HomeMy WebLinkAbout289876 UNITED MAILING - INSURANCE CERTIFICATE (2)Sta=eF=rm
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STATE FARM FIRE AND CASUALTY COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS
Atlanta �i8A 31346-2117
Addl Insured -Section II Only
AT2 M-20-2359-FAF1 F U
006785 3125
CITY OF FORT COLLINS
ATTN: PURCHASING DEPT
PO BOX 580
FORT COLLINS CO 80522-0580
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Office Policy
Policy Number 96-KJ-3330-6
Policy Period Effective Date Expiration Date
12 Months JUN 1 2019 JUN 1 2020
The poli y period begins and ends at 12:01 am standard
time at
premises location.
Named Insured
UNITED MARKETING INC
DBA UNITED MAILING
3201 E MULBERRY ST UNIT D
FORT COLLINS CO 80524-8475
Automatic Renewal - If the policy period is shown as 12 months , this policy will be renewed automatically subjectto the premiums, rules and
forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lien holder written notice in
compliance with the policy provisions or as required by law.
Entity: Corporation
NOTICE: Information concerning changes in your policy language is included. Please call your agent
if you have any questions.
POLICY PREMIUM
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Sprinkler
Claim Record
$ 601.00
Prepared
FEB 18 2019 OD Copyright, State Farm Mutual Automobile Insurance Company, 2008
CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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530-666 a.2 05-31-2011 lot
RENEWAL DECLARATIONS (CONTINUED)
Office Policy for CITY OF FORT COLLINS
Policy Number 96-KJ-3330-6
SECTION I - PROPERTY SCHEDULE
Location
Location of
Limit of Insurance*
Limit of Insurance*
Seasonal
Number
Described
Increase -
Premises
Coverage A -
Coverage B -
Business
Buildings
Business Personal
Personal
Property
Property
001
3201 E MULBERRY ST UNIT D
No Coverage
$ 317,800
25%
FORT COLLINS CO 80524-8475
As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage.
SECTION I - INFLATION COVERAGE INDEVES)
Cov A - Inflation Coverage Index:
Cov B - Consumer Price Index:
SECTION I - DEDUCTIBLES
N/A
252.9
Basic Deductible $1,000
Special Deductibles:
Money and Securities $250 Employee Dishonesty $250
Equipment Breakdown $1,000
Other deductibles may apply - refer to policy.
Prepared
FEB 18 2019 Copyright, State Farm Mutual Automobile Insurance Company, 2008
CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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StateFarm
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• • „ RENEWAL DECLARATIONS (CONTINUED)
Office Policy for CITY OF FORT COLLINS
Policy Number 96-KJ-3330-6
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SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES
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The coverages and corresponding limits shown below apply separately to each described premises shown in these
Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below,
N but has "Included" indicated, please refer to that policy provision for an explanation of that coverage.
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LIMIT OF
COVERAGE INSURANCE
Accounts Receivable
On Premises $50,000
Off Premises $15,000
Arson Reward $5,000
Back -Up Of Sewer Or Drain $15,000
Collapse Included
Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit
Debris Removal 25% of covered loss
Equipment Breakdown Included
Fire Department Service Charge $5,000
Fire Extinguisher Systems Recharge Expense $5,000
Forgery Or Alteration $10,000
Glass Expenses Included
Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10%
insured on a replacement cost basis)
Money And Securities (Off Premises) $5,000
Money And Securities (On Premises) $10,000
Money Orders And Counterfeit Money $1,000
Newly Acquired Business Personal Property (applies only if this policy provides $100,000
Coverage B - Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000
Coverage A - Buildings)
Prepared
FEB 18 2019 Copyright, State Farm Mutual Automobile Insurance Company, 2008
CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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RENEWAL DECLARATIONS (CONTINUED)
Office Policy for CITY OF FORT COLLINS
Policy Number 96-KJ-3330-6
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Effects (applies only to those premises provided Coverage B - Business
Personal Property)
Personal Property Off Premises
Pollutant Clean Up And Removal
Preservation Of Property
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Unauthorized Business Card Use
Valuable Papers And Records
On Premises
Off Premises
Water Damage, Other Liquids, Powder Or Molten Material Damage
Included
$5,000
$5,000
$15,000
$10,000
30 Days
$2,500
$2,500
$5,000
$50,000
$15,000
Included
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY
The coverages and corresponding limits shown below are the most we will pay regardless of the number of
described premises shown in these Declarations.
