HomeMy WebLinkAboutGARFINKEL & ASSOCIATES INC - INSURANCE CERTIFICATEStdteFarm STATE FARM FIRE ANO CASUALTY COlu1PANY '�
� A STOCK C�MPANY WITH HOME OFFlCES !N BtOOMlNGTON, 1LLlNOIS RENEWAL DECLARATIONS
P eox2st5 Polic Number 90-CR-5392-6
8�oamington IL 6i702-29i5 Y
Addl Insured-SeCtion II 4nly Policy Period EHective Date Expiration Date
ATz M-21-9211-F679 F U 12 Months MAR 28 2024 MAR 28 2425
003718 3125 The polipy period beg ins and ends at 12:01 am standard
CTTY OF FOR7 COLLINS ; tlrne atthe prem�sesTocation.
PO BOX 580
,� FORT COLLiNS CO 80522-0580 "--�--
, Named Insured
6ARFINKEL & ASSOCIATES INC
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Office Policy
Autornatic Renewal - If the policy pBriod is shown as 12 months , tt�is policy will be renewed automatically subjectto the premiums, rufes and
forms in effect for each succeeding palicy period.lf this policy is terminated, we will give you and the Mortgagee/Lienhalder written notice in
compliance wittr tfie policy provisions or as required by law.
Entity: Corporation
N�TICE: information concerning changes in yaur policy language is included. Please call your agent
if you have any questions.
POUCY f'REMIUM
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Claim Recard
$ 578A0
PLEASE SEE AN IMPORTANT MESSAGE �OLLOWING THE PARTICIPATING POLiCY PROVISION AT TFIE ENO OF
1'HIS DECLARATIONS.
Prepared
JAN 29 2024
CM P-4000
02487i 29a AI
N
4 CopyrighL 5tate Farm Mutual Automobde Insurence Company, 2008
Includes copyrighted material of Insurance Services Otflce, InC., with its permission
Continued on Reverse Side of Page
Page 1 af 7
tian ReF, � ne ai �mt i�rta»
RENEWAL DECLARATIONS (CONTINUED}
Oifice Policy for CITY OF FORT COLLINS
Policy Number 9d•CR-5392-fi
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Location Locetion of Limit of Insurance" Limit of Insurance` Seasonal
Number Dsscrlbed Increase-
Premises Coverage A- Coverage B- Business
Buildings Business Personel Personat
Property Propeny
001 7801 NORFOLK AVE STE 207 No Coverage $ 24,500 25%
BETHESDA MD 20814-fi060
; of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inilation Coverage
�► ► • • _;� _ ��_.
Cav A- Inflation Coverage Index: N/A
Cav 8- Consumer Price Index: 307.8
SECTIQ,N I - DEDUC7IBLES _
Basic Deductlbls
Speciaf Deductibles:
Money and Securities
Employee Dishonesty
$500
$250 Data Compromise
$250 Equipment Breakdown
Other deductibles may apply - refer to policy.
Prepared
JAN 29 2024
CMP-400�
� Copyr�pht, State Farm Mutual Automobile Insurance Company, 2008
includes copynghted msteria! of Insurance Services Office, lnc., with its permission.
$1,000
$500
ozas�� Continued on Next Page Page 2 of 7
StateFarm
'� � RENEWAL DECLARATlONS (CONTINUED)
Office Policy for CITY OF FORT COLLINS
Policy Number 90-CR-5392-6
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�ECT10N !- EXTENSI(�NS QF C9V�RAGE - LIMIT OF_INSURANCE - EACH DESCRIBED PREMISES
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� The coverages and corresponding limits shown below apply separateiy to each described premises shown in these
� Declaratia�s, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below,
N but has "Included" indicated, please refer to that policy provision for an explanation of that coverage.
