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128365 NATIONAL RESEARCH - INSURANCE CERTIFICATE (4)
StateFarm • •s® 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