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HomeMy WebLinkAboutTELESUPPORT H AND H DATA AXIS NETWORKS - INSURANCE CERTIFICATEDate: 3/2/2007 Time: 9:56 AM To: City of Fort Collins 6 19702216707 Page: 001 ACORDTM CERTIFICATE OF LIABILITY INSURANCE /ozizool PRODUCER (303)442-1484 FAX (303)442-8822 Taggart & Associates, Inc. 1600 Canyon Boulevard Y P. 0. Box 147 Boulder, CO 80306 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED TELESUPPORT SERVICES INC & FLEXIBLE TECHNOLOGY 4830 PEARL STREET BOULDER, COLORADO 80301 wsURERA. Phoenix 25623 INSURERS Travelers Indemnity 25658 INSURERC Pinnacol Assurance INSURERD. INSURER E. 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' INSIR ILTR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE IMIMI POLICY EXPIRATIODATE N GENERAL LIABILITY I6807768W116PHXO6 05/23/2006 05/23/2007 EACH OCCURRENCE $ 1 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS MADE OCCUR MED EXP (Any one person) $ 5,00( A PERSONAL & ADV INJURY $ 1,000,00C _ GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,00( X POLICY PRO -CT LOC AUTOMOBILE LIABILITY ANY AUTO I6907768W116PHX06 OS/23/2006 05/23/2007 COMBINED SINGLE LIMY (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ A X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Pereccident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO 1 $ AUTO ONLY: AGG EXCESSAIMBRELLALIABILMY ISFCUP7768W221IND06 05/23/2006 05/23/2007 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,0001 B $ $ DEDUCTIBLE X RETENTION $ 10, OD $ WORKERS COMPENSATION AND 3454055 10/01/2006 10/01/2007 WC STATu- orH- C EMPLOYERS'LIABLITY ANY PROPRIETOR/PARTNEP/EXECUTIVE EL. EACH ACCIDENT $ SOO DD EA EMPLOYE E.L. DISEASE -ECIAL $ 500, 00 OFFICER(MEMBER EXCLUDED? cribe under SPIf yes. S PROVISIONS below E L. DISEASE- POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS I-COTICII"ATC Lull nco rwurei 1 Arinu SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins Attention: Ed Bonnette, C.P.M. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Purchasing Division 10 DAYS wRrrrrN NOTICE TO THE CERTIFICATE HOLDERNAMED TO THE LEFT, 215 North Mason Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 2nd Floor OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE 4. 7xx Michael Taggart CPCU CIC CIA,4,� 4� ACORD 25 (2001I08) FAX: (970) 221-6707 ©ACORD CORPORATION 1988 Date: 3/2/2007 Time: 9:56 AM To: City of Fort Collins @ 19702216707 UUL IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)