What email address or phone number would you like to use to sign in to Docs.com?
If you already have an account that you use with Office or other Microsoft services, enter it here.
Or sign in with:
Signing in allows you to download and like content, and it provides the authors analytical data about your interactions with their content.
Embed code for: COMMERCIAL BINDER - 05-28-2014 (1)
Select a size
CERTIFICATE OF INSURANCE
This certifies that STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida
STATE FARM LLOYDS, Dallas, Texas
insures the following policyholder for the coverages indicated below:
Policyholder SEDORE, LAURA Address of policyholder 117 INNISFIL ST APT 1 BARRIE ON L4N 3E6 Location of operations As above Description of operations Craft and arts shop The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms, exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims.
POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY
(at beginning of policy period) Effective Date Expiration Date 90-CC-B380-5 Comprehensive Until BODILY INJURY AND Business Liability 10/17/2013 Cancelled PROPERTY DAMAGE This insurance includes: Products - Completed Operations Contractual Liability Each Occurrence $ 2 million Personal Injury Advertising Injury General Aggregate $ 4 million LIQUOR LIABILITY Tenant's Legal Liability Products – Completed $ N/A Premises-Operations Liability Operations Aggregate EXCESS LIABILITY POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE
(Combined Single Limit) Effective Date Expiration Date Umbrella Each Occurrence $ Other Aggregate $ POLICY PERIOD
PERIOD Part I - Workers Compensation - Statutory Effective Date Expiration Date Workers’ Compensation Part II - Employers Liability and Employers Liability Each Accident $ Disease - Each Employee $ Disease - Policy Limit $ POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY
(at beginning of policy period) Effective Date Expiration Date 90-CC-B380-5 Commercial 10/17/2014 Until Canc 2,000,000. THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
Name and Address of Certificate Holder Township of Baysville / Baysville ARts & Crafts Show If any of the described policies are canceled before their expiration date, State Farm will try to mail a written notice to the certificate holder 15 days before cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State Farm or its agents or representatives.
Signature of Authorized Representative
Office Rep 05/28/2014
Telephone Number (705) 726-3079
Agent’s Code Stamp
Agent Code 60-2522
AFO Code FB73
558-994 a.5 Rev. 11-08-2004 Printed in U.S.A.