The URL can be used to link to this page

Home My WebLink About102621 NEIGHBOR TO NEIGHBOR - INSURANCE CERTIFICATE (19)315 _ 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 NAMED NEIGHBOR TO NEIGHBOR INC INSURED MAILING 1550 BLUE SPRUCE DR ADDRESS FT COLLINS, CO 80524-2015 POLICY PERIOD FROM 01-01-2011 TO 01-01-2012 12:01 A.M. Standard Time at your mailing address shown above. FORM OF BUSINESS CORPORATION In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. SECTION I PROPERTY COVERAGE PROVIDED. BLANKET INSURANCE AT THE FOLLOWING DESCRIBED PREMISES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN UNLESS COVERAGE IS PROVIDED BY AN ENDORSEMENT. DESCRIPTION OF PREMISES PREMISES NO. 0003 BUILDING NO. 001 LOCATION 1620 AZALEA ST FT COLLINS, CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 8 CONSTRUCTION FRAME YEAR BUILT 1980 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0004 BUILDING NO. 001 LOCATION 713 AZTEC DR FT COLLINS, CO 80521-1771 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 4 CONSTRUCTION FRAME YEAR BUILT 1982 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 AGENT 018-316 PHONE PAGE 0001 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 MORTGAGEHOLDER LOAN NO. 2335 PREMISE NO. BUILDING NO. CENTENNIAL LENDING LLC, 0027 001 ITS SUCCESSORS AND/OR ASSIGNS 4112 KODIAK CT UNIT D LONGMONT, CO 80504-3431 MORTGAGEHOLDER HOUSING AUTHORITY FORT COLLINS 1715 W MOUNTAIN AVE FT COLLINS, CO 80521-2359 PREMISE NO. BUILDING NO. PREMISE NO. 0003 001 0004 0019 001 0020 0021 001 0022 0023 001 0024 0025 001 MORTGAGEHOLDER PREMISE NO. BUILDING NO. COMMUNITY HOUSING CAPITAL INCORPORATED 0026 001 315 W PONCE DE LEON AVE STE 225 DECATUR, GA 30030-2494 APPLICABLE PROPERTY ENDORSEMENT CHARGES $5.00 TOTAL ADVANCE PROPERTY PREMIUM $30,518.00 BUILDING NO. 001 001 001 001 Property forms and endorsements applying to all premises and made part of this policy at time of issue: Any endorsement followed by a state abbreviation will only apply to coverages within this state. BP 06 01 01 07 BP 83 01 07 98 BP 83 02 01 07 BP 84 04 01 07 SECTION it LIABILITY AND MEDICAL EXPENSES Each paid claim for the following coverages reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II Liability in the BUSINESSOWNERS COVERAGE FORM and any attached endorsements. COVERAGE LIMIT OF INSURANCE AGGREGATE LIMIT (OTHER THAN PRODUCTS COMPLETED OPERATONS) $2, 000, 000 PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT $2,000,000 DAMAGE TO PREMISES RENTED TO YOU $50, 000 LIABILITY AND MEDICAL EXPENSES $1, 000, 000 PREM 0003 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5, 000 PREM 0004 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5, 000 PREM 0006 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5, 000 PREM 0007 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5, 000 AGENT 018-316 PHONE- PAGE 0010 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 0 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 PREM 0008 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0009 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0010 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0011 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0012 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5, 000 PREM 0013 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5, 000 PREM 0014 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0015 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0016 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0017 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0018 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0019 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0020 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0021 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0022 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0023 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5, 000 PREM 0024 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0025 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 PREM 0026 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5, 000 PREM 0027 BLDG 001 MEDICAL EXPENSES - ANY ONE PERSON $5 , 000 LOCATION PREMIUM BASIS RATE ADVANCE PREMIUM PREMISES NO. 0003 BUILDING NO. 001 8 UNITS $29.00 PREMISES NO..0004 BUILDING NO. 001 4 UNITS PREMISES NO. 0006 BUILDING NO. 001 2 UNITS PREMISES NO. 0007 BUILDING NO. 001 2 UNITS PREMISES NO. 0008 BUILDING NO. 001 4 UNITS PREMISES NO. 0009 BUILDING NO. 001 8 UNITS PREMISES NO. 0010 BUILDING NO. 001 $14.00 $8.00 $8.00 $14.00 $29.00 AGENT 018-316 PHONE PAGE 0011 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office. Inc . with its permission 315 POLICY NUMBER 05X3505250 05X3505250 OG 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY