HomeMy WebLinkAboutTRIEBER, RONALD - INSURANCE CERTIFICATE�
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Evidence of Insurance
Addifional lnterest
Interest
90203707
CITY OF FORi COLLfNS
PO BOX 580
FORT COLLINS, CO 80522
Named insured
RONALD TREIBER
PO BOX 1523
LAPORTE, CO 80535
Policy Number CS203707-27 Eftective Date �3/25/2023
Amended Date o3i25�2o23 Expiration Date 03/25/2024
This form is not the contract of insurance. It is a memorandum of coverage limited to the interest and applicable to the item below.
Risk# � Cover�ge
11 Combined Single Limit
11 Medical Payments To Others
11 Fire Legal Liability {Farm Structures)
Liabitity
Limits of Liabili
Each Person Each
Occurrence
NC' S00,000
1,000 10,000
NC' 25,400
Your interest in risk(s) 11 is as a Lessor-�ddiUonal insured.
Coverage is restricted to this relat+onship.
'NC = No Coverage
Agent's Name
Agent's Address
Agent's Phone #
Date
s��a�o
FORT COLLINS OFFICE HA
110 E OAK STREET SUITE 215
FORT COLLINS, CO 80524
(970) 482-3952
03/3 i /2023
Colorado Farm Bureau Insurance Compf,ny
9177 E. Minernl Circle, Centennial, CO SOl 12
Legal Location
1,OOQ ACRES AT TWSP 7N RNG
70W LARIMER, CO
200 ACRES AT TWSP 8N RNG 691
LARIMER, CO
70 ACRES AT T1NSP 8N RNG 691h
LARIMER, CO
50 ACRES AT TWSP 08N RNG 691
LARIMER, CU
540 ACRES AT TWSP 7 RNG 70
LARIMER, CU
F'�. 1