HomeMy WebLinkAboutSUMMIT STRUCTURES INC - INSURANCE CERTIFICATE90007574 4/28/15
INSURED FOURFarm Bureau
Family of Insurance Services
BUSINESS SQUIRE ADDITIONAL POLICY DECLARATION WS1532
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EFFECTIVE 5/02/15
POLICY NO. 90007574 NAME SUMMIT STRUCTURES INC 4/28/15
LIMITS OF INSURANCE
GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS/COMPLETED OPERATIONS) 2,000,000
PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT 2,000,000
PERSONAL AND ADVERTISING INJURY LIMIT 1,000,000
EACH OCCURRENCE LIMIT 1,000,000
DAMAGE TO PREMISES RENTED TO YOU LIMIT 50,000
MEDICAL EXPENSE LIMIT PER PERSON 5,000
LIABILITY DEDUCTIBLES PER OCCURRENCE BODILY INJURY *NONE*
LIABILITY DEDUCTIBLES PER OCCURRENCE PROPERTY DAMAGE 250
THE FOLLOWING DISCLOSES ALL INSURED OPERATIONS KNOWN TO EXIST AT THE
EFFECTIVE DATE OF THIS POLICY. ANY UNDECLARED OPERATIONS ARE NOT COVERED.
LOC. BLD. TYPE/DESCRIPTION ANNUAL
NO. NO. PREMIUM
01 Ol TYPE CODE 4
DWELLINGS - ONE -FAMILY (LESSOR'S RISK ONLY)
LOC. 205 FETTERMAN ST LARAMIE WY 82070
INCLUDING PRODUCTS AND/OR COMPLETED OPERATIONS, SUBJECT TO
THE GENERAL AGGREGATE LIMIT
01 01 TYPE CODE 4,7
CARPENTRY - NOC
LOC. 205 FETTERMAN ST LARAMIE WY 82070
01 01 TYPE CODE 4,7
CARPENTRY - INTERIOR
LOC. 205 FETTERMAN ST LARAMIE WY 82070
01 01 TYPE CODE 4,7
CARPENTRY - CONSTRUCTION OR RESIDENTIAL PROPERTY
LOC. 205 FETTERMAN ST LARAMIE WY 82070
01 01 TYPE CODE 4,7
SIDING INSTALLATION
LOC. 205 FETTERMAN ST LARAMIE WY 82070
01 01 TYPE CODE 4,j
CONTRACTORS- UBCONT WORK IN CONNECT W/BLDG CONST
LOC. 205 FETTERMAN ST LARAMIE WY 82070
01 01 TYPE CODE 4,7
2006 POLARIS 4 WHEELER 4XAMH5OA26A6655122
LOC. 205 FETTERMAN ST LARAMIE WY 8207O
01 01 TYPE CODE 4,7
DOOR, WINDOW OR ASSEMBLED MILLWORK -INSTALL -METAL
LOC. 205 FETTERMAN ST LARAMIE WY 82070
FO-10.115 (04/88)
MORTG