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Home My WebLink About102621 NEIGHBOR TO NEIGHBOR INC - INSURANCE CERTIFICATE (2)201 05X3505250 09 000 SLG040 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 NAMED NEIGHBOR TO NEIGHBOR INC INSURED 1OZ6 2 I MAILING 1550 BLUE SPRUCE DR ADDRESS FT COLLINS, CO 80524-2015 POLICY PERIOD FROM 01-01-2014 TO 01-01-2015 12:01 A.M. Standard Time at your mailing address shown above. 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. BLANKET 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. 0003 BUILDING NO. 001 LOCATION 1620 AZALEA ST FT COLLINS, CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 8 CONSTRUCTION FRAME YEAR BUILT 1980 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 DESCRIPTION OF PREMISES PREMISES NO. 0004 BUILDING NO. 001 LOCATION 713 AZTEC DR FT COLLINS, CO 80521-1771 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 4 CONSTRUCTION FRAME YEAR BUILT 1982 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 AGENT 020-309 PHONE PAGE 0001 JENNIFER LAMB—SANTIAGO 970-221-0897 BRANCH SLG040 REW 301 W MAGNOLIA ST ENTRYDATE 11-14-2013 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 201 05X3505250 09 000 SLG040 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05X3505250 012-370-633 82 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 8 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 DESCRIPTION OF PREMISES PREMISES NO. 0013 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 5 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 6 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 DESCRIPTION OF PREMISES PREMISES NO. 0014 BUILDING NO, 001 LOCATION 1550 BLUE SPRUCE BLDG 6 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 6 CONSTRUCTION FRAME YEAR BUILT 1984 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 DESCRIPTION OF PREMISES PREMISES NO. 0015 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE BLDG 7 FT COLLINS CO 80524 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 6 CONSTRUCTION FRAME YEAR BUILT 1984 AGENT 020-309 JENNIFER LAMB—SANTIAGO 301 W MAGNOLIA ST FORT COLLINS, CO 80521-2804 PHONE 970-221-0897 PAGE 0003 BRANCH SLG040 REW ENTRY DATE 11-14-2013 BP AF 01 07 09 MEMORANDUM Includes copyrighted material of Insurance Services Office, Inc , with its permission Stock No. 15141 201 05X3505250 09 000 SLG040 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 POLICY NUMBER O5R3505250 BUSINESSOWNERS POLICY DECLARATIONS CUSTOMER BILLING ACCOUNT 012-370-633 82 DESCRIPTION OF PREMISES PREMISES NO. 0019 BUILDING NO. 001 LOCATION 613 CONIFER ST FT COLLINS, CO 80524-2149 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 4 CONSTRUCTION FRAME YEAR BUILT 1976 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 DESCRIPTION OF PREMISES PREMISES NO. 0020 BUILDING NO. 001 LOCATION 619 CONIFER ST FT COLLINS, CO 80524-2150 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 4 CONSTRUCTION FRAME YEAR BUILT 1976 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 DESCRIPTION OF PREMISES PREMISES NO. 0021 BUILDING NO. 001 LOCATION 533 E 4TH ST LOVELAND, CO 80537-5791 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 11 CONSTRUCTION FRAME YEAR BUILT 1965 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 DESCRIPTION OF PREMISES PREMISES NO. 0022 BUILDING NO. 001 LOCATION 1051 1055 W 8TH ST LOVELAND CO 80538 AGENT 020-309 PHONE PAGE 0005 JENNIFER LAMB-SANTIAGO 970-221-0897 BRANCH SLG040 REW 301 W MAGNOLIA ST ENTRY DATE 11-14-2013 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stack No. 15141 Includes copyrighted material of Insurance Services Office, Inc , with its permission 201 05X3505250 09 000 SLG040 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT 05x3505250 012-370-633 82 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 DESCRIPTION DF PREMISES PREMISES NO. 0027 BUILDING NO. 001 LOCATION 1041 PONDEROSA DR FT COLLINS, CO 80521-4184 BUILDING INTEREST LEASED TO OTHERS PREDOMINANT OCCUPANCY APARTMENT BUILDING WITHOUT MERCANTILE NUMBER OF UNITS 8 CONSTRUCTION JOISTED MASONRY YEAR BUILT 1967 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 DESCRIPTION OF PREMISES PREMISES NO. 0028 BUILDING NO. 001 LOCATION 1550 BLUE SPRUCE DR FORT COLLINS, CO 80524-2015 BUILDING INTEREST OWNER OCCUPIED PREDOMINANT OCCUPANCY OFFICE — NOT OTHERWISE CLASSIFIED (NOC) CONSTRUCTION FRAME YEAR BUILT 