!illlill iii!i! Insurance Support Center > TIERRA GOLINAS HOMEOWNERS ASSOCIATION

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1 , INSURED TIERRA GOLINAS HOMEOWNERS ASSOCIATION POLICY NUMBER 91-8R CONDOM!N!UM ---~----"'--' ~---- PLEASE RETURN THIS PART WITH 'four CHECK MADE PAYABLE TO STATE FARM DATE DUE PLEASE PAY THIS AMOUNT MAR $ c53bd.84=blkl0"fi4-zq4{}.-.". '~C"~ use en!}, 'spared: 94 I (o1f3092a) 1617 i'li Insurance Support Center P.O. Box Dallas; TX ! Iii,11111j Illlll'l!IIIIII IIfll iii Ii!' i'jlll!illlill iii!i!11111 : ;..- ::".'.7"-:--, ":".....,..---.: :::".,...-:::'.---= :.-:_.. :'. ",C:.';'::. _:--~.- - FIRE BAL DUE i : $ Odi"!, ~ I! > --- 0_.-._-----._._.. -:- ~ _.._---_ ~

2 STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS (3 '" 2702 Ireland Grove Road Bloomington, IL Named Insured Policy Number 91-BR PolicV Period Effective Date Expiration Date 12 Months MAR MAR AT2 R FABO F V TIERRA COlINAS HOMEOWNERS ASSOCIATION 36A CAMINO LOMA SECO LAMY NM Agent and Mailing Address BRYAN DOERNER 1541 PACHECO ST SANTA FE NM ,,111111'11'11111'111,11'111,1'1'11 11'1,11111"'11'11111'11 11 The policy period begins and ends at 12:01 am standard Time atthe premises location. PHONE: (505) Residential Community Association Policy Automatic Renewal - If the policv period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: HOMEOWr\lERS ASSOCIATION NOTICE: Information ooncerning ohanges in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM $ Discounts Applied: Renewal Year Claim Record E D2 Copyright State Farm Mutual Automobile Insurance Company, Z008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 7 ; ".2 0; :n 21J1l loll:m1cl

3 RENEWAL DECLARATIONS (CONTINUED) Residential Community Association Policy for TIERRA COLINAS HOMEOWNERS Policy Number 91-BR SECTION I PROPERTY SCHEDULE Location Location of Limit of lnsurance" Limit of lnsurance" Number Described Premises Covera~e A- Coverage 8 Buildmgs Business Persona! Property I CAMINO LOMA SECO No Coverage No Coverage LAMY NM AUXILlA.RY STRUCTURES - location Description Limit of insurance" Limit of lnsurance" Number Cave rase! A - Coverage B- Buildmgs Business Personal Property 001A SIGN $ 3,100 See Prop Soh * As of the effective date of this policy, the Limit of Insurance as shown includes any Increase In the limit due to Inflation Coverage. Inflation Coverage Index: 163.2!>ECTION I - DEDUCTIBLES Basic Deductible $ Copyright, State Farm Mutua! Automobile Insurance Company, 2008 Includes copyrighted materia! of Insurance Services Office, Inc., with Its permission. Continued on Next Page Page 2 of 7

4 RENEWAL DECLARATIONS (CONTINUED) Residential Community Association Policy for TIERRA COLINAS HOMEOWNERS Policy Number 91-BR Special Deductibles: Money and Securities Equipment Breakdown $250 $500 Employee Dishonesty $250 Other deductibles may apply - refer to policy. SECTION I EXTENSIONS OF LIMIT OF - EACH DESCRIBED PREMISES The coverages and corresponding llmlts shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule."!f a coverage does not have a corresponding limit shown below, but has "" indicated, please refer to that policy provision for an explanation of that coverage. UMITOF Collapse Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Fire Department Service Charge Fire Extinguisher Systems Recharge Expense Glass Expenses Increased Cost Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basis) Newly Acquired Business Personal Property (applies only if this policy provides Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides Coverage A - Buildings) 10% $100,000 $250,000 Ordinance Or Law - Equipment Coverage Preservation Of Property 30 Days Water Damage, Other Liquids, Powder Or Molten Materia! Damage E Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copvriqhte d material of Insurance Services Office, lnc., with its permission Continued on P,everse Side of Page Page 3 of 7

