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MASON STREET COMMERCIAL CONDOMINIUMS HAMMERSMITH M - INSURANCE CERTIFICATE
ACORD. CERTIFICATE OF LIABILITY INSURANCE 10/30/2007 PRODUCER (303) 824-6600 FAX: (303) 370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mood Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Y 9 yr HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3773 Cherry Creek North Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 Denver CO 80209-3804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Travelers Prop Cas Cc of 25674 Mason Street North Commercial Condominiums INSURER B: c/o Hammersmith Management, Inc. INSURER C: 5619 DTC Parkway, Ste 900 INSURER D. Englewood CO 80111 INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. A.TR RELIMIT HOWN MAY HAVE BEEN REDUCED BY PAID CLAIM NSR ADDGAT INRRD TYPE OF INSURANCE POLICY NUMBER DATE POLICYMMIDDIYYE POLICY MMIDD/YYON LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAPREMISES Ea occurrence) E TO E $ 100,000 X COMMERCIAL GENERAL LIABILITY A CLAIMS MADE 1XI OCCUR 16605435CI61TIL07 11/1/2007 11/1/2008 MEO EXP (Any oneperson) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPA G $ 2,000,000 X POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCUR $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION WORKERS COMPENSATION AND TORYSLIMII EB EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE E.L. EACH ACCIDENT $ EL DISEASE -EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? If yes, descd0e under SPECIAL PROVISIONS Leine, EL. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHILLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS This certificate is subject to the terms, conditions, and exclusions of the policies. In the event of cancellation for non-payment of premium, a 10-day notice of cancellation will apply. City of Fort Collins PO BOX 280 Fort Collins, CO 80522 ACORD 25 (2001/08) I ucn7S ...... nay SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE AUTHORIZED REPRESENTATIVE R Bruscinc/ROSBRU © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) INS025 (oi m) osa Page 2 or 2 ACORD CERTIFICATE OF LIABILITY INSURANCE 10/30/2007 PRODUCER (303)824-6600 FAX: (303)370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mood Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Y 9 yr HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3773 Cherry Creek North Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 Denver CO 80209-3804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Prop Cas Co of 25674 Mason Street North Residential Condominiums INSURER B: c/o Hammersmith Management, Inc. INSURER C: 5619 DTC Parkway, Ste 900 INsuRER D: Englewood CO 80111 INsuRENe THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AD REGATE LIMITS SHOWN MAY HAVE BEEN R DUCED BY PAID CLAIMS. INSR ADD-L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MINI POLICY EXPIRATION DATE UMNI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 RENTED PREMISES TO $ 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any onePersian) $ 5,000 A CLAIMSMADE lxl OCCUR I6605436C711TIL07 11/1/2007 11/1/2008 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ee acddenl) $ BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANYAUTO $ AUTO ONLY. AGG EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION WORKERS COMPENSATION AND - Y OTH- WC STATUER E.L. EACHACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYE 8 OFFICER/MEMBER EXCLUDED'! If describe under SPECIAL PROVISIONS below EL.DISEASE - POLICY LIMIT 8 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS This certificate is subject to the terms, conditions, and exclusions of the policies. In the event of cancellation for non-payment of premium, a 10-day notice of cancellation will apply. HOLDER City of Fort Collins PO Box 280 Fort Collins. CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE AUTHORIZED REPRESENTATIVE R Bruscino/ROSBRU ACORD 25 (2001/08) IMCn�1S innono.. © ACORD CORPORATION 1938 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) Page 2 of 2 INS025 (Otoe).oBa