HomeMy WebLinkAboutNORRIS, CRAIG & BARBARA - INSURANCE CERTIFICATEStateFarm State Farm Fire and Casualty Company
P.O. Box 82542
Lincoln, NE 68501-2542
RENEWAL CERTIFICATE ❑
APR 01 2016 to APR 01 2017
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AT1 Y-20- 2511-FAF1 A
005342 0001
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
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Insured: NORRIS, H CRAIG & BARBARA LYNN
Location: 4205 STRAUSS CABIN RD
FORT COLLINS CO80525
See schedule page(s) for location of premises
SFPP No: 1146834320
Loss Settlement Provisions (See Policy)
Al Replacement Cost -Similar Construction -Coverage
B1 Limited Replacement Cost - Coverage B
Forms, Options, and Endorsements
Farm/Ranch Polic
Jewelry and Furs k500/$2,500
Ordinance/Law 10%/ $37,300
Increase Dwlg up to $74,600
Farm/Ranch Policy Endorsement
Fungus (Including Mold) Excl
Policy Endorsement
Mandatory Reportng Endorsement
Civil Union Endorsement
Equipment Breakdown Coverage
Additional Insured Endorsement
Loss Payable Endorsement
Continued on back of page
FP-8105
OPT JF
OPT OL
OPT ID
FE-1302.2
FE-8728
FE-8733
FE-5801
FE-8790
FE-1320
FE-8568
FE-6309
F
BILLED THROUGH SFPP
Coverages and Limits
Section I
A Dwelling $373, 000
B Personal Property 380,600
C Loss of Use Actual Loss
D Scheduled Farm Personal Prop
F Farm Buildings & Structures **
Deductibles - Section I
All Losses 1,000
Section II
L Farm Liability
(each occurrence) 1,000 000
(annual aggregate) 2, 000, 000
M Medical Payments (each person) 5,000
Annual Premium
Premium Reductions
Home Alert Discount
Inflation Coverage Index: 242.4
Cov. F - Inflation Index: 175.6
**See schedule pages(s) for the limits of insurance and the loss settlement provisions
Y Please help us update the data used to determine your premium. Contact your agent with the year each of
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your home's utilities (heating/cooling, plumbing, or electrical) and roof were last updated.
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6
co
$4,359.00
6D- Moving? See your State Farm agent.
06, p&*arz4'6l�(xt • • See reverse for important information.
17897 901A[ v Agent MARINDA SIMPSON Prepared
N Telephone (970) 223-7800 or (970) 223-7801 REP FEB 08 2016
I Mortgagee
Add Ins -II
JPMORGAN CHASE BANK NA
Loan No:1857778845
CITY OF FORT COLLINS
Forms, Options, and Endorsements
Actual Cash Value Endorsement FE-3650
NOTICE TO POLICYHOLDER:
For a comprehensive description of coverages and forms, please refer to your policy.
Policy changes requested before the "Date Prepared", which appear on this notice, are effective on the Renewal Date of this
policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached
to this notice are also effective on the Renewal Date of this policy.
Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to
your policy. Billing for any additional premium for such changes will be mailed at a later date.
If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any
questions about your insurance coverage, contact your State Farm agent.
Please keep this with your policy.
(olf008gh) 10-11-2010
StateFarm State Farm Fire and Casualty Company
RENEWAL CERTIFICATE SCHEDULE PAGE 1
P.O. Box82542
POLICY NUMBER96-89
t'f)Pr8 1 I
Lincoln. NE 68501-2542
Farm/ Ranch Policy
APR 01 2016 to APR
01 2017
Y-20- 2511-FAF1
A
F
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005342 0001
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
0
LOCATION OF
COVERED PREMISES
N
Co
Loc No of Portion
No Acres of Section
Section
Twnshp Range
County and State
01 20
33
7 68
LOVELANDCO
02 20
33
7 68
LOVELAND: CO
* Losses Insured See Policy for detailed explanation of losses insured)
ADPL: ccidental Direct Physical Loss
Spec Perils: Specified Perils
** Loss Settlement (See Policy for detailed explanation of loss settlement)
Fl: Replacement Cost - Common Construction - Coverage F
F2: Actual Cash Value Loss Settlement - Coverages D, E, and F
COVERAGE D:
SECTION I SCHEDULED FARM PERSONAL PROPERTY
Limits of
*Losses
**Loss
Item No
Insurance
Description
Insured Settlement
01
15,000
430 MW14290
LOADER SN WOOL13OX027478
ADPL
F2
02
15,000
JD TRACTOR
SN W005416006922
ADPL
F2
03
10,000
SADDLES AND
TACK
Spec Perils
F2
04
10,000
PORTABLE CORRALS
Spec Perils
F2
COVERAGE F:
SECTION
I FARM
BUILDINGS AND STRUCTURES
COV F - INFLATION
INDEX 175.6
Buildings &
Limits of
*Losses
**Loss
co Structures
Insurance
Description
Insured Settlement
0
m Location No.
01
s 01
16,600
1990 20X20
DETACHED GARAGE
ADPL
F1
0 02
11,400
1940 60X20
DETACHED GARAGE
Spec Perils
F2
N 03
30,000
2000 60X40
HAY BARN
ADPL
F1
0 04
87,900
1998 80X30
EQUESTRIAN BARN
ADPL
F1
05
23 800
1998 MANF HOME
Spec Perils
F2
Cr 06
13:500
2000 40X20
LIVESTOCK BARN
ADPL
F1
07
94,100
2000 80X30
EQUESTRIAN BARN
ADPL
F1
a
U)
G
d
Ea
a`
0
O
M
m
m
n89F 901 Al Agent MARINDA SIMPSON
N Telephone (970) 223-7800 or (970) 223-7801 REP Prepared FEB 08 2016