5 RENEWAL DECLARATiONS (CONTINUED) Residential Community Association Policy for TIERRA COLINAS HOMEOWNERS Policy Number 91-BR SECTION I - EXTENSIONS OF - LIMiT OF - EACH COMPLEX The coverages and corresponding limits shown below apply separately to each complex as described in the policy. Accounts Receivable On Premises Off Premises Arson Reward Forgery Or Alteration LIMIT OF $50,000 $15,000 $10,000 Money And Securities Money And Securities (Off Premises) (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Outdoor Property Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) $2,500 Personal Property Off Premises $15,000 Pollutant Clean Up And Removal Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Valuable Papers And Records On Premises Off Prem ises $10,000 $2,500 $2,500 $10, Copyright, State Farm Mutual Automobile Insurance Company, Z008 Includes copyrighted material of Insurance Services Office, lnc., with its permission Continued on Next Page Page 4 of 7

6 RENEWAL DECLARATIONS (CONTINUED) Residential Community Association Policy for TIERRA COLINAS HOMEOWNERS Policy Number 91~BR SECTION I ~ i::xtensions OF - LIMIT OF - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. Back-Up of Sewer or Drain UMiTOF insurance Employee Dishonesty $25,000 Loss Of Income And Extra Expense Actual Loss Sustained - 12 Months SECTION II liability Coverage L - Business Liability Coverage M - Medical Expenses (Any One Person) LIMIT OF $1,000,000 Damage To Premises Directors And Officers Rented To You Liability $300,000 $1,000,000 AGGREGATE LIMITS UMITOF Products/Completed Operations Aggregate General Aggregate Directors and Officers Aggregate $2,000,000 $2,000,000 $1,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. CMPAOOO Copyright, State Farm Mutual Automobile Insurance Company, Z008 Includes COPYrighted material of Insurance Services Office, lnc., with its permission. Continued on Reverse Side of Page Page 5 of 7

7 RENEWAL DECLARATIONS (CONTINUED) Residential Community Association Policy for T!ERRA COLINAS HOMEOWNERS Policy Number 91-BR-9731-Q Your policy consists of these Declarations, the BUSiNESSOWNERS FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy ~PRMSAND ENDORSEMENTS CMP-4100 FE CMP-4814 CMP-4231 CMP-4550 CMP-4746 CMP-4710 CMp 4508 CMP-4705 FD-6007 Businessowners Coverage Form "Terrorism Insurance Cov Notice Directors & Officers Liability Amendatory Endorsement Residential Community Assoc Hired Auto Liability Employee Dishonesty Money and Securities Loss of Income & Extra Expnse Inland Marine Attach Dee ;, New Form Attached This policy is issued by the State Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, illinois. ~~m,~ Secretary President Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Next Page Page 6 of 7

8 RENEWAL DECLARATIONS (CONT!NUED) Residential Community Association Polley for TIERRA COLINAS HOMEOWNERS Policy Nwnber 91-BR ~iij ~ NOTICE TO POLICYHOLDER: For a comprehensive description of coverages and forms, please refer to your policy. Policy changes requested before the "Date ", which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after tl'18 "Date " will be ssnt to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Your coverage amount... It is LIP to you to choose the coverage and limits that meet your needs. INe recommend that you purchase a coverage limit equal to the estimated replacement cost of your structure. Replacement cost estimates are available from building contractors and replacement cost appraisers, or, your agent can provide an estimate from Xactware, Inc."using information you provide about your structure. We can accept the type of estimate you choose as long as it provides a reasonable level of detail about your structure. State FarrnBdoes not guarantee that any estimate vviil be the actual future cost to rebuild your structure. Higher limits are available at highet' premiums. Lower limits are also available, as long as the amount of coverage meets our underwriting requirements. We encourage you to periodically review your coverages and limits with your agent and to notify us of any changes or additions to your structure Copyright, State Farm Mutual Automobile Insurance Company, 2003 Includes copyrighted material of Insurance Services Office, lne.. with its permission Page 7 of 7 See Reverse for Schedule Page with Limits Copyright. State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, lnc., with its permission U-631} a.z Uh-::!1 2Ul1!oH;jt32e!

9 91-BR M ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT NUMBER LIMIT OF DEDUCTIBLE AMOUNT ANNUAL PREMIUM FE-8743 Inland Marine Computer Prop Loss of Income and Extra Expense $ $ 10,000 10,000 $ OTHERLIMITS AND EXCLUSIONSMAY APPLY- REFERTOYOURPOLlCY FES Copyright, State Farm Mutual Automobile Insurance Company, Z008 FD-6007 Includes copvnuhtad material of Insurance Services Office, Inc., with its permission b3u5b6 il.2 U!)-312[J11 (u1[3233c!