DECLARATIONS CUT M 8 UNITS PREMISES NO. 0011 BUILDING NO. 001 8 UNITS PREMISES NO. 0012 BUILDING NO. 001 8 UNITS PREMISES NO. 0013 BUILDING NO. 001 6 UNITS PREMISES NO. 0014 BUILDING NO. 001 6 UNITS PREMISES NO. 0015 BUILDING NO. 001 6 UNITS PREMISES NO. 0016 BUILDING NO. 001 6 UNITS PREMISES NO. 0017 . BUILDING NO. 001 6 UNITS PREMISES NO. 0018 BUILDING NO. 001 6 UNITS PREMISES NO. 0019 BUILDING NO. 001 4 UNITS PREMISES NO. 0020 BUILDING NO. 001 4 UNITS PREMISES NO. 0021 BUILDING NO. 001 11 UNITS PREMISES NO. 0022 BUILDING NO. 001 3 UNITS PREMISES NO. 0023 BUILDING NO. 001 S 0 ER BILLING ACCOUNT 012-370-633 82 $29.00 $29.00 $29.00 $22.00 $22.00 $22.00 $22.00 $22.00 $22.00 $14.00 $14.00 $40.00 $11.00 AGENT 018-316 PHONE PAGE 0012 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission s 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 PREMISES NO. 0024 BUILDING NO. 001 PREMISES NO. 0025 BUILDING NO. 001 PREMISES NO. 0026 BUILDING NO. 001 PREMISES NO. 0027 BUILDING NO. 001 11 UNITS $40.00 4 UNITS $14.00 4 UNITS $14.00 8 UNITS $29.00 8 UNITS $29.00 APPLICABLE BUSINESS LIABILITY ENDORSEMENT CHARGES $136.00 TOTAL ADVANCE BUSINESS LIABILITY PREMIUM $662.00 Liability forms and endorsements applying to all premises and made part of this policy at time of issue: Any endorsement followed by a state abbreviation will only apply to coverages within this state. BP 04 04 01 06 BP 04 17 07 02 BP 04 39 07 02 BP 04 48 01 06 BP 04 54 01 06 BP 04 93 01 06 BP 05 17 01 06 BP 05 77 01 06 BP 05 98 01 06 BP 10 05 07 02 BP 84 24 01 07 BP 85 04 07 98 BP 85 05 07 98CO BP 85 10 07 98 BP 85 12 01 06 IL 75 26 12 05 TOTAL ADVANCE BUSINESS PREMIUM $31, 180.00 This premium may be subject to adjustment. Forms and endorsements applying to property and liability at all premises and made part of this policy at time of issue: Any endorsement followed by a state abbreviation will only apply to coverages within this state. BP IN 01 01 06 BP 00 03 01 06 BP 01 81 07 02 BP 05 01 07 02 BP 05 15 01 08 BP 05 24 01 08 BP 05 41 06 08 BP 80 01 01 07 AUTHORIZED REPRESENTATIVE COUNTERSIGNED va,esde� s� v LICENSED RESIDENT AGENT AGENT 018-316 PHONE PAGE 0013 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 315 05X3505250 OG 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 DESCRIPTION OF PREMISES PREMISES NO. 0006 BUILDING NO. 001 LOCATION 1535 E 6TH ST LOVELAND, CO 80537-5929 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY RENTAL DWELLING — TWO UNIT CONSTRUCTION FRAME YEAR BUILT 1992 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0007 BUILDING NO. 001 LOCATION 1545 E 6TH ST LOVELAND, CO 80537-5929 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY RENTAL DWELLING — TWO UNIT CONSTRUCTION FRAME YEAR BUILT 1992 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0008 BUILDING NO. 001 LOCATION 1112 1118 E 5TH ST LOVELAND CO 80537 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 4 CONSTRUCTION FRAME YEAR BUILT 1960 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0009 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 1 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE AGENT 018-316 PHONE PAGE 0002 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 NUMBER OF UNITS 8 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0010 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 2 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 8 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0011 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 3 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 8 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0012 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 4 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 8 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 AGENT 018-316 PHONE PAGE 0003 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 - Includes copyrighted material of Insurance Services Office, Inc , with its permission 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 DESCRIPTION OF PREMISES PREMISES NO. 0013 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 5 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 6 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0014 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 6 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 6 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0015 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 7 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 6 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0016 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 8 FT COLLINS CO 80524 AGENT. 018-316 PHONE PAGE 0004 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 6 CONSTRUCTION FRAME — YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0017 BUILDING NO. 001 LOCATION 1550 BLUE SPRINGS BLDG 9 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 6 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0018 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 10 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 6 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0019 BUILDING NO. 001 LOCATION 613 CONIFER ST FT COLLINS, CO 80524-2149 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 4 CONSTRUCTION FRAME YEAR BUILT 1976 AGENT. 018-316 PHONE PAGE 0005 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0020 BUILDING NO. 001 LOCATION 619 CONIFER ST FT COLLINS, CO 80524-2150 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 4 CONSTRUCTION FRAME YEAR BUILT 1976 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0021 BUILDING NO. 001 LOCATION 533 E 4TH ST LOVELAND, CO 80537-5791 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 11 CONSTRUCTION FRAME YEAR BUILT 1965 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0022 BUILDING NO. 001 LOCATION 1051 1055 W 8TH ST LOVELAND CO 80538 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 3 CONSTRUCTION FRAME YEAR BUILT 1970 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 AGENT 018-316 PHONE PAGE 0006 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 DESCRIPTION OF PREMISES PREMISES NO. 0023 BUILDING NO. 001 LOCATION 1158 1178 E 6TH ST LOVELAND CO 80538 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 11 CONSTRUCTION FRAME YEAR BUILT 1985 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0024 BUILDING NO. 001 LOCATION 2405 CRABTREE DR FT.COLLINS, CO 80521-4165 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 4 CONSTRUCTION FRAME YEAR BUILT 1980 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0025 BUILDING NO. 001 LOCATION 2413 CRABTREE DR FT COLL.INS, CO 80521-4121 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 4 CONSTRUCTION FRAME YEAR BUILT 1980 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0026 BUILDING NO. 001 LOCATION 2404 CLEARVIEW AVE FT COLLINS, CO 80521-4164 AGENT 018-316 PHONE PAGE 0007 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes. copvrighted material of Insurance Services Office. Inc . with its oermission 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 8 CONSTRUCTION JOISTED MASONRY YEAR BUILT 1960 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 DESCRIPTION OF PREMISES PREMISES NO. 0027 BUILDING NO. 001 LOCATION 1041 PONDEROSA DR FT COLLINS, CO 80521-4184 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 8 CONSTRUCTION JOISTED MASONRY YEAR BUILT 1967 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 318 PROPERTY DEDUCTIBLE $1, 000 OTHER PROPERTY DEDUCTIBLE(S) OPTIONAL COVERAGE/GLASS DEDUCTIBLE $500 SEWER BACKUP AND SUMP OVERFLOW DEDUCTIBLE $500 COVERAGE LIMIT OF INSURANCE PREMIUM BUILDING - Blanket $9, 212, 410 $28, 681.00 REPLACEMENT COST AUXILIARY BUILDINGS/STRUCTURES - Blanket $192, 173 $378.00 REPLACEMENT COST BUSINESS PERSONAL PROPERTY - Blanket • $31, 760 $62.00 REPLACEMENT COST AUTOMATIC INCREASE IN COVERAGE 4% ADDITIONAL COVERAGE LIMIT OF INSURANCE PREMIUM BUSINESS INCOME ACTUAL LOSS SUSTAINED INCLUDED OTHER COVERAGES OR OPTIONS LIMIT OF INSURANCE PREMIUM WATER BACKUP AND SUMP OVERFLOW $5 , 000 $1, 392.00 AGENT 018-316 PHONE PAGE 0008 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes coovriohted material of Insurance Services Office, Inc , with its permission 315 05X3505250 06 000 TRD008 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 Property forms and endorsements applying to this premises and made part of this policy at time of issue: Any endorsement followed by a state abbreviation will only apply to coverages within this state. BP 84 09 01 07 BP 84 11 07 98 BP 85 11 12 08 BP 12 03 01 06 BP 84 10 07 98 MORTGAGEHOLDER PREMISE NO. BUILDING NO. PREMISE NO. BUILDING NO. GUARANTY BANK & TRUST COMPANY 0006 001 0007 001 PO BOX 1159 0008 001 LONGMONT, CO 80502-1159 MORTGAGEHOLDER LOAN NO. 29710847 FIRST NATIONAL BANK ITS SUCCESSORS AND/OR ASSIGNS 205 W OAK ST FT COLLINS, CO 80521-2712 MORTGAGEHOLDER LOAN NO. 297010847 FIRST NATIONAL BANK ITS SUCCESSORS AND/OR ASSIGNS 205 W OAK ST FT COLLINS, CO 80521-2712 MORTGAGEHOLDER LOAN NO. 29710847 FIRST NATIONAL BANK ITS SUCCESSORS AND/OR ASSIGNS 205 W OAK ST FT COLLINS, CO 80521-2712 PREMISE NO. BUILDING NO. 0003 001 PREMISE NO. BUILDING NO. 0004 001 PREMISE NO. BUILDING NO. PREMISE NO. BUILDING NO. 0009 001 0010 001 0011 001 0012 001 0013 001 0014 001 0015 001 0016. .001 0017 001 0018 001 0019 001 0020 001 0021 001 0022 001 0023 001 0024 001 0025 001 AGENT 018-316 PHONE PAGE 0009 JENNIFER L CLARKE 970-221-0897 BRANCH TRD008 REW 301 W MAGNOLIA ST ENTRY DATE 10-21-2010 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission