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Home My WebLink About385923 PENNY FLATS CONDOMINIUM ASSOCIATION INC - INSURANCE CERTIFICATE272 05XN142401 06 000 MDS017 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER 05XN142401 NAMED PENNY FLATS CONDOMINIUM ASSOCIATION INC INSURED MAILING C/O MOUNTAIN—N—PLAINS INC ADDRESS 375 E HORSETOOTH RD BLDG 3100 FORT COLLINS, CO 80525-3197 POLICY PERIOD FROM 10-23-2013 TO 10-23-2014 12:01 A.M. Standard Time at your mailing address shown above. CUSTOMER BILLING ACCOUNT 015-433-556 44 FORM OF BUSINESS CORPORATION In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. SECTION I PROPERTY COVERAGE PROVIDED INSURANCE AT THE FOLLOWING DESCRIBED PREMISES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN UNLESS COVERAGE IS PROVIDED BY AN ENDORSEMENT. DESCRIPTION OF PREMISES PREMISES NO. 0001 BUILDING NO. 001 LOCATION 204 MAPLE ST FORT COLLINS, CO 80521-2076 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY CONDOMINIUM ASSOCIATION — RESIDENTIAL WITH MERCANTILE NUMBER Of UNITS 30 CONSTRUCTION FRAME YEAR BUILT 2008 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 322 PROPERTY DEDUCTIBLE $5,000 OTHER PROPERTY DEDUCTIBLE($) OPTIONAL COVERAGE/GLASS DEDUCTIBLE COVERAGE BUILDING REPLACEMENT COST ADDITIONAL COVERAGE BUSINESS INCOME $500 LIMIT OF INSURANCE PREMIUM $5,506,000 $13,471.00 LIMIT OF INSURANCE PREMIUM ACTUAL LOSS SUSTAINED INCLUDED AGENT 017-309 PHONE PAGE 0001 DANIEL B RICHMOND AGENCY, INC. 970-484-2881 BRANCH MDS017 RENW 923 E PROSPECT RD ENTRYDATE 10-17-2013 FORT COLLINS, CO 80525-1110 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 272 POLICY NUMBER 05XN142401 AUTHORIZED REPRESENTATIVE 05XN142401 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 06 000 MDS017 BUSINESSOWNERS POLICY DECLARATIONS CUSTOMER BILLING ACCOUNT 015-433-556 44 A /C �� COUNTERSIGNED (((JJJ��wwwllY�� PP—ident s.onbry LICENSED RESIDENT AGENT AGENT 017-309 PHONE PAGE 0003 DANIEL B RICHMOND AGENCY, INC. 970-484-2881 BRANCH MDS017 RENW 923 E PROSPECT RD ENTRY DATE 10-17-2013 FORT COLLINS, CO 80525-1110 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission