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HomeMy WebLinkAboutTHE GROUP INC REAL ESTATE - INSURANCE CERTIFICATE (7)GROUP-1 OP ID: P5
.A4r_-4C>Rex CERTIFICATE OF LIABILITY INSURANCE
�-�
FDA�TE(MM/'mm"DDrYYYY)
06/06/2018
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
Brown 8 Brown Inc
4532 Boardwalk Dr, Suite 200
CONTACT Karen E. Siwek, CPA
_
PHONE 970-482_7747 FAX
AIC No Ext : A/c No : 970-484-4165
Fort Collins, CO 80525
Karen E. Siwek, CPAADDRESS:
E-MAIL
certificates@bbcolorado.com
INSURER($) AFFORDING COVERAGE
NAIC #
INSURER A: Federal Insurance Company
20281
INSURED The Group, Inc. Real Estate
(dba): The Group, Inc. Real
INSURER B :
Estate Associates; TGI Holding
INSURERC:
INSURER D :
Inc. & TGI Properties Inc
375 E. Horsetooth Rd.
Ft Collins, CO 80524
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
MM! D/YYYY
MMI DN XP
YYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILnY
J CLAIMS -MADE OCCUR
3603-59-64WCE
06/03/2018
06/03/2019
EACH OCCURRENCE
$ 1,000,00
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 1,000,00
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO JECT ❑ LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,00
PRODUCTS - COMP/OP AGG
$ 2,000,00
lEmp Ben
$ 1,000,00
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
rAUTOS AUTOS
X X NON -OWNED
HIRED AUTOS AUTOS
735941-81
06/03/2018
06/03/2019
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTYDAMAGE
Per accident
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
7989-76-90
06/03/2018
06/03/2019
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
DED I X I RETENTION $ 0
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes. describe under
DESCRIPTION OF OPERATIONS below
N/A
PER OTH-
STATUTE ER
_
$ -
$
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE
E.L. DISEASE - POLICY LIMIT
1 $
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 form CG8960
FAX 970-224-6134
CERTIFICATE HOLDER CANCELLATION
CITYFC1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
Engineering Dept
AUTHORIZED REPRESENTATIVE
281 N. College Ave
Karen E. Siwek, CPA
Fort Collins, CO 80524
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ACORD 25 (2014/01)
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