COVERAGE
Dependent Property - Loss Of Income
Employee Dishonesty
Utility Interruption - Loss Of Income
Loss Of Income And Extra Expense
LIMIT OF
INSURANCE
$5,000
$10,000
$10,000
Actual Loss Sustained - 12 Months
Prepared
FEB 18 2019 C Copyright, State Farm Mutual Automobile Insurance Company, 2008
CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
045752 Continued on Next Page
Page 4 of 7
StateFarm
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RENEWAL DECLARATIONS (CONTINUED)
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Office Policy for CITY OF FORT COLLINS
Policy Number 96-KJ-3330-6
SECTION II - LIABILITY
LIMIT OF
COVERAGE INSURANCE
Coverage L - Business Liability
$1,000,000
Coverage M - Medical Expenses (Any One Person)
$5,000
Damage To Premises Rented To You
$300,000
LIMIT OF
AGGREGATE LIMITS
INSURANCE
Products/Completed Operations Aggregate $2,000,000
General Aggregate $2,000,000
Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable
annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements.
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
forms and endorsements that apply, including those shown below as well as those issued subsequent to the
issuance of this policy.
FORMS AND ENDORSEMENTS
CMP-4100
Businessowners Coverage Form
FE-6999.2
`Terrorism Insurance Cov Notice
CMP-4206.1
Amendatory Endorsement
CMP-4819.1
Unauthorized Business Card Use
CMP-4706
Back -Up of Sewer or Drain
CMP-4704.1
Dependent Prop Loss of Income
CMP-4710
Employee Dishonesty
CMP-4709
Money and Securities
CMP-4703.1
Utility Interruption Loss Incm
CMP-4705.2
Loss of Income & Extra Expnse
CMP-4802
Addl Insd Lessor of Leased Eqp
CMP-4875
Loss Payable
CMP-4788
Addl Insd Mgrs Lessor of Prem
Prepared
FEB 18 2019 n Copyright, State Farm Mutual Automobile Insurance Company, 2008
CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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RENEWAL DECLARATIONS (CONTINUED)
Office Policy for CITY OF FORT COLLINS
Policy Number 96-KJ-3330-6
CMP-4786 Addl Insd Owners Lessee Sched
FE-3650 Actual Cash Value Endorsement
CMP-4561.1 Policy Endorsement
FD-6007 Inland Marine Attach Dec
" New Form Attached
This policy is issued by the State Farm Fire and Casualty Company.
Participating Policy
You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in
accordance with the Company's Articles of Incorporation, as amended.
In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and
Secretary at Bloomington, Illinois.
Secretary President
Prepared
FEB 18 2019 U Copyright, State Farm Mutual Automobile Insurance Company, 2008
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StateFarm
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RENEWAL DECLARATIONS (CONTINUED)
Office Policy for CITY OF FORT COLLINS
Policy Number 96-KJ-3330-6
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NOTICE TO POLICYHOLDER:
g For a comprehensive description of coverages and forms, please refer to your policy.
Policy changes requested before the "Date Prepared", which appear on this notice, are effective on the Renewal Date of this
Cn
policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached
to this notice are also effective on the Renewal Date of this policy.
Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to
your policy. Billing for any additional premium for such changes will be mailed at a later date.
If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any
questions about your insurance coverage, contact your State Farm agent.
Please keep this with your policy.
Prepared
FEB 18 2019
CMP-4000
O Copyright, State Farm Mutual Automobile Insurance Company, 2008
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
045754 294
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Page 7 of 7
StateFarm
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STATE FARM FIRE AND CASUALTY COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS
3 Ravmi8 nv
Atlanta (� 3�346 2117
Named Insured
M-20-2359-FAF1 F U
UNITED MARKETING INC
DBA UNITED MAILING
3201 E MULBERRY ST UNIT D
FORT COLLINS CO 80524-8475
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C.
S
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ATTACHING INLAND MARINE
Policy Number 96-KJ-3330-6
Policy Period Effective Date Expiration Date
12 Months JUN 1 2019 JUN 1 2020
The policy period begins and ends at 12:01 am standard
time atthe premises location.
Automatic Renewal - If the policy period is shown as 12 months , this policy will be renewed automatically subjectto the premiums, rules and
forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance with the policy provisions or as required by law.
Annual Policy Premium Included
The above Premium Amount is included in the Policy Premium shown on the Declarations.
Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that
apply, including those shown below as well as those issued subsequentto the issuance of this policy.
Forms, Options, and Endorsements
FE-8739 Inland Marine Conditions
FE-8743.1 Inland Marine Computer Prop
See Reverse for Schedule Page with Limits
Prepared
FEB 18 2019 (0 Copyright, State Farm Mutual Automobile Insurance Company, 2008
FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
045755
630-686 a2 85-31 7011 tolf32320
ATTACHING INLAND MARINE SCHEDULE PAGE
ATTACHING INLAND MARINE
ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL
NUMBER COVERAGE INSURANCE AMOUNT PREMIUM
FE-8743.1 Inland Marine Computer Prop S 25,000 S 500 Included
Loss of Income and Extra Expense S 25,000 Included
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY
Prepared
FEB 18 2019 @ Copyright, State Farm Mutual Automobile Insurance Company, 2008
FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
045755
530.586 a.2 05-31-2011 I o 1 f323: