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Home My WebLink AboutTHE JENSEN INVESTMENT GROUP - INSURANCE CERTIFICATE (2)THIS POLICY ISSUED BY: SHELTER INSURANCE COMPANIES �. SHELTER MUTUAL INSURANCE CO. GENERAL LIABILITY POLICY DECLARATIONS ADDITIONAL INSURED COPY NAME AND ADDRESS OF INSURED: u tittnutrtn itr titutu lli tin ti nitrtln rrlrtttunilr THE JENSEN INVESTMENT GROUP LLC % MICHAEL JENSEN 1220 S COLLEGE AVE FORT COLLINS CO 80524-3716 AGENT: LINDSAY MORALES STE C 220 W PROSPECT RD FORT COLLINS, CD 60526 970-484-7505 OS-DE110-01 REISSUE OF POLICY NUMBER 05-31-003561297-0003 THESE DECLARATIONS ARE A PART OF YOUR POLICY POLICY AND ENDORSEMENTS ARE AVAILABLE UPON REQUEST POLICY PERIOD: FROM 05:47 P.M. JANUARY 2, 2009 TO JULY 8, 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: DWELLINGS THE NAMED INSURED IS: OTHER 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) $ 1,000,000 1 I PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT (SEE EACH CLASSIFICATION BELOW) INCLUDED 1 I PERSONAL AND ADVERTISING INJURY LIMIT $ 500,000 1 I EACH OCCURRENCE LIMIT $ 500,000 1 I RENTED TO YOU LIMIT S An An ♦uv nue eec �rcc�i )PRtMl]t5 S OPERATIONS- 1 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) I EACH I INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS I I ITEM ZIP CODE: 90524 1 I 1019 1/2 CLUB VIEW RD FORT COLLINS CO I (PREMISES B OPERATIONS- 1 163011 DWELLINGS - TWO FAMILY (LESSORS RISK ONLY) I EACH I INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS I I ITEM ZIP CODE: 80524 1 1 1203 REMINGTON ST FORT COLLINS CO I (PREMISES B OPERATIONS- 1 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) I EACH I INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS I I ITEM ZIP CODE: 80524 1 1 211 WHEDBEE ST FORT COLLINS CO I (PREMISES 8 OPERATIONS- 1 ***SEE CONTINUATION PAGE*** 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. ADDL INSURED: #003561297 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522-0580 1 33.211 1 33.00 1 I I I I I I I I 1 35.137 1 35.00 1 I I 1 1 33.211 I I I I 33.00 TRANSACTION: PC SL H. 0. CODE: 914.00 POLICY TERM: ONE YEAR DATE ISSUED: 01-22-2009 '12152008' ADDL INSURED: #003561297 DOWNTOWN DEVELOPMENT AUTHORITY 19 OLD TOWN SQUARE STE 230 FORT COLLINS CO 80524-2471 ttn lrttnntrlr ntrtn lrtt�nn�rli�ntrttn itu littn nil r�t COUNTERSIGNED BY Z G-2.8-G T 1817 WEST BROADWAY - COLUMBIA, MISSOURI 65218-0001 • (573)445-8441 PAGE 1 SHELTER INSURANCE COMPANIES DECLARATIONS --CONTINUATION PAGE --POLICY NUMBER OS-31-003561297-0003 AGENT: 05-OE110-01 INSURED: THE JENSEN INVESTMENT GROUP ISSUE DATE: D1-22-2009 160010 APARTMENT BUILDINGS 1 INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80524 I 813 SCOTT ST FT COLLINS CO [PREMISES 8 OPERATIONS- 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) I INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS I ITEM ZIP CODE: BOS49 I 3528 W CLEVELAND AVE WELLINGTON CO (PREMISES 6 OPERATIONS- 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) [ INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS I ITEM ZIP CODE: 80524 I 701 REMINGTON ST FORT COLLINS CO IPREMISES 8 OPERATIONS- 163011 DWELLINGS - TWO FAMILY (LESSORS RISK ONLY) I INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS I ITEM ZIP CODE: 80524 I 1019 CLUB VIEW RD FORT COLLINS CO IPREMISES 6 OPERATIONS- 163011 DWELLINGS - TWO FAMILY (LESSORS RISK ONLY) 1 INCLUDING PRODUCTS K/OR COMPLETED OPERATIONS I ITEM ZIP CODE: 80524 I 511 W MYRTLE ST FORT COLLINS CO