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Home My WebLink AboutTHE GROUP INC REAL ESTATE - INSURANCE CERTIFICATE (9)GROUP-1 OP ID: P5 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/27/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: CONTACT Karen E. Siwek, CPA Brown & Brown Inc PHONE 970-482-7747 FAX No): 970-484-4165 4532 Boardwalk Dr, Suite 200 A/c No Ell: Fort Collins, CO 80525 ADDRESS: ksiwek@bbcolorado.com Karen E. Siwek, CPA INSURERS AFFORDING COVERAGE NAIC # INSURERA:Federal Insurance Company 20281 INSURED The Group, Inc. Real Estate INSURERB: (dba): The Group, Inc. Real Estate Associates; TGI Holding INSURERC: Inc. & TGI Properties Inc INSURER D : 375 E. HOrsetooth Rd. INSURER E: Ft Collins, CO 80524 - INSURER F : OCtlACIr%KIAllIRAPPD- VVVCRHV CJ v�.�.0 .vr.. �........+�... THIS IS TO CERTIFY THAT 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 CERTIFICATE 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. ADDL SUB POLICY EFF POLICY EXP INSIR LTR TYPE OF INSURANCE I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE OCCUR XO X 3603-59-64DEN 06/03/2017 06/03/2018 A A E TO RENTED PREMISES Ea occurcence $ 1,000,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO ❑ LOC JECT GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 Emp Ben $ 1,000,00 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 _ BODILY INJURY (Per person) $ A ANY AUTO X 7369-41-81 06/03/2017 06/03/2018 BODILY INJURY (Per accident) $ $ _ ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED X HIREDAUTOS X AUTOS PROPERTY DAMAGE Per accident A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 7989-76-90 06/03/2017 06/03/2018 EACH OCCURRENCE $ 2,000,000 $ 2,000,000 _ ___. AGGREGATE DED X RETENTION$ 0 WORKERS COMPENSATION PER T STATUTE ER H- $ AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE- POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as Additional Insured per policy forms and conditions. RTIFICATE HULUEK vnw� CITYF10 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Puchasing Division AUTHORIZED REPRESENTATIVE 215 N. Mason St. Karen E. Siwek, CPA Fort Collins, CO 80521 La ,A W 1 VOO-LV 1� ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ---a"ON GROUP-1 OP ID: P5 ACORO' DATE (MM1DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F07/27/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: K9ren E. Siwek, CPA Brown & Brown Inc PHONE FAX 4532 Boardwalk Dr, Suite 200 A!c No Ext :970-482-7747 Arc No): 970-484-4165 Fort Collins, CO 80525 ADDRESS: ksiwek@bbcolorado.com Karen E. Siwek, CPA INSURERS AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company 120281 INSURED The Group, Inc. Real Estate INSURER B : (dba): The Group, Inc. Real Estate Associates; TGI Holding INSURERC: Inc. & TGI Properties Inc INSURERD: 375 E. Horsetooth Rd. Ft Collins, CO 80524 INSURERE: INSURER F : f�COTI LIP`ATC wu ��a000. RF\/ICI(1 AI All IMRFR• THIS IS TO CERTIFY THAT 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 CERTIFICATE 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. INSR ADD L SUBR --- POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE N D POLICY NUMBER MMIDD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE OCCUR X �3603-59-64DEN 06/03/2017 06/03/2018 pR PREMISES EAMAUE TO a occurrence $ 1,000,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY ❑ PRO LOC JECT Emp Ben $ 1,000,00 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO X 7359.41-81 06/03/2017 06/03/2018 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS PROPERTY accident) $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 A EXCESS LIAB CLAIMS -MADE 7989-76-90 06/03/2017 06/03/2018 DED X RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as Additional Insured with respects to Automobile Liability and General Liability per policy forms and conditions. Fax#970-221-6707 CITYFC2 I BAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 Karen E. Siwek, CPA U 1988-2014 ACUKU UUKPUKA I IUN. All rlgn[s reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD