HomeMy WebLinkAboutNORRIS, CRAIG & BARBARA - INSURANCE CERTIFICATE (3)StateFarm State Farm Fire and Casualty Company
P.O. Box 82542
Lincoln, NE 68501-2542
RENEWAL CERTIFICATE
Farm/ Ranch Policy
APR 01 2017 to APR 01 2018
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Y-20- 2511-FAF1 A F
002145 0001
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
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 Policy
Jewelry and Furs $1,500/$2,500
Ordinance/Law 100/o/ $38,200
Increase Dwlg up to $76,400
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
BILLED THROUGH SFPP
Coverages and Limits
Section I
A Dwelling $382, 000
B Personal Property 389,800
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
Remodeled Discount
Inflation Coverage Index: 248.1
Cov. F - Inflation Index: 178.4
*`See schedule pages(s) for the limits of insurance and the loss settlement provisions
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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0
0
$4,359.00
Moving? See your State Farm agent.
�/zo/al rSY�ve r .. See reverse for important information.
7803 901 Al Agent MARINDA SIMPSON Prepared
018 Telephone (970) 223-7800 or (970) 223-7801 REP FEB 16 2017
Mortgagee
I Add Ins -II
JPMORGAN CHASE BANK NA
Loan No:1857778845
CITY OF FORT COLLINS
Forms, Options, and Endorsements
Actual Cash Value Endorsement FE-3650
RENEWAL CERTIFICATE SCHEDULE PAGE 11
StateFarm State Farm Fire and Casualty Company
P.O. Box 82542
Lincoln, NE 68501-2542
Y-20- 2511-FAF1 A
002145 0001
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
F
8
o
LOCATION OF
COVERED PREMISES
N
O
Loc
No of
Portion
No
Acres
of Section Section
Twnshp Range
County and State
01
20
33
7 68
LOVELAND, CO
02
20
33
7 68
LOVELAND1 CO
* Losses Insured (See Policy for detailed explanation of losses insured)
ADPL: Accidental Direct Physical Loss
Spec Perils: Specified Perils
** Loss Settlement (See Policy for detailed explanation of loss settlement)
F1: 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
Buildings & Limits of
s
Structures Insurance
co
Location No. 01
N 03 30;500
0
4
O7 95,700
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a
ID
0
M
00
r)
Description
COV F - INFLATION
INDEX 178.4
*Losses **Loss
Insured Settlement
1990
20X20
DETACHED GARAGE
ADPL
F1
1940
60X20
DETACHED GARAGE
Spec Perils
F2
2000
60X40
HAY BARN
ADPL
F1
1998
80X30
EQUESTRIAN BARN
ADPL
F1
1998
MANF
HOME
Spec Perils
F2
2000
40X20
LIVESTOCK BARN
ADPL
F1
2000
80X30
EQUESTRIAN BARN
ADPL
F1
N 7804 901 Al Agent MARINDA SIMPSON REP Prepared FEB 16 2017
$ Telephone (970) 223-7800 or (970) 223-7801 p