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Home My WebLink AboutCERTIFICATE OF INSURANCE Mar 11 11 11:55a Al Smith State Farm Ins 3192328069 p.1 Certificate of Insurance This certifies that [] State Farm Fire and Casualty Company,Bloomington, Illinois E FARM State Farm General Insurance Company,Bloomington,Illinois State Farm Fire and Casualty Company,Aurora,Ontario IN,UAAR[FE. State Farm Florida Insurance Company,Winter Haven,Florida State Farm Lloyds, Dallas,Texas insures the following policyholder for the coverages indicated below: Policyholder Floor Decor Inc Address of policyholder 706 Ansborough Ave, Waterloo, IA 50701 Location of operations various locations in Iowa Description of operations Floor and cabinet sales and installation 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 Period Limits of Liability Policy Number Type of Insurance Effective Date Expiration Date (at beginning of policy period) 95-BR-0972-1 Comprehensive 08/04/2010 08/04/2011 BODILY INJURY AND Business Liability PROPERTY DAMAGE This insurance includes: X Products-Completed Operations X Contractual Liability Each Occurrence $ 1,000,000.00 X Personal Injury X Advertising Injury General Aggregate $ 2,000,000.00 Product-Completed $ 2,000,000.00 Operations Aggregate Policy Period BODILY INJURY AND PROPERTY DAMAGE Policy Number EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) Umbrella Each Occurrence S El Other Aggregate S Policy Period Effective Date Expiration Date Part I- Workers Compensation-Statutory Workers' Compensation Part II-Employers Liability and Employers Liability Each Accident $ Disease-Each Employee $ Disease-Policy Limit $ Policy Period Limits of Liability Policy Number Type of Insurance Effective Date Expiration Date (at beginning of policy period) 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 Certification Holder If any of the described policies are canceled before City of Waterloo their expiration date,State FarmA will try to mail a 715 Mulberry St written notice to the certificate holder 30 days Waterloo, IA 50703 before cancellation.If we fail to mail such notice, no obligation or liability will be imposed on State Farm or its agents or representatives. Signature of Authorized R esentative AL SMITH 114SURANCE Agent 03111/20b 213E San Moan Dr Title Date Waterloo,IA50702 Allen LSmith Phone:(319)2 585 Agent Name Fax(319)232-81189 emelt:aleelarrihageney.CCm Telephone Number (319) 232-6585 Agent's Code Stamp Agent Code 15-3381 AFO Code F177 1E01250 06399.13 O8-75-2009