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Home My WebLink AboutBOULDER DESIGN ALLIANCE - INSURANCE CERTIFICATE (12)ACORD,N EVIDENCE OF PROPERTY INSURANCE P45 11-03-2004 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 PHONExf:E (8 6 6) 4 6 7- 8 7 3 O COMPANY VAN GILDER INSURANCE CORP/PHS Hartford Casualty Ins Co P. O. BOX 33015 SAN ANTONIO TX 78265 I coDE: 3 4 14 3 8 SUB CODE. - AGENCY CUSTOMER ID #: INSURED LOANNUMBER POLICY NUMBER BOULDER DESIGN ALLIANCE ROB 34 SBA LJ6557 EFFECTIVEDATE EXPIRATION DATE CONTINUED UNTIL DEKIEFFER 3002 MELISSA LANE 01/01/2004 01/01/2005 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: BOULDER CO 80301 rhurth I T IINrUHIVIA I IUIN LOCATIONDESCRIPTION Location: 001, Building: 001 CONSULTING OFFICES 3002 MELISSA LANE BOULDER CO, 80301 COVERAGE INFORMATION Policy Coverages: Special Form Including Theft Loss of Income(Business Income with Extra Expense) Systems Breakdown - With Boilers Location Level Coverages: Business Personal Property - Replacement Cost CANCELLATION $284,938 $14,190 $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 45 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. NAME AND ADDRESS City of Fort Collins Attn: Jan Elliott 256 W. Mountain Avenue Fort Collins, CO 80521 MORTGAGEE ADDITIONAL INSURED X LOSS PAYEE _ LOAN # AUTHORIZED REPRESENTATIVE ACORD 27 (3/93) ® ACORD CORPORATION 1993 YS ACORD. EVIDENCE OF PROPERTY INSURANCE P4S DATE 11-03-2004 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 Z COMPANY (8 6 6) 4 6 7- 8 7 3 0 ft EM : _ VAN GILDER INSURANCE CORP/PHS Hartford Casualty Ins Co P. O. BOX 33015 SAN ANTONIO TX 78265 coDE. 3 414 3 8 SUB CODE, AGENCY CUSTOMER ID INSURED LOANNUMBER POL/CY-MMBER BOULDER DESIGN ALLIANCE ROB 34 SBA LJ6557 _ EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL DEKIEFFER 3002 MELISSA LANE O1/O1/2005 01/01/2006 n TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DA TED. BOULDER CO 80301 rmurCn I T nvrvnlvil I wIv LOCA TMNDESCRIPTIONI Location: 001, Building: 001 CONSULTING 3002 MELISSA LANE BOULDER CO, 80301 COVERAGE INFORMATION Policy Coverages: Special Form Including Theft Loss of Income(Business Income with Extra Expense) Systems Breakdown - With Boilers Location Level Coverages: Business Personal Property - Replacement Cost AMOUNT OF INSURANCE DEDUCTIBLE $500 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 45 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT), AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT NAME AND ADDRESS City of Fort Collins Attn: Jan Elliott 256 W. Mountain Avenue Fort Collins, CO 80521 ACORD 27 (3/93) MORTGAGEE ADDITIONAL INSURED X 1 LOSS PAYEE LOAN # - A UTHORMED REPRESENTATIVE ® ACORD CORPORATION 1993