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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 � � � � 0 0 li�l�������l�ii�i������il�l�i��i�l�iiiil���l�ll���l����ll��lll�fi 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 � ► ' i • ' i a � �_� 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 ,' �, �ECT10N !- EXTENSI(�NS QF C9V�RAGE - LIMIT OF_INSURANCE - EACH DESCRIBED PREMISES 0 � 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. a 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 � � � � � 4 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 � 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 :, t� S � � � � 0 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��