HomeMy WebLinkAboutCOM CONSTRUCTION SERVICES - INSURANCE CERTIFICATE 2023-2024StateFarm STATH FARM FIRE ANQ CASUALTY COMPANY ��
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8�oom°rng�ton ►� s�7o2-2s�5 Policy Numbar 96-EU-T413-1
Replaces Number 96-EP-F677-1
ACEdi Insured-SeCtion II Only Palicy Pe�iod Effective Date Ex� pi�ation Date
AT1 M-20-023A-F'B42 � E 1 Year AUG 9 2023 AUG 9 2024
002797 3125 The poliCy period be9ins and ends at 12:01 am standard
THE CITY OF FORT COLLIN5 timeatt�epremisesTocation.
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�•. � FORT CO�LINS CO 80524-2404 � �-���-�-----� � - -��-�----�--�-
Name� Insured
COM CONSTRUCTION 5ERVICES LI.0
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Artisan And Ser�ice Contractor Policy
Automalic Renewaf - If the palicy period is shown as 12 rnonths , tf�is pol�cy will be renewed automaUca�ly suhjectta the premiums, rules and
forms in effect for each succeeding poficy periad if this policy is terminated, we will g�v� you and the Martgagee/Lie�holder written notice in
compliance witf� the policy provisions or as required by law.
Entity: �imited Liability Campany
NOTICE: Intarmation concerning changes in your po�icy language is included. Please call your agent
if you have any questions.
Total Estimated
Premium
$ 5,922.00
Claim Record
Disaster Mitigation
Audit Period: Ar�nual
Total Estimated Arnt
$ 2.00
$ 5,924.00
Discounts Applied:
Renewal Year
Years in Business
Frepared
JUN �2 2023
cMP-aooa
b Copyright, State Farm Mutual Autamobile Insuranca Company, 2oDe
Includes sopyrighted materiaa of Insurance Services Diiice, lnc., with its permission
019662 294 Ai Continued an Reverse Side of Page Page 1 of 4
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StateFarm
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R�NEWAL DECLARAi'IONS (CONTINUED)
Artisan And Serrrice Contractar Policy for THE CITY OF FORT COLLiNS
Rolicy Number 96-EU-T413-1
Generaf Aggregate
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� Each paid claim for Liability Coverage reduces the amount oi insurance we provide during the applicable
a�nual period. Please refer to Section II - Liability in the Coverage Farm and any attached endorsements.
$2,DOO,OQO
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Your policy co�sists of these Declarations, the B�ISENESSOWNERS CQVERAG� FORM shvwn below, and any other
forms ar�d endorsernents that apply, including those shown below as well as those issued subsequeni to #he
issuance of this poficy.
FORMS� AND ENDORS�MENTS _ „
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CMP-4100
CMP-45fi1.4
CMP-4206.2
FE-6999.3
CMP-4fi00
CMP-4i86
CMP-47$5
CMP-4787
CMP-4fi1a
Businessowners Coverage Form
"Policy �ndorsement
'Amendatary Endorsement
"Terrorism Insurance Cov EVotice
Artisan and Service Contractor
Addl Insd Owners Lessee Sched
Addl Ins Owners L.essee Blkt
Waiver of Trans Rgt of Recov
GeneraE Agg Limit Per Proj
"' New Form Aktached
Prepared
,� U N 12 2023
CMP-4Q00
� Copyright State Farm Mutual Automobile Insurance Company, 2008
Includes copynghted material o( Insurance Services Dffiae, lne., with i�s permissiort
oissss 2sa Contin�ed on Reverse Side of Page Page 3 of 4
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