IPREMISES 8 OPERATIONS- 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) I INCLUDING PRODUCTS 6/OR COMPLETED OPERATIONS ITEM ZIP CODE: BD524 I 6D1 S SHERWOOD ST FORT COLLINS CO (PREMISES 8 OPERATIONS- 163013 DWELLINGS - FOUR FAMILY (LESSORS RISK ONLY) I INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 8OS21 1 809 SCOTT AVE FORT COLLINS CO IPREMISES 8 OPERATIONS- 163013 DWELLINGS - 1 FOUR FAMILY (LESSORS RISK ONLY) INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS I ITEM ZIP CODE: 80524 I 1201 W PLUM ST FORT COLLINS CO (PREMISES 8 OPERATIONS- 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) I INCLUDING PRODUCTS 6/OR COMPLETED OPERATIONS [ ITEM ZIP CODE: B0524 I 1928 SPRINGFIELD DR FORT COLLINS CO IPREMISES 6 OPERATIONS- 163011 DWELLINGS - TWO FAMILY (LESSORS RISK ONLY) 1 INCLUDING PRODUCTS 6/OR COMPLETED OPERATIONS ITEM ZIP CODE: 80524 I 705 REMINGTON ST FORT COLLINS CO IPREMISES 8 OPERATIONS- 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) I INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80524 I 404 E OAK ST FORT COLLINS CO IPREMISES i OPERATIONS- 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) 1 INCLUDING PRODUCTS H/OR COMPLETED OPERATIONS I ITEM ZIP CODE: 80521 I 1310 LAPORTE AVE FORT COLLINS CO IPREMISES 8 OPERATIONS- 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) 1 INCLUDING PRODUCTS B/OR COMPLETED OPERATIONS ITEM ZIP CODE: BOS24 I 704 REMINGTON ST FORT COLLINS CO IPREMISES 8 OPERATIONS- 163010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) I INCLUDING PRODUCTS 8/OR COMPLETED OPERATIONS I ITEM ZIP CODE: 80524 UNITS EACH EACH EACH EACH EACH EACH EACH EACH EACH EACH EACH EACH EACH B I 15.715 I 126.00 B I I I I I I I I I 33.211 I 33.00 1 I I I I I I I I I 33.211 I 33.00 1 I I I 1 I 1 I I I 35.137 I 35.00 1 I I I I I I I I 1 35.137 I 35.00 1 I I I I I I I I I 33.211 I 33.00 1 I I I I I I I I I 54.116 I 54.00 1 I I I I I I I I I I 1 54.116 I 54.00 1 I I I I I I I 33.211 I I 33.00 1 I I 1 I I I I I 35.137 I I 35.00 1 I I 33.211 I 33.00 1 I I I I I I I I I 33.211 I 33.00 1 I I I I I I I I I 33.211 I 33.00 1 I I I I I I I I I 33.211 I 33.00 1 I I PAGE 1817 WEST BROADWAY • COLUMBIA, MISSOURI 65218-0001 • (573)445-8441 SHELTER INSURANCE COMPANIES I II II IIIIIIIIIIIIIIIIIIII IIIII .. DECLARATIONS --CONTINUATION PAGE --POLICY NUMBER 05-31-003561297-0003 AGENT: 05-OE110-01 INSURED: THE JENSEN INVESTMENT GROUP ISSUE DATE: 01-22-2009 (COVERAGE FORM AND DESCRIPTION OF HAZARDS I PREMIUM BASES I RATES I ADVANCE PREMIUM I I 414 PITKIN ST FORT COLLINS CO. I I I I I I 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 (07-2004) ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) DOWNTOWN DEVELOPMENT AUTHORITY G-146-G POLLUTION LIABILITY COVERAGE IL-02-28 (09-2007) COLORADO CHANGES - CANCELLATION AND NONRENEW IL-00-17 (11-1998) COMMON POLICY CONDITIONS CG-21-44 (07-1998) LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR PROJECTS CG-21-60 (09-1998) EXCLUSION - YEAR 2000 COMPUTER -RELATED & ELECTRONIC PROBLEMS CG-20-10 (07-2004) ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) CITY OF FORT COLLINS IL 00 21 (09-2008) NUCLEAR ENERGY LIABILITY EXCLUSION (BROAD FORM) G-252-G AMENDATORY ENDORSEMENT CG-24-01 (12-2004) NON -BINDING ARBITRATION CG-21-47 (12-2007) EMPLOYMENT -RELATED PRACTICES EXCLUSION B-601-B LEAD POISONING EXCLUSION ENDORSEMENT B-559-B ASBESTOS EXCLUSION B-412-B DESCRIBED PREMISES PAGE 3 1817 WEST BROADWAY • COLUMBIA, MISSOURI 65218-0001 • (573)445-8441