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HomeMy WebLinkAboutTHE GROUP INC REAL ESTATE - INSURANCE CERTIFICATE (5)GROUP-1 OP ID: P5 ACORO' 7017/27/2017 E (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE E(MMID 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 CONTANAME: Kgren E. Siwek, CPA Brown & Brown Inc PHONE FAX 4532 Boardwalk Dr, Suite 200 ac No Ell: 970-482-7747 Alc No): 970-484-4165 Fort Collins, CO 80525 n� MAIL ksiwek@bbcolorado.com Karen E. Siwek, CPA INSURERS AFFORDING COVERAGE _ NAIC # INSURER A: Federal Insurance Company 120281 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 INSURERB: INSURERC: INSURER D : _ INSURER E INSURER F : /`CIITICIP`ATC wn 111IIGCo. RFVIRIr)N NI IlUll 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. DL, SU D INSR TYPE OF INSURANCE NLICY LTR IN WV POLICY NUMBER EFF MMIDD/YYYY MLICY EXP MlDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEFx] OCCUR X 3603-59-64DEN 06/03/2017 06/03/2018 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GI AGGREGATE LIMIT APPLIES PER: POLICY F7 PROJECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 Emp Ben $ 1,000,00 A AUTOMOBILE LIABILITY A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS X 7359-41-81 06/03/2017 06/03/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,00 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident —— $ A X UMBRELLA LAB EXCESS LIAB X OCCUR CLAIMS -MADE 7989-76-90 06/03/2017 06/03/2018 EACH OCCURRENCE $ 2,000,00 $ 2,000,000 $ AGGREGATE DIED I X I RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER $ $ I $ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE 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 per policy forms and conditions. CEKTIFIGA I t HULUtK l+ArvIiCLLH 1 IVIY 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 © 1988-2014 ACORD GORPOKA I IUN. All ngnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD GROUP-1 OP ID: P5 ACORO' 7017/2712017 E (MMlDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE E(MMID NY 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 CONTANAME: Karen E. Siwek, CPA Brown & Brown Inc PHONE FAX 4532 Boardwalk Dr, Suite 200 ac No E:t:970-482-7747 (luc, No): 970-484-4165 Fort Collins, CO 80525 E-MAIL ksiwek@bbcolorado.com Karen E. Siwek, CPA INSURER(St AFFORDING COVERAGE NAIL # INSURERA:Federal Insurance Company 120261 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 B : INSURERC: INSURERD: INSURER E INSURER F : rnti�DAr_�e rcDTIrIr'ATG Kit I1IA9:ZFD• RFVISIr1N NI 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 TYPE OF INSURANCE 'ADDL SUBPOLICY NUMBER MM/DDNYY MMIDDIY YY LIMITS LTR I A X COMMERCIAL GENERAL LIABILITY _MD EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE XOCCUR X 3603-59-64DEN 06/03/2017 06/03/2018 DAMA E TORENTED PREMISES Ea 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 $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,0O PRO - POLICY PRO JECT❑ LOC 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 NON OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE $ 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 OW03/2018 DIED I X RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PER TH- STATUTE ER E.L. EACH ACCIDENT $ -- OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYEE $ 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 CERTIFICATE HOLDER CITYFC2 City of Fort Collins PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Karen E. Siwek, CPA (CO 1988-ZU14 AGURD GUKF'UKA I IUIV. Ali rlgnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD