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HomeMy WebLinkAbout128365 NATIONAL RESEARCH - INSURANCE CERTIFICATE (4)StateFarm
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STATE FARM FIRE AND CASUALTY COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS
Aua%ai VA 30346-2117 Policy Number 96-05-E139"
Named Insured ers_ :.._ _.:__
POLICY CONFLUENCE INC
DBA NATIONAL RESEARCH
2955 VALMONT RD STE 300
BOULDER -CO 80301-1360_
M-20-2388-FA65 F U
Months MAY 1 2020 MAY 1 2021
e poli y period bepins and ends at12:01 am standard
ie att a DremisesTocabon.
ATTACHING INLAND MARINE
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.
Annual Policy Premium Included
The above Premium Amountis 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
MAR 25 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008
FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
015949
538-886a.2 85-31-2811 WM2320 I
96-05-B398-8
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 $ 500 Included
Loss of Income and Extra Expense S 25,000 Included
Prepared
MAR 25 2020
FD-9007
015949
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY
© Copyright State Farm Mutual Automobile Insurance Company, 2008
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
530-696 0.2°05-31-2011 loif3233c