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HomeMy WebLinkAboutBigdog Ltd LLC - Insurance Certificate StateFarm STATE FARM FIRE AND CASUALTY COMPANY Q A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS ••o Bloomington IL 61702 2915 Policy Number 96-E4-T301-4 Addl Insured-Section II Only Policy Period Effective Date Expiration Date AT2 M-20-21 FO-FAF1 F Z 12 Months JAN 23 2025 JAN 232026 000807 3125 The poll y period begins and ends at 12:01 am standard THE CITY OF FORT COLLINS time ate premises location. 215 N MASON ST FORT COLLINS CO 80524-4402 ;�, ' • Named Insured BIGDOGLTDLLC 0 8 0 s Retail Sales 130licy 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 Mortga gee/Lien holder written notice in compliance with the policy provisions or as required by law. Entity: Limited Liability Company NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM $ 275.00 Disaster Mitigation $ 2.00 Total Amount $ 277.00 Prepared NOV 13 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005674 294 Al Continued on Reverse Side of Page Page 1 of 7 N can-ns%a,)n5-•+i-7o11(otf7 7t 1 i RENEWAL DECLARATIONS (CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301-4 SECTION I - PROPEi3TY SCHEDULE Location Location of Limit of Insurance` Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A- Coverage B - Business Buildings Business Personal Personal Property Property 001 4112 ROCKCRESS PL No Coverage $ 1,100 25% LOVELAND CO 80537-9153 * 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- INFLATI.ON COVERAGE INDEWESI Cov A - Inflation Coverage Index: N/A Cov B - Consumer Price Index: 314.8 SECTION I- DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared NOV 13 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005674 Continued on Next Page Page 2 of 7 i StateFarm ❑ • ••� RENEWAL DECLARATIONS (CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301-4 SECTION I - EXTENSIONS OF COVERAGE- LIMIT OF INSURANCE- EACH DESCRIBED PREMISES > i 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, a but has"Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Back-Up Of Sewer Or Drain $15,000 Brands And Labels $25,000 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 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B- Business Personal Property) Prepared NOV 13 2024 O Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005675 294 Continued on Reverse Side of Page Page 3 of 7 N I RENEWAL DECLARATIONS (CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301.4 Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A- Buildings) Ordinance Or Law- Equipment Coverage Included 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 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal Property) IJ Signs $10,000 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 Water Damage, Other Liquids, Powder Or Molten Material Damage Included SECTION I- EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE- PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. LIMIT OF COVERAGE INSURANCE Dependent Property- Loss Of Income $10,000 Employee Dishonesty $10,000 Utility Interruption - Loss Of Income $10,000 Loss Of Income And Extra Expense Actual Loss Sustained- 12 Months Prepared NOV 13 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005675 Continued on Next Page Page 4 of 7 I StateFarm A. RENEWAL DECLARATIONS (CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301-4 IN 4'ii X ' I SECTION II- LIABILITY 0 s LIMIT OF COVERAGE INSURANCE 0 Coverage L- Business Liability $1,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $500,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 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 FE-6999.3 *Terrorism Insurance Cov Notice CMP-4825 Brands and Labels 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-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4706 Back-Up of Sewer or Drain CMP-4704.1 Dependent Prop Loss of Income CMP-4703.1 Utility Interruption Loss Incm CMP-4860 Al Design Person Org Prepared NOV 13 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005676 294 Continued on Reverse Side of Page Page 5 of 7 N RENEWAL DECLARATIONS (CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301-4 CMP-4787 Waiver of Trans Rgt of Recov FD-6007 Inland Marine Attach Dec * New Form Attached This policy is issued by the State Farm Fire and Casualty Company. 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. Secretary President Prepared NOV 13 2024 ©Copyright,State form Mutual Automobile Insurance Company,=8 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005676 Continued on Next Page Page 6 of 7 StateFarm U • ••. RENEWAL DECLARATIONS (CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301-4 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 NOV 13 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005677 294 Page 7 of 7 N I StateFarm STATE FARM FIRE AND CASUALTY COMPANY Q A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Po eox 2915 Policy Number 96-E4-T301-4 Bloomington IL 61702-2915 Named Insured Policy Period Effective Date Expiration Date M-20-21 FO-FAF1 F Z 12 Months JAN 23 2025 JAN 23 2026 The policy period begins and ends at 12:01 am standard BIGDOGLTDLLC time atthe premises locabon. LM,.. r� . - 0 0 S W 0 0 ATTACHING INLAND MARINE 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. Annual Policy Premium $ 150.00 The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations,the INLAND MARINE CONDITIONS shown below,and any other forms and endorsements that apply,including those shown below as well as those issued subsequentto the issuance of this policy. Forms,Options,and Endorsements FE-8739 Inland Marine Conditions FE-8743.1 Inland Marine Computer Prop FE-8759 Miscellaneous Articles Form See Reverse for Schedule Page with Limits Prepared NOV 13 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,200E FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005678 530-586 a.2 05 31-2011 103232c1 96-E4-T301-4 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 25, 000 $ 500 Included Loss of Income and Extra Expense S 25, 000 Included FE-8759 Miscellaneous Articles Form S 6 , 000 $ 100 S 150 . 