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HomeMy WebLinkAbout221 East Mountain Avenue Condominium Association Inc - Insurance Certificate StateFarm STATE FARM FIRE AND CASUALTY COMPANYAS -j A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED MAY 14 2024 P BoX 2915 Policy Number 96-EG-C636-2 Boommgton IL 6 1 702-29 1 5 y Addl Insured-Section II Only Policy Period Effective Date Expiration Date M-20-2272-FAC8 F V 12 Months MAY 14 2024 MAY 14 2025 001519 3123 The policy period begins and ends at 12:01 am standard CITY OF FORT COLLINS time at the premises locabon. 215 N MASON ST FL 2ND FORT COLLINS CO 80524-4402 Named Insured 221 EAST MOUNTAIN AVENUE CONDOMINIUM ASSOCIATION INC 8 0 0 �s Residential Community Association Policy Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effectfor each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended MAY 14 2024 FORM CMP-4815 ADDED Endorsement Premium Increase $ 212.00 Discounts Applied: Renewal Year Protective Devices Age of Building Sprinkler Claim Record Prepared JUN 28 2024 O Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 013820 290 Al Continued on Reverse Side of Page Page 1 of 7 N DECLARATIONS(CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Number Described Premises Coverage A- Coverage B- Buildings Business Personal Property 001 221 E MOUNTAIN AVE $ 24,041,500 $ 140,100 FORT COLLINS CO 80524-2894 ' As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I - INFLATION COVERAGE INDEMES1 Inflation Coverage Index: 259.0 SECTION I- DEDUCTIBLES Basic Deductible $10,000 Special Deductibles: Wind/Hail 1% Money and Securities $250 Data Compromise $1,000 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply- refer to policy. Prepared ,JUN 28 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. - 013820 Continued on Next Page Page 2 of 7 StateFarm ❑ • ••® DECLARATIONS(CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 SECTION I- EXTENSIONS OF COVERAGE- LIMIT OF INSURANCE- EACH DESCRIBED PREMISES g The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by"See Schedule." If a coverage does not have a corresponding limit shown below, �o but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B- Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A- Buildings) Ordinance Or Law- Equipment Coverage Included Preservation Of Property 30 Days Water Damage, Other Liquids, Powder Or Molten Material Damage Included Prepared JUN 28 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 013821 290 Continued on Reverse Side of Page Page 3 of 7 N DECLARATIONS(CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 SECTION I- EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE- EACH COMPLEX The coverages and corresponding limits shown below apply separately to each complex as described in the policy. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Forgery Or Alteration $10,000 Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Signs $2,500 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 Prepared JUN 28 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 013821 Continued on Next Page Page 4 of 7 StateFarm • ••F DECLARATIONS(CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 N SECTION I- EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE- PER POLICY 8 The coverages and corresponding limits shown below are the most we will pay regardless of the number of 0 described premises shown in these Declarations. �; �o LIMIT OF COVERAGE INSURANCE Back-Up of Sewer or Drain Included Data Compromise Legal And Forensic Information Technology Review $5,000 Per Occurrence $50,000 Employee Dishonesty $25,000 Identity Restoration Other Expenses $1,000 Case Management Services 12 months Per Occurrence $35,000 Lost Wages And Supervision Expenses $5,000 Loss Of Income And Extra Expense Actual Loss Sustained - 12 Months SECTION II - LIABILITY LIMIT OF COVERAGE INSURANCE Coverage L - Business Liability $1,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 Directors And Officers Liability $1,000,000 Prepared JUN 28 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 013822 290 Continued on Reverse Side of Page Page 5 of 7 1 N Directors and Officers Aggregate $1,000,000 _ Each paid claim for Liability Coverage reduces the amount of insurance weotovide durina the annlicahiP 96-EG-C636-2 _ 96-EG-C636-2 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8743.1 Inland Marine Computer Prop 5 10 , 000 S 500 Included Loss of Income and Extra Expense S 10 ,000 Included StateFarm STATE FARM FIRE AND CASUALTY COMPANY U • A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS ••o PO BoX 2915omington IL 61702-2915 Policy Number 96-EG-C636-2 Blo Addl Insured-Section II Only Policy Period Effective Date Expiration Date AT2 M-20-2272-FAC8 F V 12 Months MAY 14 2024 MAY 14 2025 003345 3125 The poll y period beggins and ends at 12:01 am standard CITY OF FORT COLLINS time at a premises location. 