HomeMy WebLinkAbout427002 MARTIN VERMILYEA - INSURANCE CERTIFICATE (2)0
FARM
BUREAU
INSURANCE
Evidence of Insurance
Additional Interest
Interest
90217950
CITY OF FT COLLINS
215 N MASON ST
FT COLLINS, CO 80524
Policy Number CS217950-7
Amended Date 03/09/2019
Named Insured
VIOLA VERMILYEA
MARTY VERMILYEA
4412 STABLE LN
FORT COLLINS, CO 80525
Effective Date 03/09/2019
Expiration Date 03/09/2020
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
15
Combined Single Limit
NC* 600,000
118 ACRES AT TWSP 7N RNG 68
LARIMER, CO
15
Medical Payments To Others
5,000 50,000
19 ACRES AT TWSP 06 RNG 68
LARIMER, CO
15
Fire Legal Liability (Farm Structures)
NC* 50,000
34 ACRES AT TWSP 07 RNG 68
LARIMER, CO
Your interest in risk(s) 15 is as a Lessor -additional insured.
Coverage is restricted to this relationship.
*NC = No Coverage
Agent's Name MICHAEL LEFFLER
Agent's Address 335 E. MOUNTAIN AVE.
FORT COLLINS, CO 80524
Agent's Phone # (970) 482-3952
Date 03/13/2019
17 ACRES AT TWSP 07 RNG 68
LARIMER, CO
10 ACRES AT TWSP 07 RNG 68
LARIMER, CO
7624363 Colorado Farm Bureau Mutual Insurance Company
9177 E. Mineral Circle, Centennial, CO 80112
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