Loading...
HomeMy WebLinkAbout460671 RMI2 PROPERTIES LLC - INSURANCE CERTIFICATEOP ID: KH AOR_OrF CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 12/09/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the. - certificate holder in lieu of such endorsements). - PRODUCER 970-635-9400 CONTACT_. ... -.m ...:. _ .... NAME: PFS Insurance Group. 970-635-9401 DBA LBN Insurance Agency 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 PHONE' - -- FAx._. _ _. . A/C No Ext : A/C No : E-MAIL ADDRESS:PRODUCER cusroMER ID u: RM12P-1 INSURER(S) AFFORDING COVERAGE NAIC # INSURED RMI2 Properties, LLC - INSURERA:Acuity Insurance Co. 14184 200,W. Mountain, Suite C Fort Collins, CO 80521 INSURER B: INSURERC: INSURER D : INSURER E : INSURER F : - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDPOLICY YYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X K83074 12/09/10 12/09/11, DAMAGE T RENTED PREMISES Ea occurrence $ 100 000 CLAIMS -MADE 1XI OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ ---2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG. $ 2,000,000 POLICY PRO- X LOC A AUTOMOBILE LIABILITY ANY AUTO K83074 12/09/10 12/09/11 COMBINED SINGLE LIMIT- -$ (Ea accident) 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ X X $ NON-OWNEDAUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 A EXCESS LIAB CLAIMS -MADE K83074 12/09/10 12/09/11 DEDUCTIBLE $ X $ RETENTION $ None WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A - WC STATU- OTH- T RY LIMIT ER E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A PROPERTY K83074 12/09/10 12/09/11 Bldg limi 6,582,95 BPP limit 200,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project ID#13529. Locations 320 E. Vine Drive and 308 E. Vine Drive, Fort Collins, CO 80521. If required by written agreement, the certificate holder is included as add'I ins'd for ongoing operations under general liability (CG2026R). Exception: 10 days written notice of cancellation for non-payment of premium. FORTCOL Fort Collins Urban Renewal Authority PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4a � ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: KH ACL•JR�✓ EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DATE (MMIDDIYYYY) 12/09/2010 THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER NAME,p I HONE 970-635-9400 COMPANY NAME AND ADDRESS NAIC NO: 14184 CONTACT PERSON AND ADDRESS A/C No Ext : PFS Insurance Group Acuity Insurance Co. DBA LBN Insurance Agency 2800 South Taylor Drive 4848 Thompson Pkwy, Ste zoo Sheboygan, WI 53081 Johnstown, CO 80534 John Hintzman IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH Ia/cNo :75-4-MAIL CODE: _ _ _SUB CODE: POLICY TYPE AGENCY . RMI2P-1 CUSTOMER.ID, NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER RMI2 Properties, LLC K83074 200 W. Mountain EFFECTIVE DATE EXPIRATION DATE Fort Collins, CO 80521 CONTINUED UNTIL 12/09/10 12/09/11 F TERMINATED IF CHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION Use REMARKS on page 2, it more space IS re uiretl IJ BUILUING OR LJ BU51NE55 PERSONAL PROPER I Y LOCATION/DESCRIPTION office building -lessors risk 320 E. Vine Drive Fort Collins, CO 80521 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rr1V9:9?APF n0F(N7MATIrw DCDu c u.ici iDCn I I QACIO I I QDnAn X Q=C IAI COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ $6,582,950 DED: $1,000 YES NO N/A W BUSINESS INCOME ❑ RENTAL VALUE X If YES, LIMIT: X Actual Loss Sustained; # of months: 12 BLANKET COVERAGE X If YES, indicate value(s) reported on property identified above: $ TERRORISM COVERAGE X Attach Disclosure Notice I DEC IS THERE A TERRORISM -SPECIFIC EXCLUSION? X IS DOMESTIC TERRORISM EXCLUDED? X LIMITED FUNGUS COVERAGE X If YES, LIMIT: DED: FUNGUS EXCLUSION (If "YES", specify organization's form used) X CB0577 REPLACEMENT COST X AGREED VALUE X COINSURANCE X If YES, EQUIPMENT BREAKDOWN (If Applicable) X If YES, LIMIT: DED: ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg X Demolition Costs X If YES, LIMIT: DED: Incr. Cost of Construction X If YES, LIMIT: DED: EARTH MOVEMENT (If Applicable) X If YES, LIMIT: DED: FLOOD (If Applicable) X If YES, LIMIT: DED: WIND / HAIL (If Subject to Different Provisions) X If YES, LIMIT: DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS X CANCELLATION _. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL . 30 DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 71 MORTGAGEE I I CONTRACT OF SALE LENDERS LOSS PAYABLE TAdditional Insured NAME AND ADDRESS Fort Collins Urban Renewal PO Box 580 Fort Collins, CO 80522 LENDER SERVICING AGENT NAME AND ADDRESS AUTHORIZED REPRESENTATIVE �d2 ACORD 28 (2006/07) Page 1 of 2 © ACORD CORPORATION 2003-2006. All rights reserved. The ACORD name and logo are registered marks of ACORD