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168310 SCHRADER OIL - INSURANCE CERTIFICATE (2)
---aaal ACORD OP ID: GRTI L.� _VIDENCE OF COMMERCIAL PRnPFRTV inletIDAkle%= UATE(MMIDD/YYYY) - ---- —• .. ............r.v�. 06/29/2012 THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NRIGHTS O UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. PRODUCER NAME, PHONE 71g-,5935814 COMPANY NAME AND ADDRESS PRODUCER NAMEN AN AD RE HGONoi NAIC NO: `Leeggacy Insurance r eiwosrk5 1827 riargate Blvd United States Fire Ins. CO. B Colorado Springs, CO 80920 Tim Gries FAX 719-388-2075 E-MAIL AIC No: ADDRESSlnfo@msiagenLCOm IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR all CODE: SUB CODE: POLICY TYPE AGENCY SCHRA-1 Schra CUSTOMER ID A: NAMED INSURED AND ADDRESS er oil11• 1 LOAN NUMER 320N College V PoLICY NUMBER $2D N College Ft Collins, CO 80524 5068708038 EFFECTIVE DATE EXPIRATION DATE 06/30/12 06/30/13 X CONTINUED UNTIL ADDITIONAL NAMED INSUREDIS) TERMINATED IF CNECKED - - _ THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION Use REMARKS on page 2MESCRIPTION, 'd mores ace is requireG0 BUILDING OR ❑BUSINESS PERSONAL PROPERTY 31"20 LOCATION COLLEGE CONVENIENCE STORE, CAR WASH,CORPORATE FT COLLINS, CO 80524 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. COVERAJ IMrnPUAnnu nnunu n SPECWL COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE $ 36,820,000 DED: ❑ BUSINESS INCOME ❑RENTAL VALUE S NO WA COVERAGE if YES, LIMfT: Actual Loss Sustained; tl of months:BLANKET x If YES, indicate values) reported on property identified above: $ TERRORISM COVERAGE Attach Disclosure Notice /DEC IS THERE ATERRORISM-SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED? LIMITED FUNGUS COVERAGE If YES, LIMIT: FUNGUS EXCLUSION (If "YES", specify organization's form used) DED: REPLACEMENT COST X AGREED VALUE X COINSURANCE If YES, % EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT' ORDINANCE OR LAW -Coverage for loss to undamaged portion of bldg DED: -DemoldiOn.Costs If YES, LIMIT: DED: - Incr. Cost of Construction If YES, LIMIT: EARTH MOVEMENT (If Applicable) DED: FLOOD (If Applicable) If YES, LIMIT: DED: WIND /HAIL (If Subject to Different Provisions) If YES, LIMIT: DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE If YES, LIMIT: DED: HOLDER PRIOR TO LOSS CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MORTGAGEE CONTRACT OF SALE CITY OF FT COLLINS 300 LAPORTE AVE FT COLLINS, CO 80521 SERVICING AUTHORIZED REPRESENTATIVE Tim Gries 28 (2009/12) Page 1 of 2 © 2003-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD