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HomeMy WebLinkAboutTHE GROUP INC REAL ESTATE - INSURANCE CERTIFICATE (8)GROUP-1 OP ID: P5
ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE
os/06/2o18 / os/2
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: Karen E. Siwek, CPA
Brown & Brown Inc PHONE g7U-482-7747 FAX
4532 Boardwalk Dr, Suite 200 A/c No Ell: A/c, No): 970-484-4165
Fort Collins, COk, 8PA ADDRESS: certificates@bbcolorado.com
Karen E. Siwek, CPA
INSURED The Group, Inc. Real Estate
(dba): The Group, Inc. Real
Estate Associates; TGI Holding
Inc. & TGI Properties Inc
375 E. Horsetooth Rd.
Ft Collins, CO 80524
INSURER(S) AFFORDING COVERAGE
NAIC p
INSURER A: Federal Insurance Company
20281
INSURER B :
INSURER C :
INSURER D :
INSURER E:
INSURER F :
COVFRAGFS C-FRTIFICATF Nl1MRFR- RFVISIr1N Nl1MRFR-
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.
IY
LTR
TYPE OF INSURANCE
POLICY NUMBER
MMI DIYYYY
EXP
MM DlYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE )(OCCUR
X
3603-59-64WCE
06/03/2018
06/03/2019
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence)
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY D JECTPRO- LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,00
PRODUCTS-COMP/OPAGG
$ 2,000,000
lEmp Ben
$ 1,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
X NON -OWNED
HIRED AUTOS AUTOS
X
7359-41-81
06/03/2018
06/03/2019
COMBINED SINGLE LIMIT
c
Ea acident
$ 1,000,000
BODILY INJURY (Per person)
$
X
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
7989-76-90
06/03/2018
06/03/2019
EACH OCCURRENCE
$ 2,000,00
AGGREGATE
$ 2,000,00
DIEDX RETENTION $ 0
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
PER
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
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
CFRTIFIrATF Hrl1 nFR r:ANr:FI I ATIr)N
CITYFC2
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.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80522
Karen E. Siwek, CPA
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD