The URL can be used to link to this page

Home My WebLink AboutTHE JENSEN INVESTMENT GROUP - INSURANCE CERTIFICATE (3)05-31-3561297-3 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 223 JEFFERSON ST STE B FORT COLLINS CO 80524-2431 Notice to the Mortgagee/Loss Payee/Addl Insured: Your interest will be continuous until cancellation notice is mailed to you. ***MANUAL DEC*** General Liability Insurance Policy Declarations Agent: LINDSY MORALES 220 W PROSPECT RD STE C FORT COLLINS CO 80526 AGENT #: 05-E110-10 PHONE: 97-484-7505 Policy Number: 05-31-3561297-3 Effective Date: December 22, 2010, 12:01 A.M. Central Time Policy Form Number: CG 00 01 12 07 Expiration Date: July 8, 2011, 12:01 A.M. Central Time Business of the Named Insured: DWELLINGS The Named Insured is a(n): Corporation Audit Period: N/A 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 $500,000 Each Occurrence Limit $500,000 Rented To You Limit $100,000 Any One Premises Medical Expense Limit $5,000 Any One Person Description of.Hazards PREMISES & OPERATIONS- 63013 DWELLINGS - FOUR FAMILY (LESSORS RISK ONLY) INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS ITEM ZIP CODE: 80524 1201 W PLUM ST 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- 63013 DWELLINGS - FOUR FAMILY (LESSORS RISK ONLY) INCLUDING PRODUCTS &/OR COMPLETED OPERATIONS ITEM ZIP CODE: 80524 809 SCOTT AVE FORT COLLINS CO Additional information on next page (For Office Use Only) Transaction: PC REF H.O. CODE: 300.00 Policy Term: One Year Date Issued: 01-20-2011 01052011 Premium Bases Rates Advance (Annual), Premium EACH 49.926 $50.00 1 UNITS 16.391 $131.00 8 EACH 49.926 $50.00 1 Countersigned By 'R� y\,,,h„ bb G-2.9-G Page 1 05-31-3561297-3 Premium Adjusting -Endorsements Additional Insured - Owners, Lessees or Contractors (Form DOWNTOWN DEVELOPMENT AUTHORITY Pollution Liability Coverage Additional Insured - Owners, Lessees or Contractors (Form CITY OF FORT COLLINS Limits Endorsement Advance Number Premium CG 20 10 07 04 $23.00 100,000 G-146-B $23.00 CG 20 10 07 04 $23.00 Total For Term (This Is Not A Bill): Other Endorsements Attached To This Policy Fungi Or Bacteria Exclusion Colorado Changes- Cancellation And Nonrenewal Common Policy Conditions Limitation Of Coverage To Designated Premises Or Projects Described Premises Exclusion - Year 2000 Computer -Related & Electronic Problems Nuclear Energy Liability Exclusion Endorsement Amendatory Endorsement (Pollution Exclusion) Non -Binding Arbitration Employment Related Practices Exclusion Asbestos Exclusion Rec & Dist Of Material Or Info In Violation Of Law Exclusion ADDL INSURED: DOWNTOWN DEVELOPMENT AUTHORITY 19 OLD TOWN SQUARE STE 230 FORT COLLINS CO 80524-2471 ADDL INSURED: CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522-0580 $300.00 Endorsement. Number CG 21 67 12 04 IL 02 28 09 07 IL 00 17 11 98 CG 21 44 07 98 CG 21 60 09 98 IL 00 21 09 08 G-252-G CG24011204 B-601-B B-559-B CG 00 68 05 09 bb G-2.9-G Page 2