HomeMy WebLinkAboutNORTH COLLEGE LOFTS - INSURANCE CERTIFICATETHIS POLICY ISSUED BY: SHELTER INSURANCE COMPANIES
SHELTER MUTUAL INSURANCE CO. GENERAL LIABILITY POLICY
DECLARATIONS
ADDITIONAL INSURED COPY
NAME AND ADDRESS OF INSURED:
NORTH COLLEGE LOFTS LLC
1220 S COLLEGE AVE
FORT COLLINS CO 60524-3716
AGENT: IIII III IIIIII )IIII o
SHELTER INSURANCE COMPANIES c
220 W PROSPECT
FORT COLLINS, CO 80526
970-484-7505
05-OD233-01
REISSUE OF
POLICY NUMBER 05-31-003561297-0006
THESE DECLARATIONS ARE A PART OF
YOUR POLICY
POLICY AND ENDORSEMENTS ARE AVAILABLE UPON REQUEST
POLICY PERIOD: FROM 12:01 A.M. MAY 21, 2008 TO MAY 21, 2009 AT 12:01 A.M. STANDARD TIME AT THE LOCATION OF THE
PROPERTY DESCRIBED) AND SUBJECT TO CONSENT OF THE COMPANY FOR TERMS OF SUCH DURATION EACH THEREAFTER AS THE REQUIRED
RENEWAL PREMIUM IS PAID BY THE INSURED AND RECEIVED BY THE COMPANY ON OR BEFORE EXPIRATION OF THE CURRENT TERM.
LOCATION OF THE PREMISES COVERED IS:
DEFINED POLICY TERRITORY OR SEE BELOW
BUSINESS OF THE NAMED INSURED IS: MORTGAGE REALTOR THE NAMED INSURED IS: PARTNERSHIP
AUDIT PERIOD: N/A
SUBJECT TO THE TERMS OF THIS POLICY, THE COMPANY'S LIMITS OF LIABILITY FOR THE COVERAGES PROVIDED UNDER THIS POLICY
ARE AS FOLLOWS:
I GENERAL AGGREGATE (OTHER THAN PRODUCTS - COMPLETED OPERATIONS) S 1,000,000
I PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT (SEE EACH CLASSIFICATION BELOW) INCLUDED
I PERSONAL AND ADVERTISING INJURY LIMIT S 500,000
I EACH OCCURRENCE LIMIT S 500,000 I
I RENTED TO YOU LIMIT $ 100,000 ANY ONE PREMISESI
IMEDICAL EXPENSE LIMIT a ...... .........------..
[COVERAGE FORM AND DESCRIPTION OF HAZARDS
ICG-00-01 COMPREHENSIVE GENERAL LIABILITY
(PREMISES 8 OPERATIONS-
161217 BUILDINGS OR PREMISES - BANK OR OFFICE -
I MERCANTILE OR MANUFACTURING -
I MAINTAINED BY THE INSURED
I (LESSOR"S RISK ONLY)
I OTHER THAN NOT -FOR -PROFIT
I INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS
I ITEM ZIP CODE: 8OS24
1 317 REMINGTON ST FORT COLLINS CO
]PREMISES B OPERATIONS-
161217 BUILDINGS OR PREMISES - BANK OR OFFICE -
I MERCANTILE OR MANUFACTURING -
I MAINTAINED BY THE INSURED
I (LESSOR'S RISK ONLY)
I OTHER THAN NOT -FOR -PROFIT
I INCLUDING PRODUCTS B/OR COMPLETED OPERATIONS
***SEE CONTINUATION PAGE***
I I I
I AREA PER 1000 SQ. FT 1 32.320 1
I 3,000 I I
I I I
I I I
I I I
I I I
I I I
I I I
I AREA PER 1000 SQ. FT 1 32.320 1
I 3,000 I I
I I I
I I I
I I I
1 I I
97.00
97.00
A POLICY CONSISTS OF THIS DECLARATION, COMMON POLICY I
CONDITIONS AND ONE OR MORE COVERAGE FORMS. A COVERAGE PART I
CONSISTS OF A COVERAGE FORM AND APPLICABLE ENDORSEMENTS. I
I
I
RECEIVED
FOR THIS REISSUE
S 259.45 I
TRANSACTION:
RENEW
COVERAGE FOR ACTS OF TERRORISM IS INCLUDED IN YOUR POLICY AT NO
H. 0. CODE:
232.00
CHARGE. 85X OF ANY LOSSES CAUSED BY CERTIFIED ACTS OF TERRORISM
POLICY TERM:
ONE YEAR
DATE ISSUED: OS-27-2008
AND PAID BY SHELTER WOULD BE REIMBURSED BY THE UNITED STATES.
ADDL INSURED: ADDL INSURED:
'04192008'
•003561297 *003561297
THE CITY OF FORT COLLINS DOWNTOWN DEVELOPMENT AUTHORITY
PO BOX 580 19 OLD TOWN SQUARE STE 230
FORT COLLINS CO 80522-0580 FORT COLLINS CO 80524-2471
11 a 1i1�un�,1n�1�1n���11un�,l�iu�,�ln�1u 1�11un���1� COUNTERSIGNED BY_1.,-.^
G-2.8-G TT PAGE 1
1817 WEST BROADWAY • COLUMBIA, MISSOURI 65218-0001 • (573)445-8441
SHELTER INSURANCE COMPANIES
DECLARATIONS --CONTINUATION PAGE --POLICY NUMBER 05-31-003561297-0008 AGENT: 05-OD233-01
INSURED: NORTH COLLEGE LOFTS LLC ISSUE DATE: 05-27-2008
I ITEM ZIP CODE: 80524 I
I 221-223 N COLLEGE FORT COLLINS I
I I
COVERAGE PARTS AND ENDORSEMENTS ATTACHED TO AND FORMING PART OF
THIS POLICY
CG-00-01
(12-2007)
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
CG-21-67
(12-2004)
FUNGI OR BACTERIA EXCLUSION
CG-20-10
(07-20041
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS
(FORM B)
DOWNTOWN DEVELOPMENT AUTHORITY
CG-21-60
(09-1998)
EXCLUSION - YEAR 2000 COMPUTER -RELATED 8 ELECTRONIC
PROBLEMS
IL-02-28
(09-2007)
COLORADO CHANGES - CANCELLATION AND MONRENEW
IL-00-17
(11-1998)
COMMON POLICY CONDITIONS
CG-21-44
(07-1998)
LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR PROJECTS
CG-20-10
(07-2004)
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS
(FORM B)
THE CITY OF FORT COLLINS
G-252-G
AMENDATORY ENDORSEMENT
CG-24-01
(12-2004)
NON -BINDING ARBITRATION
CO-21-47
(12-2007)
EMPLOYMENT -RELATED PRACTICES EXCLUSION
B-601-B
LEAD POISONING EXCLUSION ENDORSEMENT
B-559-B
ASBESTOS EXCLUSION
B-412-B
PAGE 2
1817 WEST BROADWAY • COLUMBIA, MISSOURI 65218-0001
(573)445-8441