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LIMIT OF
COVERAGE INSURANCE
Accounts Receivabls
On Premtses
Ofi Premises
Arson Reward
Back-Up Oi Sewer Or Drain
Collapse
Damage To fVon-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Department Service Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alteration
Glass Expenses
Increased Cost Of Construction And Demolition Costs {applies anly when buildings are
insured on a replacement cosi basis)
Money And Securities (Off Premises)
Money And Securities (On Premises}
Money Orders And Counterfeit Money
Newly Acquired Business Personal Properly (applies only if this policy provides
Caverage B- Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only if this policy provides
Gaverage A - Buildings)
Prepared
JAIV 29 2024
CMP-4000
024872 294
N
'�J CopynghC State Farm Mutual Automobde Insurance Company, 2008
Includes evpynghted matena! of insurance Serv�ces OEflce, Inc , with iis permission
Coniinued on Reverse Side of Page
$5Q,000
$15,000
$5,000
$15,000
Included
Coverage B Limit
25% of covered loss
I nciuded
$5,000
$5,000
$10,000
included
10%
$5,aoo
$10,OOQ
$1, 040
$i00,a40
$250,000
Page 3 of 7
R�NEWAL DECLARATIQNS (CONTINUED)
O(fice F'ol{CY for CITY OF FORT COLLINS
Policy Number 90-C�i-5392-8
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Effects (applies only to those premises provided Coverage B•�usiness
Personal Property}
Personal Property Otf Premises
Pollutant Clean Up And Removal
Preservation Of Property
Property Of Others {applies only to those premises provided Coverage �- Business
I'ersonal Property)
Signs
Unauthorized Business Card Use
Valuabla Papers Ar�d Records
On Premises
Off Premises
Water Damage, Other Liquids, Pawder Or Molten Material Damage
Included
$5,000
$5,000
$15,000
$� o,00a
30 Days
$2,500
$2,500
$5,000
$50,000
$1 s,00a
I ncluded
SECTION I_�j�(�,�jQj�{S Q� COVE�i� - LIMIi OF lNSURANCE - PER P�,jC
The coverages and corresponding Ifmits shown below are the most We will pay regardless of the number of
descrlt�sd premises shown in these Declarations.
COVERAGE
Data Compromise
Legal And Forensic lnformatian Technoiogy Review
Per Occurrence
Dependent Property - Loss 4f Income
Employee Dishonesty
Prepared
JAN 29 2024 �U Copyright, State Farm Mukuel Automobde insu{n�ce Company, 2008
CMP-4000 Includes copyriphted material of Insurance 5ervices O�lre, Inc , wrth its perm ssion
o2a67z Continued on Next Pagc3
LIMIT OF
INSURANCE
$5,000
$50,000
$5,000
$10,000
Page 4 of 7
StafeFarrn
�
RENEWAL DECLARATIONS (CONTINUED)
Office Policy far CiTY OF FC1RT COLLINS
Policy Number 90-CR-5392-6
Icientity Restoration
.•• . Other Expenses
•�� Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
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Utility Interruption - Loss Of Income
Loss Of Income And Extra Expense
$1,000
12 months
$35,aoo
$5,000
$10,000
Actual Loss Sustained - 12 Months
ECT ON I! - l.l L
COVERAGE
Coverage L - Business Liabiliiy
Coverage M- Medical Expenses {Any One Person}
Damage To Premises Rented To You
AGGREGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
LIMIT OF
INSURANCE
$1,000,000
$5,000
$300,Q00
LIMI7 OF
ENSURANCE
�2,000,oao
$2,000,000
Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicabie
annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements.
Your policy consists of these Declarations, the BUSENESSOWNERS COV�RAGE FORM shown below, and any other
forms and endorsements that apply, including those shown below as well as those issued subsequent to the
issliance oi this policy.
FORMS AND ENDORS�M�NTS
CM P-4100
FE-6999.3
CMP-4220.2
Prepared
JAN 29 2024
CMP-40Q0
Businessowners Coverage Form
'Terrarism Insurance Cov Notice
Amendatory Endorsement
fl Copyright, 5tate Farm Mutual Automobils Insurance Compeny, 2008
Includes copyrighted material of lnsurance Serwces Offlce, Inc., with its permisswn
o2ae�a zsa Continued on Reverse Side o€ Page Page 5 of 7
N
RENEWAL DECLARATIONS (CONTIfVUED}
Office Policy fo� CiTY OF FORT COLLINS
Poflcy Number 90-CR-5392-6
CMP-4746.1
CMP-4721
CMP-4788
CMP-4839
CMP-4819.1
CMP-4706
CMP-4704
CMP-4710
CMP-4709
CMP-4703
CMP-4705.2
CMP-45fi1.4
CMP-488i
FE-3650
CMP-4787
CMP-4485
C M P-4484
FD-6007
Nired Auto Liability
Ex Personal Advertising Injury
Addl lnsd Mgrs Lessor of Prem
Loss Payable
Unauthorized Business Card tJse
Back-Up o{ Sewer or Drain
Dependent Prop Lass of income
Employee Dishonesty
Money and Securities
lltilsty Interruption Loss Incm
Loss af Income & Extra Expense
Policy Endorsement
Addl Insd Owners Lessee Sched
Actual Cash Value Endorsement
Waiver of Trans Rgt of Recov
Data Compromise
Identity Restoration
Inland Marine Attach Dec
' New Form Attached
This policy is issued by the 5tate Farm Fire and Casuairy Company.
