HomeMy WebLinkAbout515849 KEN FISHER - INSURANCE CERTIFICATE (2)NO.
M
FARM
BUREAU
INSURANCE
Evidence of Insurance
Additional Interest
Interest
90218602
CITY OF FT COLLINS
215 N MASON ST
FT COLLINS, CO 80524
Policy Number CS218602-2
Amended Date 1 1 /20/2015
Named Insured
KENNETH P AND LINDA L FISHER LIVING
TRUST
KENNETH FISHER
4916 BINGHAM HILL RD
FORT COLLINS, CO 80521
Effective Date 1 1 /20/2015
Expiration Date 11/20/2016
This form is not the contract of insurance. It is a memorandum of coverage limited to the interest and applicable to the item below.
Liability
Risk#
Coverage
Limits of Liability
Legal Location
Each Person
Each
Occurrence
33
Combined Single Limit
INC* 600,000
41 ACRES AT TWSP 4 RNG 64
ARAPAHOE, CO
33
Medical Payments To Others
1,000 10,000
25 ACRES AT TWSP 8 RNG 69
LARIMER, CO
33
Fire Legal Liability (Farm Structures)
NC* 25,000
18 ACRES AT TWSP 7 RNG 70
LARIMER, CO
Your interest in risk(s) 33 is as a Lessor -additional insured.
Coverage is restricted to this relationship.
*NC = No Coverage
Agent's Name KATIE BAKER
Agent's Address 335 E. MOUNTAIN AVE.
FORT COLLINS, CO 80524
Agent's Phone # (970) 482-3952
Date 10/01 /2015
22 ACRES AT TWSP 7 RNG 70
LARIMER, CO
96 ACRES AT TWSP 7 RNG 69
LARIMER, CO
220 ACRES AT TWSP 8 RNG 69
LARIMER, CO
6385454 Colorado Farm Bureau Mutual Insurance Company
9177 E. Mineral Circle, Centennial. CO 80112
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