The URL can be used to link to this page

Home My WebLink AboutJENSEN INVESTMENT GROUP LLC - INSURANCE CERTIFICATESHELTER INSURANCE COMPANIES THIS POLICY ISSUED BY: AGENT: SHELTER MUTUAL INSURANCE COMPANY GENERAL LIABILITY POLICY LINDSAY MORALES DECLARATIONS STE C 220 W PROSPECT RD NOTICE TO THE MORTGAGEE/LOSS PAYEE/ADDL INSURED: FORT COLLINS CO 80526 YOUR INTEREST WILL BE CONTINUOUS UNTIL MANUAL DEC 970-484-7505 CANCELLATION NOTICE IS MAILED TO YOU. 05-E110-01 NAME AND ADDRESS OF INSURED: THE JENSEN INVESTMENT GROUP LLC MICHAEL JENSEN 1220 S COLLEGE AVE FORT COLLINS CO 80524-3716 REISSUE OF POLICY NUMBER 05-31-3561297-3 THESE DECLARATIONS ARE A PART OF YOUR POLICY POLICY PERIOD: FROM 01:00 P.M. JULY 8, 2010 TO JULY 8, 2011 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: LIMITS OF INSURANCE GENERAL AGGREGATE (OTHER THAN PRODUCTS - COMPLETED OPERATIONS) $1,000,000 PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT (SEE EACH CLASSIFICATION BELOW) INCLUDED PERSONAL AND ADVERTISING INJURY LIMIT EACH OCCURRENCE LIMIT $ 500,000 DAMAGE TO PREMISES RENTED TO YOU LIMIT $ 100,000 ANY ONE PREMISES MEDICAL EXPENSE LIMIT I S_000 ANY nNF PFRCnN THE INSURANCE APPLIES ONLY WITH RESPECT TO THE FOLLOWING COVERAGE(S) AND THE HAZARD(S) SHOWN COVERAGE FORM AND DESCRIPTION OF HAZARDS PREMIUM BASES RATES ADVANCE PREMIUMS ; ANNUAL CG-00-01 COMPREHENSIVE GENERAL LIABILITY PREMISES & OPERATIONS- 63010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) EACH 29.624 $30.00 INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80524 1019 112 CLUB VIEW RD FORT COLLINS CO PREMISES & OPERATIONS- 60010 APARTMENT BUILDINGS UNITS 16.391 131.00 INCLUDING PRODUCTS &/OR COMPLETED'OPERATIONS 8 ITEM ZIP CODE: 80524 813 SCOTT ST FORT COLLINS CO ***SEE CONTINUATION PAGE'`** A POLICY CONSISTS OF THIS DECLARATION, COMMON POLICY CONDITIONS AND ONE OR MORE COVERAGE FORMS. A COVERAGE PART CONSISTS OF A COVERAGE FORM AND APPLICABLE ENDORSEMENTS. AMOUNT REFUNDED: $90.00 TRANSACTION: PC REF H.O. CODE: 571.00 POLICY TERM: ONE YEAR DATE ISSUED: 07-15-2010 X '05212010' COVERAGE FOR ACTS OF TERRORISM IS INCLUDED IN YOUR POLICY AT NO CHARGE. 85% OF ANY LOSSES CAUSED BY CERTIFIED ACTS OF TERRORISM, IN EXCESS OF SHELTER'S DEDUCTIBLE, AND PAID BY SHELTER WOULD BE REIMBURSED BY THE UNITED STATES. THE TERRORISM RISK INSURANCE ACT, AS AMENDED, CONTAINS A $100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES EXCEEDS $100 BILLION IN ANY ONE CALENDAR YEAR. ADDL INSURED: ADDL INSURED: DOWNTOWN DEVELOPMENT AUTHORITY CITY OF FORT COLLINS 19 OLD TOWN SQUARE STE 230 PO BOX 580 FORT COLLINS CO 80524-2471 FORT COLLINS CO 80522-0580 GL COUNTERSIGNED BY RICK MEANS G-2.8-G PAGE 1 1817 WEST BROADWAY • COLUMBIA, MISSOURI.65218-0001 •573-445-8441 a. SHELTER INSURANCE COMPANIES DECLARATIONS -CONTINUATION PAGE -POLICY NUMBER 05-31-3561297-3 INSURED: THE JENSEN INVESTMENT GROUP LLC MANUAL DEC AGENT: 05-E110-01 GL ISSUE DATE: 07-15-2010 COVERAGE FORM AND DESCRIPTION OF HAZARDS PREMIUM BASES RATES �ADVANCE PREMIUMS ANNUAL PREMISES & OPERATIONS- ; 63010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) EACH 29.624 30.00 INCLUDING PRODUCTS /OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80524 701 REMINGTON ST FORT COLLINS CO PREMISES & OPERATIONS- 63011 DWELLINGS - TWO FAMILY (LESSORS RISK ONLY) EACH 36.992 37.00 INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80524 1019 CLUB VIEW RD FORT COLLINS CO PREMISES & OPERATIONS- 63013 DWELLINGS - FOUR FAMILY (LESSORS RISK ONLY) EACH 49.926 50.00 INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80521 809 SCOTT AVE FORT COLLINS CO PREMISES & OPERATIONS- 63013 DWELLINGS - FOUR FAMILY (LESSORS RISK ONLY) EACH 49.926 50.00 INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80524 1201 W PLUM ST FORT COLLINS CO PREMISES & OPERATIONS- 63010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) EACH 29.624 30.00 INCLUDING PRODUCTS&/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80521 1310 LAPORTE AVE FORT COLLINS CO PREMISES & OPERATIONS- 63010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) EACH 29.624 30.00 INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80524 704 REMINGTON ST FORT COLLINS CO PREMISES & OPERATIONS- 63010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY) EACH 29.624 30.00 INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS 1 ITEM ZIP CODE: 80524 213 E VINE DR FORT COLLINS CO 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 $100,000 IL-02-28 (09-2007) COLORADO CHANGES - CANCELLATION AND NONRENEWAL IL-00-17 (11-1998) COMMON POLICY CONDITIONS CG-21-44 (07-1998) LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR PROJECTS DESCRIBED PREMISES 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 IAMENDATORY 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 CG-00-68 (05-2009) RECORDING AND DISTRIBUTION OF MATERIAL B-412-B PAGE 2 1817 WEST BROADWAY • COLUMBIA, MISSOURI.65218-0001 •573-445-8441