Participating Policy
You are entitled to pariicipate in a distribution of the earnings of the company as determined by our Board of Directors in
accordance with the Company's Articles of Incorporation, as amended.
In Witness Whereof, #he State Farm Fire and Casualty Company has caused this policy to be signed by its President and
Secretary at 8loomington, Illinois.
�°�'�►,.�.,�.m.��°�e' ��.��.,,.�
Sscre#ary President
Prepared
JAN 29 2024
cMP-a000
� Copynght, Stete Farm Mutuel Automohila Insurance Compeny, 2008
Includes copynghted matenal oi Inswence Serv�ces Office, Ine., with its permission.
ozas�s Continued on Next Page Page fi of 7
StateFarm
W
RENEWAL DECLARATtONS (CONTINUED)
Office palicy for CITY 4F FORT COLLINS
Policy Number 90-CR-5392-6
.�
INE WILL CONSIDER YOUR CLAIMS HISTORY, IF ANY, FOR PURPOSES OF
� DETERMiNING WHETHER TO CANCEL OR REFUSE TO RENEW YOUR POLICY.
NOTiGE TO POI.ICYHOLDER:
For a comprehensive description of coverages and forms, please refer to your policy.
Palicy changes requested befo�e the "Date Prepared", which appear on this notice, are effective on the Renewal Date
of this policy unless otherwise indicated by a separate endorsement, binder, or arnended declarat ons. Any coverage
forms attached to this notice are also effective on the Renewal Date of this policy.
Pol�cy changes reguested a#ter the "Date prBpared" will be sent to you as an amended daclaraEions or as an
endarsement to your policy. Bi'ling for any addilional premium for such changes will be mailed at a later date.
;1, dunng ttie past year, you've acquired any valuable property items, made any improvements to insured property,
or have any quest ons about your insurance coverage, contact your State Farm agent.
Please keep this with your policy.
Prepared
JAN 29 2024
CM P-4040
024874 294
N
m Copyright, State Farm Mutual Automobile Insurance Compeny, 2008
Includes copynghted inatenal of Insurance Serviees Office, Inc., with its permission
Page 7 of 7
Siatefarm
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STATE FARM FIRE AND CASUALTY COMPANY
A STr3CK COMPANY WlTN HOME OFFlCES !N BLOOMlNGTON, IL�lNOIS INLAND MARINE ATTACHING DECLARATIONS
P sox zs �5
8�oomington !L 6i702-2915
Named Insured
M-21-9211-FB79 F U
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GARFINKEt 8 ASSOCIATES INC
Policy Number 90-CR-5392-6
Policy Period Effective Date Expiration Date
i 2 Months MAR 28 2024 MAR 28 2025
Tha oli period be9ins and ends at 12�01 am standard
time at�e premisesTncaUon
ATTACHING INLAND MARINE
Autumatic Renewal - If the policy period is shown as 12 manths , tt�is policy will be renewed automaticaily subjectto the premiums, rules and
forms in effectfor each succeeding policy period. If this policy is terminated, we wi{I give you and the Mortgagee/Lsenhoider written notice In
compliance w�t1� the policy provisions or as required by I�w.
Annual Policy Premium Inctuded
Thz above Premwm Amountis included tn the Policy Premium shown on tfie Decfarations.
Your policy consists of these Declarations, the INLAND MARINE COfVDITIONS shown below, and any other forms and endorsements that
apply, includmg those shnwn below as well as those issued subsequentto the issuance of this policy.
Forrns, Options, and Eodorsemants
�E-8743.1 {nland Marine Computer Prop
FE-8739 inland Marine Conditions
See Reverse for Schedule Page with Limits
Prepared
JA�1 29 2024 � Copyripht, State Farm Mutual Automobile InsurAnee Company, 2008
FD-6007 Includes copyrighted material of Insurence Services OffiGe, Ine., with its permission.
024875
530 666 e.2 05-71 PU11 1011327
90-C R-5392-6
ATTACHING INIAND MARINE SCHEDULE PAGE
ATTACFiINO INLAND MARINE
EN�QRSEMENT LIMIT OF DEDUCTI6LE ANNUAL
NUMBEfl COVERAGE iNSURANCE AMOUNT PREMIUM
FE-8743.1
Inland Marine Computer Prop S 2 5, 0 0 0 S 5 0 0
Loss of Income and Extra Expense S 2 5, 0 0 0
Included
Included
Prepared
JAN 29 2024
FD-6047
024875
OTWER LIMITS ANQ EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY
m Copyrghc, State �arm Mutua! Automobi'e nsurance Company, 20D8
Includes copynnhted mater al of Insurance Services Oftice, Inc , wiSh :ts permission.
570 fi86 e.2 OS 31 l011 fo11j23��