HomeMy WebLinkAboutAMERICAN MECHANICAL SERVICES OF DENVER LLC - INSURANCE CERTIFICATE (2)STATE FARM FIRE AND CASUALTY COMPANY
A STOCK COMAANY WITH HOME OFFICES I i NBLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS
Statefarm
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At aMa rib, 30346-2117
Named Insured
AF1 F E
STROMBERG CONSTRUCTION LLC
2819 EASTBOROUGH DR
FORT COLLINS CO 80525-2364
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ATTACHING INLAND MARINE
Number
Policy Period Effective Date Ex iration Dali
1. Year SEP 19 2019 S�P 19 2020
The policy period begins and ends at 12:01 am standard
time at le 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 effectfor 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 $ 1,386.00
The above Premium Amount is included in the P
Your policy consists of these Declarations, the IN
apply, including those shown below as well as th
Forms, Options, and Endorsements
FE-8739
Inland Marine Conditions
FE-8743.1
Inland Marine Computer
FE-8756.1
Installation Endorsement
FE-8760
Mobile Equipment Form
See Reverse for Schedule Page with Limits
Prepared
JUN 15 2020
FD-6007 Includes
011377
ium shown on the Declarations.
MARINE CONDITIONS shown below, and any other forms and endorsements that
ued subsequentto the issuance of this policy.
iht, State Farm Mutual Automobile Insurance Company, 2008
hted material of Insurance Services Office, Inc:, with its permission.
530-666 e.2 05-31-2011 IW32320 1
96-C7-H579-3
ATTACHING INLAND MARINE SCHEDULE PAGE
ATTACHING INLAND MARINE
ENDORSEMENT
NUMBER COVERAGE
LIMIT OF DEDUCTIBLE ANNUAL
INSURANCE AMOUNT PREMIUM
FE-8743.1 Inland Marine Computer Prop $ 25, 000 $ 500 Included
FE-8760 Mobile Equipment Form 8 1002000 $ 500 $ 1 r 386 . 00
FE-8756.1 Installation Endorsement $ 5,000 $ 500 Included
Property in Transit $ 50000
Number of Job -Sites: 1
Prepared
JUN 15 2020
FD-6007
OTHER LIMITS AND EXCLUSIONS MAYAPPLY - REFER TO YOUR POLICY
® Copyright, State Farm Mutual Automobile Insurance Company, 2008
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
011377
530-386 a.7 05-31-2011 10113233c1