0 PROPERTY:TUMBLERS OTHER LIMITS AND EXCLUSIONS MAY APPLY- REFER TO YOUR POLICY Prepared NOV 13 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005678 530-686 e.2 05 31-fill WN230 StateFarm STATE FARM FIRE AND CASUALTY COMPANY L� A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED DEC 11 2024 BP?Bo 291 IL 61702 2915 Policy Number 96-E4-T301-4 Addl Insured-Section II Only Policy Period Effective Date Expiration Date M-20-21 FO-FAF1 F Z 12 Months JAN 23 2025 JAN 232026 002317 3123 The poll y period begins and ends at 12:01 am standard THE CITY OF FORT COLLINS time Ae premises location. 215 N MASON ST 1 FORT COLLINS CO 80524-4402 Named Insured ' BIODOOLTDLLC ME II'Il'Il'III'l'I'Il'Illlllllllll'Illlllllllllll'I'Illll'I"'Illll 8 8 Wo Retail Sales 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: Limited Liability Company Reason for Declarations: Your policy is amended DEC 11 2024 DEDUCTIBLES - SECTION I INLAND MARINE COVERAGE CHANGED Other items shown are effective with the policy's 2025 renewal Endorsement Premium Decrease $ 37.78 Prepared JAN 17 2025 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 018213 290 Al Continued on Reverse Side of Page Page 1 of 6 N 530-6e6 a.2 05-31 2011 1032310 DECLARATIONS(CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301.4 SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A - Coverage B- Business Buildings Business Personal Personal Property Property 001 4112 ROCKCRESS PL No Coverage $ 1,100 25% LOVELAND CO 80537-9153 " 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 INDEXES) Cov A- Inflation Coverage Index: N/A Cov B - Consumer Price Index: 314.8 SECTION I - DEDUCTIBLES Basic Deductible $3,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply- refer to policy. Prepared JAN 17 2025 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 018213 Continued on Next Page Page 2 of 6 StateFarm ❑ • •• DECLARATIONS(CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301-4 I SECTIQN I- EXTENSIONS OF COVERAGE -LIMIT OF INSURANCE- EACH DESCRIBED PREMISES 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, ON but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Back-Up Of Sewer Or Drain $15,000 Brands And Labels $25,000 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 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Prepared JAN 17 2025 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 018214 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS(CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4•T301.4 Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A- Buildings) Ordinance Or Law- Equipmont Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Personal Property Off Premis96 $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Signs $10,000 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 Water Damage, Other Liquids, Powder Or Molten Material Damage Included SECTION I - EXTENSION ntlgQVERAGE - LIMIT OF INSURANCE- PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown In these Declarations. LIMIT OF COVERAGE INSURANCE Dependent Property- Loss Of Income $10,000 Employee Dishonesty $10,000 Utility Interruption - Loss Of Income $10,000 Loss Of Income And Extra Expense Actual Loss Sustained - 12 Months Prepared JAN 17 2025 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 018214 Continued on Next Page Page 4 of 6 StateFarm • ••" DECLARATIONS (CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301-4 W SECTION 11 - LIABILITY 8 LIMIT OF COVERAGE INSURANCE �co Coverage L - Business Liability $1,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $500,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 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-4825 Brands and Labels FE-6999.3 Terrorism Insurance Cov Notice 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-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4706 Back-Up of Sewer or Drain CMP-4704.1 Dependent Prop Loss of Income CMP-4703.1 Utility Interruption Loss Incm CMP-4860 Al Design Person Org Prepared JAN 17 2025 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 018215 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS(CONTINUED) Retail Sales Policy for THE CITY OF FORT COLLINS Policy Number 96-E4-T301-4 CMP-4787 Waiver of Trans Rgt of Recov FD-6007 Inland Marine Attach Dec This policy is issued by the State Farm Fire and Casualty Company. 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. Secretary President Prepared JAN 17 2025 Q Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 018215 290 Page 6 of 6 N StateFarm STATE FARM FIRE AND CASUALTY COMPANY U Q A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS FF Box 2915 Policy Number 96-E4-T301-4 e�6ommgton IL 6 1 702-29 15 Named Insured Policy Period Effective Date Expiration Date M-20-21 FO-FAF1 F Z 12 Months JAN 23 2025 JAN 232026 The policy period begins and ends at 12:01 am standard BIGDOGLTDLLC time atthe premises location. 0 �o ATTACHING INLAND MARINE Automatic Renewal- If the policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period. If this policy is terminated,we will give you and the Mortga gee/Lien holder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium $ 125.00 The above Premium Amountis included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations,the INLAND MARINE CONDITIONS shown below,and any other forms and endorsements that apply,including those shown below as well as those issued subsequentto the issuance of this policy. Forms,Options,and Endorsements FE-8739 Inland Marine Conditions FE-8743,1 Inland Marine Computer Prop FE-8759 Miscellaneous Articles Form See Reverse for Schedule Page with Limits Prepared JAN 17 2025 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 018216 530 686 a.2 05-31-2011(0113232c1 96-E4-T301-4 ATTACHING INLAND MARINE SCHEDULE PACE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8743.1 Inland Marine Computer Prop S 25, 000 $ 500 Included Loss of Incomo and Extra Expense 5 25, 000 Included FE-8759 Miscellaneous Articles Form 5 5,000 $ 100 5 125. 00 PROPERTY:TUMBLERS Prepared OTHER LIMITS AND EXCLUSIONS MAY APPLY-REFER TO YOUR POLICY - JAN 17 2025 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 018216 536-666 a.2 05-311611(01132330