HomeMy WebLinkAboutMILE HIGH TELECOM, LLC - INSURANCE CERTIFICATE�►coRO� CERTIFICATE �F LIABiLITY INSURANCE DATE�MMlODM'YY)
�� O1/26/2024
THiS CERTIFICATE IS ISSUED AS A MATTER OF INFO}7NFATION ONLY AND CONFERS NO RIGNTS UPON THE CERTIFECATE HOLDER. TH{S
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
B£LOW. THiS CERTIFICATE OF INSURANCE bOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATiVE OR PRODUCER, AND THE CERTIPICATE HOLDER.
IMPORTAN7: If the certificate holder is an ADDfTIONA� INSURED, the policy�ies) must have ADDtTIONAL INSURED provisions o� be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions ot the policy, certain policies may require an endorsement. A statement on
this certificate does no! confer rights to the certificate holder in lieu o( such endorsement(s1.
PRODUCER
biBERK
P.O. Box 113247
Stamford, CT 06911
84Q-472-0967
customerservice@biBERK.com
INSU R ER(S� A FFO R DING COV ERAGE
WeIlFleet New York lnsurance Company
INSURED
Mile High Telecom, LLC
5187 Eikhart St
Denver, CO 80239
COVERAGfS
CERTIFICATE NUMBER:
INSURER B:
INSURER D:
F:
REVISION NUMBER:
NAIC #
)931
THiS IS TO CERTIFY 7HAT iHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREd NAMED ABOVE FOR THE POLICY PERIOD
IfJOICATED. NOTWITHSTANDIfJG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT QR OTHER DOCUMENT WI7H RESPECT TO WH:CH 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 POL3CIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 6Y PAID CLAIMS.
INSR TYPE OF INSURANCE AOOL SUBR " POUCY EFF POLICY EXP LIMITS
LTR POUGY NUMBER MMIDDIYY MMlbD1YY
COMMERCIALGENERALLIABILITY EACHOCCURRENCE 5 O
CLAIMS-MADE �� OCCUR DAMAGE TO RENTED Q
PREMISES(Eaoccurrence� S
MEp EXP (Any one person) $ 0
PEftSONAL 8 ADV INJURY $ �
GEN'L AGGREGATE LIMiT APPl1ES PER: GENERAL AGGREGATE � �
POLICY j�T f I LOC PRODUCTS - COMPlOP AGG S �
OTHER $
AUTOMOBILELIABILITY COMBINEDSINGLELIMIT �
{Ea accdenl
ANY AUTO $OOILY INJURY (Per persqn) $
OWNEO SCHEDUIED BOOILY INJURY (Per accident) S
AUTOS ONLY AUTOS
HIRED NON-OWf,7E0 PROPERN DAMAGE $
AUTOS ONLY AUTOS ONLY Per acctidaM
�� $
UMBRELLA LIAB p�CUR FACH OCCURRFNCE $
EXCESSLIAB CLAiMS•MADE AGGREGATE 5
DED RETENTIONS $
WORKERSCOMPENSATION X STATUFE ERH
AND EMPLOYERS' LIA&LITY y � N 1 ODO,OOO
A ANYPROPRIEfOR/YARTNERIEXECUTIVE q� N9WC952177 04/15/2023 04/15/2024 E�t�£aGHACCIUEN7 S'
OFFICERhAEMBEREXCLUDED? N!A -----
(Mandatory in NH) F.L. DISEASE • EA EMPLOYEE 51,0��,00�
li yes,describeunder � �1,000,000
DESGRIPTION Of OPERATIONS below := l DISEASE - POUCY LIMIT S
Professional Liability (Errors & Per Occurrence/
Omissions): Claims-Made Aggregate
DESCRIPTIOtJ OF OPERA710NS! LOCATIONS 1 VEiiICLES (ACORD 101, AddRlonal Remarks Schedule, may be attached if more space is tequlred)
Exclusions:
Ivan Ortiz;
CERTIFICATE HOLDER
Gty of Fort Collins
281 N. Coliege Ave.
Fort Collins, CO 80524
ACORD 25 (2016l03)
CANCELLATION
SHOUI.D ANY OF THE ABOVE DESCRIBED POLlCiES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEI.IVERED IN
ACCORDANCE WITH THE POLICY PROVlSIONS.
AUTHORIZED REPR�SENTATIVE � J�
� O �— —'
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