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Home My WebLink AboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATE (2)ACORD. EVIDENCE OF PROPERTY INSURANCE UO2 11-2s-E2006 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 P'cNM, Ext• ( 8 6 6) 4 6 7 -_ 8 7 3 0 - - COMPANY VAN GILDER INSURANCE CORP/PHS PO BOX 33015 Hartford Casualty Ins Co SAN ANTONIO TX 78265 CODE 341438 Sue CODE: AGENCY CUSTOMER M I: _ INSURED LOANNUMIBER POLICY NUMBER BOULDER DESIGN ALLIANCE ROB 34 SBA LJ6557 DEKIEFFER £PFECTNEDATE EXMRATIONDATE - - - - - - 3002 MELISSA LANE 01/01 2007 01 01/2008 CO NTINUED UNTIL TERMINATED IF CHECKED BOULDER CO 80301 THIS REPLACES PRIOR EVIDENCE DATED: i PROPERTY INFORMATION LOCATION"SCRMTMN Location: 001, Building: 001 CONSULTANT - NOC 3002 MELISSA LANE BOULDER CO 80301 COVERAGE INFORMATION COVERAGEIPERM&FORMS AMOU NT OFINSURANCE DEDUCTIBLE 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 1$17,600 I$500 REMARKS (Including Special Conditions) CANCELLATION --- 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 (10 DAYS FOR NON-PAYMENT), AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. ,L III I CnIZO I NAME AND ADDRESS City of Fort Collins Attn: Jan Elliott 256 W. Mountain Avenue Fort Collins, CO 80521 MORTGAGEE X LOSS _PAYEE LOAN N AUTHORIZED REPRESENTATNE ADDITIONAL INSURED ACORD 27 (3/93) 0 ACORD CORPORATION 1993