The URL can be used to link to this page

Home My WebLink AboutGREENSHIRE STABLES LLC - INSURANCE CERTIFICATE (4)American Bankers:' RENEWAL OF FSL-4161751-94 Insurance Company of Florida POLICY DECLARATIONS * * * EFFECTIVE A Stock Insurance company 12:01 AM STANDARD TIME AT MAILING 8655 E. Via de Ventura I ADDRESS OF THE INSURED Scottsdale, AZ 85258-3321 POLICY NUMBER FROM POLICY PERIOD TO POLICY TYPE AGENCY PAGE 1 FSL4161751 ,11/15/2013 11/15/2014 FARMOWNER OFC9001-0015 OF3 NAMED INSURED AND MAILING ADDRESS AGENT/ACCOUNT GREENSHIRE STABLESILLC GOETZ INSURORS INC SEE NAMED INSURED CONTINUATION 227 MAIN ST 4205 S COUNTY ROAD 7 PO BOX 190 FORT COLLINS, CO 80525-9610 FORT MORGAN, CO 80701-2106 - 0015 CARRUTH, ROBERT J. The Insured is: ® An Individual ❑ A Joint Venture ❑ A Partnership ❑ An Organization (Other Than A Partnership or Joint Venture) ❑ A Limited Liability Company Insured premises: Item No. Description Location 1 4205 S COUNTY ROAD 7, LARIMER COUNTY, FORT COLLINS, CO 80525 ***See GL-91 for Additional Farm Premises *** This replaces all previously issued Policy Declarations, if any. This Policy applies only to accidents, occurrences, or losses which happen during the Policy term shown above. This Policy applies only to those coverages below for which a limit of liability or premium charge is shown. "Our' limit of liability for each coverage shall be not more than the amount stated for such coverage, subject to all the "terms" of this Policy. Property Coverages A. Residence B. Related Private C. Personal D. Add'I Living Cost Structures Property or Fair Rental Value Limit of Liability $ 548,798 $ 54,879 $ 384,157 $ 109,760 E. Farm Barns, Buildings F. Scheduled Farm G. Unscheduled Farm and Structures Personal Property Personal Property Limit of Liability $ 274,026 $ 0 $ 50,000 Coverage F: ❑ Pro Rata Distribution Clause ❑ Coinsurance Clause _ Coinsurance Percentage Coverage G: ® 80 Coinsurance Percentage -- This replaces the percentage under Other Limitations -- Coverage G. Additional Property Not Covered`Under Coverage G: i' Deductible: $ 1,000 All Perils Except: ❑ Refer to deductible endorsement. A2301 1 999 mnEarof 'Group. A2301(1).meta American Bankers:RENEWAL OF FSL-4161751-94 Insurance Company of Florida POLICY DECLARATIONS * * * EFFECTIVE A Stock Insurance Company 12:01 AM STANDARD TIME AT MAILING 8655 E. via de Ventura ADDRESS OF THE INSURED Scottsdale, AZ 85258-3321 POLICY NUMBER FROM POLICY PERIOD TO POLICY TYPE AGENCY PAGE 2 FSL 4161751 11/15/2013 11/15/2014 IFARMOWNER OFC9001-0015 I OF 3 This Policy is exteneded to cover the following activities, in addition to "farming': Extra Expense Coverage -- Limit of Liability S POLICY LIMIT The following"limits" replace those in the Policy for the coverages noted below Incidental Prooertv Coveraees', - Forms FO-1. FO-2. FO-3. FO-4, or FO-5 Fire Department Service Charge Credit Card, Forgery, and Counterfeit Money Outdoor Antennas - Wei 1 Pumps Private Power and Light Polesl Refrigerated Food Spoilage - Tenant's Improvements Incidental Protlerty Coveraeesy-- Form FO-6 Fire Department Service Charge Property in the Care of a Common or Contract Carrier Signs Glass Breakage in Cabs Farm Operations Records _ A2301B(1F1095 member of ASWra/11Group Limit of Liabili R POLICY LIMIT $ POLICY LIMIT S POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT S POLICY LIMIT $ NOT COVERED POLICY LIMIT S POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT A2301B(i).meG AAIS This endorsement changes the Commercial Liability Coverages provided by this policy PLEASE READ THIS CAREFULLY -- ADDITIONAL INSURED DESIGNATED PARTY Schedule The information required below may be shown on a separate schedule or supplemental Declarations. Designated Party: CITY OF FORT COLLINS Designated Activity: ADDITIONAL INSURED/USE OF PASTURE LAND Designated Interests: GREENSHIRE STABLES LLC The Commercial Liability Coverage is amended as follows: DEFINITIONS The definition of insured is amended to include the following: Insured also includes the party designated in the Schedule but only with respect to liability arising out of GL-841 Ed 1.0 u activities designated in the Schedule rating to: GL-841 Ed. 1.0 a. your operations; b. premises owned by or rented to you, or c. other designated interests shown in the Schedule. Copyright MCMXCI, American Association of Insurance Services AAIS American Bankers: RENEWAL OF FSL-4161751-94 Insurance Company of Florida POLICY DECLARATIONS * * * EFFECTIVE A Stock Insurance Company 12:01 AM STANDARD TIME AT MAILING ADDRESS OF THE INSURED 8655 E. Via de Ventura j Scottsdale, AZ 85258-3321 POLICY NUMBER FROM POLICY PERIOD TO POLICY TYPE AGENCY PAGE 1 FSL4161751 11/15/2013 11/15/2014 FARMOWNER OFC9001-0015 OF 3 NAMED INSURED AND MAILING ADDRESS AGENT/ACCOUNT GREENSHIRE STABLESLLC GOETZ INSURORS INC SEE NAMED INSURED CONTINUATION 227 MAIN ST 4205 S COUNTY ROAD 7 PO BOX 190 FORT COLLINS, CO 80525-9610 FORT MORGAN, CO 80701-2106 - 0015 CARRUTH, ROBERT J. The Insured is: ® An Individual ❑ A Joint Venture ❑ A Partnership ❑ An Organization (Other Than A Partnership or Joint Venture) E]A Limited Liability Company Insured premises: Item No. Description Location 1 4205 S COUNTY ROAD 7, LARIMER COUNTY, FORT COLLINS, CO 80525 *** See GL-91 for Additional Farm Premises *** This replaces all previously issued Policy Declarations, if any. This Policy applies only to accidents, occurrences, or losses which happen during the Policy term shown above. This Policy applies only to those coverages below for which a limit of liability or premium charge is shown. "Our" limit of liability for each coverage shall be not more than the amount stated for such coverage, subject to all the "terms" of this Policy. Property Coverages A. Residence B. Related Private C. Personal D. Add'l Living Cost Structures Property or Fair Rental Value Limit of Liability $ 548,798 $ 54,879 $ 384,157 $ 109,760 E. .Farm Barns, Buildings F. Scheduled Farm G. Unscheduled Farm and Structures Personal Property Personal Property Limit of Liability $ 274,026 $ 0 $ 50,000 Coverage F: ❑ Pro Rata Distribution Clause ❑ Coinsurance Clause Coinsurance Percentage Coverage G: ® 80 Coinsurance Percentage -- This replaces the percentage under Other Limitations -- Coverage G. Additional Property Not Covered`Under Coverage G: i= Deductible: $ 1,000 All Perils Except: ❑ Refer to deductible endorsement. A2301 1095 member of tGr0qp A2301(1).meta American Bankers RENEWAL OF FSL-4161751-94 Insurance Company of Florida POLICY DECLARATIONS * * * ` EFFECTIVE A Stock Insurance Company 12:01 AM STANDARD TIME AT MAILING 8655 E. via de Ventura ADDRESS OF THE INSURED Scottsdale, AZ 85258-3321 POLICY NUMBER FROM POLICY PERIOD To POLICY TYPE AGENCY PAGE 2 FSL 4161751 1 11/15/2013 I 11/15/2014 1FARMOWNER 0FC9001-0015 OF 3 This Policy is exteneded to cover the following activities, in addition to "farming": "Farming" is extended to include: Equine related activities as classified elsewhere on the Declarations and for which a premium is shown. NAMED INSURED CLAUSE: GREENSHIRE STABLES LLC, HOMER CRAIG NORRIS, BARBARA LYNN WEST NORRIS MOBILE HOME ROOF CLAIMS WILL BE SETTLED AT REPLACEMENT COST Commercial Liability Each Occurrence Limit Coverage $1,000,000 General Aggregate Limit (other than Products/ Completed Work) $2,000,000 Fire Legal Liability Limit $50,000 /per occurrence Medical Payments to Others' $5,000 per person Products/Completed Work Hazard Aggregate Limit $2,000,000 American Bankers- RENEWAL OF FSL-4161751-94 Insurance Company of Florida POLICY DECLARATIONS * * * EFFECTIVE A Stock Insurance Company 12:01 AM STANDARD TIME AT MAILING 8655 E. Via de Ventura ADDRESS OF THE INSURED Scottsdale, AZ 85258-3321 POLICY NUMBER FROM POLICY PERIOD To POLICY TYPE AGENCY PAGE 2 FSL 4161751 3. 11/15/2013 1 11/15/2014 IFARMOWNER OFC9001-0015 I OF 3 This Policy is exteneded to cover the following activities, in addition to "farming": Extra Expense Coverage -- Limit of Liability $ POLICY LIMIT The following "limits" replace those in the Policy for the coverages noted below: Incidental Property Coverages:-- Forms FO-1, FO-2, FO-3, FO-4, or FO-5 Fire Department Service Charge Credit Card, Forgery, and Counterfeit Money Outdoor Antennas Well Pumps Private Power and Light Poles; Refrigerated Food Spoilage ' Tenant's Improvements Incidental Property Coverages`-- Form FO-6 Fire Department Service Charge Property in the Care of a Common or Contract Carrier Signs Glass Breakage in Cabs Farm Operations Records A210'1 tlt'1 t-'1095 member ofJl=rantcro(/P_ . Limit of Liabili S POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT $ NOT COVERED $ POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT $ POLICY LIMIT A2101B(1).meta American Bankers Insurance Company of Florida A Stock Insurance Company 8655 E. Via de Ventura Scottsdale, AZ 85258-3321 RENEWAL OF FSL-4161751-94 POLICY DECLARATIONS * * * EFFECTIVE 12:01 AM STANDARD TIME AT MAILING ADDRESS OF THE INSURED t MORTGAGEE INFORMATION i MORTGAGEEE NAME AND MAILING ADDRESS 1) BANK OF AMERICA, CLIENT 133, PO BOX 961206, FORT WORTH, TX 76161-0206 2) FIRST NATIONAL BANK, 205 W OAK ST, FORT COLLINS, CO 80521 LOAN NUMBER 1) 1ST MORTGAGEE, 2) 2ND MORTGAGEE LIENHOLDER/LOSS PAYEE INFORMATION SECURED PARTY NAME AND MAILING ADDRESS f LOAN NUMBER Commercial Liability If this is checked _ coverage does not apply. All known exposures at the beginning of the Policy period have been identified below. Classification Code Rating Basis Rate Premium i $ SUBJECT TO THE FOLLOWING FORMS AND ENDORSEMENTS AF-9378SM 1095, B8085G1012, B8301E0403, B8302E0403, B8318E0205, B8337E0605, B8341E0905, B8344EI109, B8371EI 107, B8404E1012, B8406E1012, FO-20 1.0, FO-200 1.0, FO-216 1.0, FO-217 1108, FO-3 1.0, FO-309 1.1, FO- 341 1.0, FO-360 1.0, FO-362 1.0, FO-368 0699 FO-55 1.0, FO-6 1.0, FO-61 1.2, FO-675 1006, FO-738 0800, GL-10 2.0, GL-40 1.0, GL-610 2.0, GL-612 1.0, GL-73 2.0, GL-81 2.0 GL-810 0305 GL-83 2.0, GL-841 1.0 GL-890 2.0 GL-9 1.0 GL-904 2.0, GL-91 1.0 NIP1982-R0213 $5,872 TOTAL POLICY PREMIUM: $5,872 COUNTERSIGNED: By: AUTHORIZED AGENT DATE t I i f s I a A2301 C(1)-1095 memEerotAMff3ntCMuP A2301C(1).meta AAIS This endorsement changes the Commercial Liability Coverages provided by this policy -- PLEASE READ THIS CAREFULLY -- ADDITIONAL INSURED DESIGNATED PARTY Schedule ( i ne mrormauon requirea Deiow may De snown on a separate scneauie or supp Designated Party: CITY OF FORT COLLINS Designated Activity: ADDITIONAL INSURED/USE OF PASTURE LAND Designated Interests: GREENSHIRE STABLES LLC The Commercial Liability Coverage is amended as follows The definition of insured is amended to include the following: Insured also includes; the party designated in the Schedule but only witli respect to liability arising out of GL-841 Ed. 1.0 activities designated in the Schedule rating to: a. your operations; b. premises owned by or rented to you, or c. other designated interests shown in the Schedule. GL-841 Ed 1.0 Copyright MCMXCI, American Association of Insurance Services AAIS