1982 COMMERCIAL BUILDING CONSTRUCTION COST INDEX LEVEL 323 PROPERTY DEDUCTIBLE $1,000 OTHER PROPERTY DEDUCTIBLE(S) OPTIONAL COVERAGE/GLASS DEDUCTIBLE $500 SEWER BACKUP AND SUMP OVERFLOW DEDUCTIBLE $500 COVERAGE LIMIT OF INSURANCE PREMIUM BUILDING -Blanket $8,303,506 $22,717.00 REPLACEMENT COST AUXILIARY BUILDINGS/STRUCTURES - Blanket $320, 578 $517.00 REPLACEMENT COST BUSINESS PERSONAL PROPERTY - Blanket $136, 963 $445.00 REPLACEMENT COST AUTOMATIC INCREASE IN COVERAGE 4% AGENT 020-309 PHONE PAGE 0007 JENNIFER LAMB—SANTIAGO 970-221-0897 BRANCH SLG040 REW 301 W MAGNOLIA ST ENTRY DATE 11-14-2013 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Includes copyrighted material of Insurance Services Office, Inc , with its permission Stock No. 15141 201 POLICY NUMBER 05X3505250 MORTGAGEHOLDER 05X3505250 09 000 SLG040 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY DECLARATIONS CUSTOMER BILLING ACCOUNT 012-370-633 82 PREMISE NO. BUILDING NO. PREMISE NO. BUILDING NO. COMMUNITY HOUSING CAPITAL INCORPORATED 0009 001 0015 001 315 W PONCE DE LEON AVE STE 225 0016 001 0017 001 DECATUR, GA 30030-2494 0018 001 0026 001 APPLICABLE PROPERTY ENDORSEMENT CHARGES $5.00 TOTAL ADVANCE PROPERTY PREMIUM $24, 874.00 Property forms and endorsements applying to all premises and made part of this policy at time of issue: Any endorsement followed by a state abbreviation will only apply to coverages within this state. BP 06 01 01 07 BP 83 01 07 98 BP 83 02 01 07 BP 84 04 01 07 SECTION II LIABILITY AND MEDICAL EXPENSES Each paid claim for the following coverages reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II Liability in the BUSINESSOWNERS COVERAGE FORM and any attached endorsements. COVERAGE AGGREGATE LIMIT (OTHER THAN PRODUCTS COMPLETED OPERATIONS) PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT DAMAGE TO PREMISES RENTED TO YOU LIABILITY AND MEDICAL EXPENSES PREM 0003 BLDG 001 PREM 0004 BLDG 001 PREM 0009 BLDG 001 PREM 0010 BLDG 001 PREM 0011 BLDG 001 PREM 0012 BLDG 001 PREM 0013 BLDG 001 PREM 0014 BLDG 001 PREM 0015 BLDG 001 PREM 0016 BLDG 001 PREM 0017 BLDG 001 PREM 0018 BLDG 001 PREM 0019 BLDG 001 PREM 0020 BLDG 001 PREM 0021 BLDG 001 PREM 0022 BLDG 001 PREM 0024 BLDG 001 PREM 0025 BLDG 001 PREM 0026 BLDG 001 AGENT 020-309 JENNIFER LAMB—SANTIAGO 301 W MAGNOLIA ST FORT COLLINS, CO 80521-2804 MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES- ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON MEDICAL EXPENSES - ANY ONE PERSON PHONE 970-221-0897 LIMIT OF INSURANCE $4,000,000 $4,000,000 $50,000 $2,000,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 $5,000 PAGE 0009 BRANCH SLG040 REW ENTRY DATE 11-14-2013 BP AF 01 07 09 MEMORANDUM Includes copyrighted material of Insurance Services Office, Inc , with its permission Stock No. 15141 201 05X3505250 09 000 SLG040 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON, WISCONSIN 53783-0001 BUSINESSOWNERS POLICY — POLICY NUMBER DECLARATIONS CUSTOMER BILLING ACCOUNT — 05x3505250 012-370-633 82 PREMISES NO, 0019 BUILDING NO. 001 4 UNITS $18.00 PREMISES NO. 0020 BUILDING NO. 001 4 UNITS $18.00 PREMISES NO. 0021 BUILDING NO. 001 11 UNITS $50.00 PREMISES NO. 0022 BUILDING NO. 001 3 UNITS $14.00 PREMISES NO. 0024 BUILDING NO. 001 4 UNITS $18.00 PREMISES NO. 0025 BUILDING NO. 001 4 UNITS $18.00 PREMISES NO. 0026 BUILDING NO. 001 8 UNITS $37.00 PREMISES NO. 0027 BUILDING NO. 001 8 UNITS $37.00 PREMISES NO. 0028 BUILDING NO. 001 3136 SQUARE FOOTAGE $86.00 APPLICABLE BUSINESS LIABILITY ENDORSEMENT CHARGES $148.00 TOTAL ADVANCE BUSINESS LIABILITY PREMIUM $809.00 Liability forms and endorsements applying to all premises and made part of this policy at time of issue: Any endorsement followed by a state abbreviation will only apply to coverages within this state. BP 04 04 01 06 BP 04 09 01 06 BP 04 17 07 02 BP 04 39 07 02 BP 04 48 01 06 BP 04 54 01 06 BP 04 93 01 06 BP 05 17 01 06 BP 05 77 01 06 BP 10 05 07 02 BP 14 60 06 10 BP 84 24 01 07 BP 85 04 07 10 BP 85 05 07 98CO BP 85 10 07 98 BP 85 12 01 06 IL 75 26 12 05 TOTAL ADVANCE BUSINESS PREMIUM $25,683.00 This premium may be subject to adjustment. AGENT 020-309 PHONE PAGE 0011 JENNIFER LAMB—SANTIAGO 970-221-0897 BRANCH SLG040 REW 301 W MAGNOLIA ST ENTRY DATE 11-14-2013 FORT COLLINS, CO 80521-2804 BP AF 01 07 09 MEMORANDUM Stock No. 15141 Includes copyrighted material of Insurance Services Office, Inc, with its permission