HomeMy WebLinkAbout273314 THE JENSEN INVESTMENT GROUP - INSURANCE CERTIFICATE05-3t-3561297-3
Policy Issued By
Shelter Mutual Insurance Co.
1817 W Broadway
Columbia, MO 65218-0001
• « 1-800-SHELTER, 1-800-743-5837
Named Insured:.
THE JENSEN INVESTMENT GROUP
% MICHAEL JENSEN
1220 S COLLEGE AVE
FORT COLLINS CO 80524-3716
Notice to the Mortgagee/Loss Payee/Addl Insured: Your interest
will be continuous until cancellation notice is mailed to you.
These Declarations are part of your policy
and replace all prior Declarations.
***MANUAL DEC***
General Liability Insurance
Policy Declarations
Agent:
LINDSAY MORALES
220 W PROSPECT RD STE C
FORT COLLINS CO 80526
AGENT #: 05-OE110-01
PHONE: 970-484-7505
Policy Number: 05-31-3561297-3 Effective Date: November 26, 2010, 06:28 P.M. Central Time
Policy Form Number: CG 00 01 12 07 Expiration Date: July 08, 2011,12:01 A.M. Central Time
11 Business of the Named Insured: DWELLINGS
The Named Insured is a(n): Corporation
Audit Period: N/A
1P,
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 $500,000
Each Occurrence Limit $500,000
Rented To You Limit $100,000 Any One Premises
Medical Expense Limit $5,000 Any One Person
63010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY)
INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS
ITEM ZIP CODE: 80524
1019 1/2 CLUB VIEW RD FORT COLLINS CO
PREMISES & OPERATIONS-
60010 APARTMENT BUILDINGS
INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS
ITEM ZIP CODE: 80524
813 SCOTT ST FORT COLLINS CO
PREMISES & OPERATIONS-
63010 DWELLINGS - ONE FAMILY (LESSORS RISK ONLY)
INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS
ITEM ZIP CODE: 80524
701 REMINGTON ST FORT COLLINS CO
PREMISES & OPERATIONS-
63011 DWELLINGS - TWO FAMILY (LESSORS RISK ONLY)
INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS
ITEM ZIP CODE: 80524
1019 CLUB VIEW RD FORT COLLINS CO
PREMISES & OPERATIONS-
63013 DWELLINGS -
FOUR FAMILY (LESSORS RISK ONLY)
INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS
ITEM ZIP CODE: 80521
809 SCOTT AVE FORT COLLINS CO
Additional information on next page
(For Office, Use Only)
Transaction: PC REF
H.O. CODE: 427.00
Policy Term: One Year Date Issued: 12-01-2010
'09142010'
EACH 29.624 $30.00
1
UNITS 16.391 $131.00
8
EACH 29.624 $30.00
1
EACH 36.992 $37.00
1
EACH 49.926 $50.00
1
Countersigned By
Iv G-2.9-G Page 1
05=31-3561297=3
Shelter Insurance Companies
1817 W Broadway
Columbia, MO 65218
1-800-SHELTER, 1-800-743-5837
.M.F.
CITYOF FORT COLLINS
P O BOX 580
FORT COLLINS CO 80522-0580
***MANUAL DEC***
Policy Number: 05-31-3561297-3
Iv