215 N MASON ST FL 2ND , FORT COLLINS CO 80524-4402 Named Insured 221 EAST MOUNTAIN AVENUE CONDOMINIUM ASSOCIATION INC � I'Illllllll'I'I'Illl'IIIII"I'Illllllllll'1"I"III'Illl'Ill'Jill 0 0 Residential Community Association Policy Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effectfor each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM $ 27,144.00 Sprinkler Claim Record Disaster Mitigation $ 2.00 Total Amount $ 27,146.00 Discounts Applied: Renewal Year Protective Devices Age of Building Prepared MAR 18 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 022536 294 AI Continued on Reverse Side of Page Page 1 of 7 N 530-686 a.2 05-31 2011 10 M2310 RENEWAL DECLARATIONS (CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 SECTION I- PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance` Number Described Premises Coverage A- Coverage B - Buildings Business Personal Property 001 221 E MOUNTAIN AVE $ 24,041,500 $ 140,100 FORT COLLINS CO 80524-2894 *As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I- INFLATION COVERAGE INDEX(ES) Inflation Coverage Index: 259.0 SECTION I - DEDUCTIBLES Basic Deductible $10,000 Special Deductibles: Wind/Hail 1% Money and Securities $250 Data Compromise $1,000 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply- refer to policy. Prepared MAR 18 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 022536 Continued on Next Page Page 2 of 7 StateFarm •• RENEWAL DECLARATIONS (CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 M" SECTION I- EXTENSIONS OF COVERAGE- LIMIT OF INSURANCE- EACH DESCRIBED PREMISES a 0 The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, 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. 0 LIMIT OF COVERAGE INSURANCE Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25%of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A- Buildings) Ordinance Or Law- Equipment Coverage Included Preservation Of Property 30 Days Water Damage, Other Liquids, Powder Or Molten Material Damage Included Prepared MAR 18 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 022537 294 Continued on Reverse Side of Page Page 3 of 7 N RENEWAL DECLARATIONS (CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 SECTION I- EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE- EACH COMPLEX The coverages and corresponding limits shown below apply separately to each complex as described in the policy. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Forgery Or Alteration $10,000 Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Signs $2,500 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 Prepared MAR 18 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 022537 Continued on Next Page Page 4 of 7 StateFarm .J • ••� RENEWAL DECLARATIONS(CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 f SECTION I- EXTENSIONS OF COVERAGE- LIMIT OF INSURANCE.- PER POLICY 0 0 $ The coverages and corresponding limits shown below are the most we will pay regardless of the number of U) described premises shown in these Declarations. 0 0 LIMIT OF COVERAGE INSURANCE Back-Up of Sewer or Drain Included Data Compromise Legal And Forensic Information Technology Review $5,000 Per Occurrence $50,000 Employee Dishonesty $25,000 Identity Restoration Other Expenses $1,000 Case Management Services 12 months Per Occurrence $35,000 Lost Wages And Supervision Expenses $5,000 Loss Of Income And Extra Expense Actual Loss Sustained - 12 Months SECTION 11- LIABILITY LIMIT OF COVERAGE INSURANCE Coverage L - Business Liability $1,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 Prepared MAR 18 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 022538 294 Continued on Reverse Side of Page Page 5 of 7 N RENEWAL DECLARATIONS (CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4100 Businessowners Coverage Form CMP-4849 "Windstorm or Hail Deductible FE-6999.3 *Terrorism Insurance Cov Notice CMP-4550 Residential Community Assoc CMP-4746.1 Hired Auto Liability CMP-4206.2 Amendatory Endorsement FE-3650 Actual Cash Value Endorsement CMP-4561.4 Policy Endorsement CMP-4705.2 Loss of Income & Extra Expnse CMP-4508 Money and Securities CMP-4710 Employee Dishonesty CMP-4829 Guaranteed Replacement Cost CMP-4990.1 Identity Restoration CMP-4994 Data Compromise CMP-4860 Al Design Person Org CMP-4787 Waiver of Trans Rgt of Recov CMP-4788 Addl Insd Mgrs Lessor of Prem FD-6007 Inland Marine Attach Dec * New Form Attached Prepared MAR 18 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 022538 Continued on Next Page Page 6 of 7 StateFarm ••s RENEWAL DECLARATIONS(CONTINUED) Residential Community Association Policy for CITY OF FORT COLLINS Policy Number 96-EG-C636-2 This policy is issued by the State Farm Fire and Casualty Company. 0 Participating Policy You are entitled to participate 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, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. ohm Secretary President NOTICE TO POLICYHOLDER: For a comprehensive description of coverages and forms, please refer to your policy. Policy changes requested before 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 amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared"will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If,during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage,contact your State Farm agent. Please keep this with your policy. Prepared MAR 18 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 022539 294 Page 7 of 7 N •i o cT 96-EG-C636-2 96-EG-C636-2 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8743.1 Inland Marine Computer Prop S 10 , 000 $ 500 Included Loss of Income and Extra Expense 5 10 ,000 Included OTHER LIMITS AND EXCLUSIONS MAY APPLY- REFER TO YOUR POLICY Prepared 18 2024 T Copyright,State Farm Mutual Automobile Insurance Company,2008 MAR MAR 1 7 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 022540 530-686 a.2 05 314011 lo1f3233c1