to the interest and applicable to the item below.
Liability
Risk#
Coverage
Limits of Liability
Legal Location
Each Person
Each
Occurrence
11
Combined Single Limit
NC* 500,000
50 ACRES AT TWSP 08N RNG 69W
LARIMER, CO
11
Medical Payments To Others
1,000 10,000
70 ACRES AT TWSP 8N RNG 69W
LARIMER, CO
11
Fire Legal Liability (Farm Structures)
NC* 25,000
200 ACRES AT TWSP 8N RNG 69W
LARIMER, CO
Your interest in risk(s) 11 is as a Lessor -additional insured.
Coverage is restricted to this relationship.
*NC = No Coverage
Agent's Name MARK FIRMERY
Agent's Address 335 E MOUNTAIN AVE
FORT COLLINS, CO 80524
Agent's Phone # (970) 482-3952
Date 04/23/2019
1,000 ACRES AT TWSP 7N RNG
70W LARIMER, CO
7663518 Colorado Farm Bureau Mutual Insurance Company
9177 E. Mineral Circle, Centennial, CO 80112
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