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HomeMy WebLinkAboutWIDEBAND COMMUNICATIONS - INSURANCE CERTIFICATE03/23/2007 03:06PM Pinnacol Assurance PAGE 1 OF 3 PIMMAA COL ASSURANCE Date 03/23/2007 To: FORT COLLINS POLICE DEPARTMENT Fax Number: 970-221-6707 From: INSURANCE OF DENVER, INC. SHAWN HEGARTY Phone Number: Subject: Document: UW135 22949357 Policy M 4057385 Total Pages: Notes: Please contact us if you do not receive any portion of this transmission 7501 E. Lowry Blvd. Denver, CO 80230-7006 Phone:303-361-4000 www.pinnacol.com The information contained in this telecopy transmission is confidential or privileged and is intended to be for the use of the individual or entity named on this transmission sheet. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this telecopied information is prohibited. If you have received this telecopy in error, please notify us by telephone immediately so that we can arrange for the retrieval of the original transmission. 03/23/2007 03:06PM Pinnacol Assurance PAGE 2 OF 3 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMtDD/YYY 03/2312007 PRODUCER Pinnacol Assurance 7501 E Lowry Blvd DENVER CO 80230-7006 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 WIDEBAND COMMUNICATIONS, INC 8200 S. AKRON #111 CENTENNIAL CO $0112 INSURER A Pinnacol Assurance 41190 NUURER e. NSURER C: NSURER D,. INSURER E'. COVERAGES 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 LTR AWL INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATEIMMAONYYYI POLICY EXPRATION DATEfMM,ODNYYY) UMITS GENERAL LWBILRY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES IS... MED EXP Ukn anp Popanl MRSO NAL I ADV INJURY GEN'L AGGFEGATE UMIT APFUERS FOR: PoUCY PROJECT FOR GENERAL AGGREGATE PROOVCTS. COMPIOP AGG AUTOMOBILE UAMLITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT IEp pmidpnlI BODILY I NJURY IF. pmpnl RODILY INJURY (Po pas dx0 PROPERTY DAMAGE IPopwdnl GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY AGG EXCEEENMBRELLALIAMLITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION F EACH OCCURRENCE AGGREGATE A WOMEN COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOKIPARTNERMXECUTIVE OFFICERIMEMBER EXCLUDED! If yn, Plxu dnoibp undo SPECIAL PROVISIONS bpbw 4057385 06101/2006 06101/2007 X WC STATU.Li OTHER TORY LIMITS E.LEACH ACODENT 31,D0D,DQD E.L. DISEASE - EA EMPLOYEE 1 $1,000,000 E.L. DISEASE. POLICY UMIT 1 $1,000,000 OTHER DE6CMRION OF OPERATIONS /LOCATIONS I VEHICLES I EXCW610NS ADDED BY ENGORGEMENT / SPECIILL PROVISONS SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL CERTIFICATE HOLDER CANCELLATION 976084 FORT COLLINS POLICE DEPARTMENT P 0 BOX 580 FORT COLLINS CO 80522 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVI AUTHORIZED REPRESENTATIVE Rodney Postillion Underwriter ACORD CORPORATION 1968 FNNAWES Ee L—I/EMP Rpaa.d 0,.1n D3121/0703:02.47 40573M Updplad: 12 AS ASS512:D0:00 UW135 03/23/2007 03:06PM Pinnacol Assurance CERTIFICATE HOLDER COPY PAGE 3 OF 3 FORT COLLINS POLICE DEPARTMENT P 0 BOX 580 FORT COLLINS CO 60522 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, tertian 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. POLICY NUMBER: 4057385 BUSINESS LOCATION: WIDEBAND COMMUNICATIONS, INC CLASSIFICATION OF OPERATION CLASS DESCRIPTION Affiliate Coverage:michael hunziker 874205OUTSIDE SALESPERSON 760605BURGLAR ALARM INSTALLATION OR REPAIR & DRIVERS 881005EXCLUSIVELY OFFICE COVERAGE COVERAGE RATI EFFECTIVE EXPIRES TYPE 06/01 /2006 06/01/2007 CO O6/01/2006 06/01/2007 EM 06/01/2006 06/01/2007 EM ACCony, ' uzk1i 5riCA30r 8�.°�°ar°LIABILITY INSURANCE No•9730T1 1(T„�,D,,,,,, nalaannnv Insurance Solutions of Lakewood 2235 South Wadsworth Blvd Suits 106 NAIC N INSURED Wldeband Communications Inc 8200 8 Akron St Ste 111 Centennial CO 80112 COVERAGES 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 SUSJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM8. INBR ADWL POL N IIDIER EFFM2 POLICYEI�IRATI N LIWTB A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE x© OCCUR Professional Llab Ind CL$1324582 0211312007 02H3/2008 PACK OCCURRENCE s2,000,000 DAMAME-TO-UNT'ED100000 5 000 MEDEXP ono x PERSQNAL & ADV INJURY 2 000,000 2,00,000 ENERAtAGGREGATE 12,000,000 8E4'1.AGO POLICY LIMITAPPLIES PER p� PRODUCTS - compiopAGO 2 000 000 AUTOMOBILE LIABILITY ANY AUTO ALLCWNED AUTOB SOHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (EA AMIdGM i BODILY INJURY (Per Person) , BODILY INJURY (Par owd"1) i PROPERTY DAMAGE (Par ac=W) $ ■ LIABILITY ANYAUTO AUTO ONLY • EA ACCIDENT III OTHER THAN EA ACC AUTO ONLY: A EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION i EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIEfURMARTNERIMCUTIVE OrPICEWMEMBER EXCLUDED? P k XNaaIM uner I a OTHER wC 8TA7U- OTFI• E.L. BAD H ACCIDENT S. E.L. I - EA EMPLOYEE D LI Y LIMB DESCRIPTION OF OPERATIONS) LOCATIONS f VEHICLES I EXCLUSIONS A13010 BY ENDORSEMENT I SPECIAL PROVISIONS f 970.221.6707 Att: James Hume CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THEABOVE DESCRISEO POLICIES ON CANCELLED SMUTHE EXPIRATION Ft Collins Police Department DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: Purchasing NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P O Box 580 IMPOSE NO OBLIPATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ft Collins, CO 80522 REP AUTHORIZED REP ATI�• lOLlRN AO Ji MDIIDOI 0 ACORD CORPORATION 1990 ar•23. 2007— 1:59PM-3039800807 No•9730—P• IMPORTANT If the certHfcate holder Is an ADDITIONAL INSURED, the pollry(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(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 aller the coverage afforded by the policies listed thereon. 20(2001108)