Farm Mutual Insurance Company of Lincoln County

Forms are in PDF format. You must have Acrobat Reader to view PDF’s.

Number	Description	Revision
SDFM-1	Farm Owners Policy Provisions	Jan 19
SDFM-2	Replacement Cost to Coverage “A”	Nov 02
SDFM-3	Replacement Cost to Coverage “C”	Sept 04
SDFM-4	Modified Replacement Cost to Coverage “A”	Sept 04
SDFM-5	Water or Sewer Back-Up	Sept 04
SDFM-6	Added Perils for Refrigerated Foods	Sept 04
SDFM-7	Special Package of Coverages	Jan 13
SDFM-10	ACV on Roof Surfaces	Jan 02
SDFM-13	Shingle Exclusion	Oct 02
SDFM-14	Siding Exclusion	Jan 02
SDFM-16	Deferred Loss Payment	Jan 02
SDFM-17	Appurtenant Structures Exlusion	Oct 02
SDFM-18	Total Loss	Nov 02
SDFM-19	Debris Removal	Sept 04
SDFM-20	Foreign Objects Coverage	Sept 04
SDFM-34	Sheep Endorsement	Oct 05
SDFM-37	ACV on Siding	Nov 06
SDFM-39	Restricted Roof Coverage	Jan 14
SDFM-100	Home Owners Policy Provisions	Jan 19
FMI-141	Scheduled Personal Property Coverage	Jul 19
FMI 7001	Privacy Notice	Jul 19
SDFM-PJ	Policy Jacket	May 19
HG 4900	Equipment Breakdown Dwelling	Jan 18
HG 4905	Equipment Breakdown Dwelling Rejection	Aug 11
RC 4901	Equipment Breakdown Farm	Jul 14
RC 4903	Equipment Breakdown Loss of Earnings	Jul 14
RC 4905	Equipment Breakdown Farm Rejection	Aug 11
RC 660915	Equipment Breakdown Special Provisions	Jul 14

Please refer to the Grinnell website for all liability forms.