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HomeMy WebLinkAbout289879 UNITED MAILING - INSURANCE CERTIFICATE (4)StateFarm STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED MAR 3 2020 A3Ravnnta cis{ i dvs30346-2117 Policy Number 96-KJ-3330-6 tla Addl Insured -Section II Only an,;,.,, On And rffnM10. nofn I M-20-2359-FAF1 F.0 001587 3123 CITY OF FORT COLLINS ATTN: PURCHASING DEPT PO BOX 580 FORT COLLINS CO 80522-0580 rlr��rl�ll��'I�I'�II�I'11�111�r111r�'I�II�'�I'�'1�1'���IIIr�111r1 Office Policy n 3 JUN 1 2020 JUN 1 2021 period begins and ends at 12:01 am standard premises location. Named Insured UNITED MARKETING INC DBA UNITED MAILING 3201 E MULBERRY ST UNIT D FORT COLLINS CO 80524-847.5 Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectforeach 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. Entity: Corporation Reason for Declarations: Your policy is amended MAR 3 2020 LOSS PAYEE DELETED PREMIUM ADJUSTMENT _ FORM CMP-4875 DELETED Other items shown are effective with the policy's 2020 renewal Endorsement Premium None Discounts Applied: Renewal Year Years in Business Enclosed Building Sprinkler Claim Record Prepared MAR 17 2020 C Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 013468 no Al Continued on Reverse Side of Page N Page 1 of 6 539 696 a.2 05-31.2011 W132310 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 $ 323,300 26% 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 INDEXES) Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES N/A 257.3 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 MAR 17 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted materiel at Insurance Services Office, Inc., with its permission. 013468 Continued on Next Page Page 2 of 6 StateFarm 0 • S DECLARATIONS (CONTINUED) -OfficePolicy for CITY OF FORT COLLINS Policy Number 96-KJ-3330-6 SECTION I - EXTENSIONS.OF. COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES 0 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; but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. COVERAGE Accounts Receivable On Premises Off Premises Arson Reward Back -Up Of Sewer Or Drain Collapse Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Debris Removal Equipment Breakdown Fire Department Service Charge Fire Extinguisher Systems Recharge Expense. Forgery Or Alteration Glass Expenses Increased Cost Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basis) Money And Securities (Off Premises) Money And Securities (On Premises) Money Orders And Counterfeit Money Newly Acquired Business Personal Property (applies only if this policy provides Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides Coverage A - Buildings) Prepared MAR 17 2020 T Copyright State Farm Mutual Automobile Insurance Company, 4008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. LIMIT OF INSURANCE $50,000 $15,000 $5,000- $15,000 Included Coverage B Limit 25% of covered loss Included $5,000 $5;000 $10,000 Included 10% $5,000 $10,000 $1,000 $100,000 $250,000 013469 290 Continued on Reverse Side of Page N Page 3 of 6 DECLARATIONS (CONTINUED) Office Policy for CITY OF FORT COLLINS Policy Number 96-KJ-=0-6 Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $5,000 Personal Property) Personal Property Off Premises $15,600 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Signs $2,500 Unauthorized Business Card Use $5,000 Valuable Papers And Records On Premises $50,000 Off Premises $15,000 Water Damage, Other Liquids, Powder Or Molten Material Damage 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 $10,000 Actual Loss Sustained - 12 Months Prepared MAR 17 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 013469 Continued on Next Page Page 4 of 6 StateFann • • • ® DECLARATIONS (CONTINUED) Office Policy for CITY OF FORT COLLINS Policy Number 96-KJ-3330-6 SECTION II - LIABILITY g LIMIT OF 8 COVERAGE INSURANCE F$ Coverage L - Business Liability $1,0011,000 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 CMP-4206.1 Amendatory Endorsement FE-6999.2 Terrorism Insurance Cov Notice 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 CMP4703.1 Utility Interruption Loss Incm CMP-4705.2 Loss of Income & Extra Expnse CMP-4802 Addl Insd Lessor of Leased.Egp CMP-4875 Loss Payable CMP-4788 Addl Insd Mgrs Lessor of Prem Prepared MAR 17 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 013470 290 Continued on Reverse Side of Page Page 5 of 6 N 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 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. rn A Secretary President Prepared MAR 17 2020 CMP-4000 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 013470 290 Page 6 of 6 N