HomeMy WebLinkAboutCOCA, JOSEPH ADRIAN - INSURANCE CERTIFICATE (2)StateFarm State Farm Fire and Casualty Company
1555 Promontory Circle
Greeley, CO 8C638-0001
RENEWAL CERTIFICATE
Homeowners Policy
AUG 30 2017 to AUG 30 2018
AT1 H-20- 2511-FAF1 H W F
007001 0001
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
II"ll"li'III'I"II IIIII'I II II'IIIIIIII III II II II II II1#IIItIIIII I
Insured: COCA, JOSEPH ADRIAN
Location: 17010 HWY 12
WESTON CO
81091
SFPP No: 0196132420
Loss Settlement Provisions (See Policy)
Al Replacement Cost - Similar Construction
131 Limited Replacement Cost - Coverage B
Forms, Options, and Endorsements
Homeowners Policy
Increase Dwlg up to $31,280
Ordinance/Law 100/o/ $15,640
Homeowners Policy Endorsement
Amendatory Endorsement
Civil Union Endorsement
Actual Cash Value Endorsement
Jewelry and Furs $1,500/$2,500
FP-7955
OPT ID
OPT OL
FE-3425.1
FE-2340
FE-8790
FE-3650
OPT JF
BILLED THROUGH SFPP
Coverages and Limits
Section I
A Dwelling $156,400
Dwelling Extension Up To 15,640
B Personal Property 117,300
C Loss of Use Actual Loss
Sustained
Deductibles - Section I
All Losses 1.00% 1,564
Section II
L Personal Liability $300, 000
Damage to Property of Others 500
M Medical Payments to Others 1,000
(Each Person)
Annual Premium $1,187.00
Premium Reductions
Home/Auto Discount 639.00
Claim Record Discount 401.00
Inflation Coverage Index: 241.5
Please help us update the data used to determine your premium. Contact your agent with the year each of
your home's utilities (heating/cooling, plumbing, or electrical) and roof were last updated.
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i5'�c�rItjecc. %(r� G �iQj�rGct<SGh�ef c�. See reverse for important information.
N 2a357 901 nn Ag t MARINDA S9MPSON REP Prepared JUL 07 2017
,,,A Telephone (970) 223-7800 or (970) 223-7801