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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 0 0 N �O En O AT1 Y-20- 2511-FAF1 A 005342 0001 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522-0580 III��IJ11�1���11�11���111111Jill 1111111111111111111hJ111111111 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 0 your home's utilities (heating/cooling, plumbing, or electrical) and roof were last updated. 0 s 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 :::::::::::::::::......:::::::::::::::.:::.:.:.....................::::::::::.:::..:..:.:.::.._:::.:::::.;::::.:.:...:.:.:::.:::::::::::::::::.::::::_:....:::.:::::::.::::::.:::::::: :........................:.:..:...... ...:::.............. 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