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Home My WebLink AboutBOULDER DESIGN ALLIANCE ROB DEKIEFFER - INSURANCE CERTIFICATEACORD. EVIDENCE OF PROPERTY INSURANCE u 22 11-28iE2006 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY_ . PRODUCER /q. E1: (H 6 6) 46 7 - 87 30 COMPANY VAN GILDER INSURANCE CORP/PHS Hartford Casualty Ins Co PO BOX 33015 SAN ANTONIO TX 78265 CODE: 341438 1 SUB CODE: dVS(MD BOULDER DESIGN ALLIANCE ROB DEKIEFFER 3002 MELISSA LANE BOULDER CO 80301 PROPERTY INFORMATION LOCATIONIVESCAP77ON Location: 001, Building: 001 CONSULTANT - NOC 3002 MELISSA LANE BOULDER CO 80301 7 LOANNUMBER POUCYNIMBER 34 SBA LJ6557_ EFFE6TRN' DAM I� LO RATION DATE CONTINUED UNTIL 01 / 01 / 2 0 0 7 � 01 / 01 / 21 n TERMINATED IF CHECKED TMS REPLACES PRIOR EVBN:NCE DATED Policy Coverages: Special Form Including Theft Loss of Income(Business Income with Extra Expense) Equipment Breakdown - ENH96 Location Level Coverages: Business Personal Property - Replacement Cost AMOUNTOFWSURANCE I DEDUCTMLE �$17,600 $500 THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT), AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT NAMEAAOADDRESS City of Fort Collins Attn: Jan Elliott 256 W. Mountain Avenue Fort Collins, CO 80521 X_ILOSS PAYEE-__ AYEE --r-- ORTGAGEEADDITIONAL INSURE - LOAN # AUTNOARED REPRESENTA71VE ACORD 27 13193) 0 ACORD CORPORATION 1993