HomeMy WebLinkAboutH AND H DATA SERVICES - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE(MMIDD/YYYY)
HHELE-1
07 13 07
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1100 Haxton Drive Suite 100
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone: 970-223-1804
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Allied Insurance
INSURER B:
H & H Data Services
Joe Hehn
INSURER C:
1310 Webster Avenue
Fort Collins CO 80524
INSURER 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
INSR
TYPE OF INSURANCE
POLICY NUMBER
DATEYEFFECTMM DDIYY
POLICYEXPIRATION)MM/DD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 r 000 r 000
A
X
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx_1 OCCUR
ACP7512278113
07/01/07
07/01/08
PREMISES(Eaoccurence)
$100,000
MED EXP (Any one person)
$ 5,000
PERSONAL &ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2 r 0 00 r 000
POLICY PROJECT LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
ACP7512278113
07/01/07
07/01/08
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 000 000
r i
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ 1000000
A
X OCCUR 71 CLAIMSMADE
ACP7512278113
07/01/07
07/01/08
AGGREGATE
$
$
PDEDUCTIBLE
X RETENTION $ None
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TORY LIMITS ER
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - POLICY LIMIT 1
$
SPECIAL PROVISIONS below
OTHER
A
Property Section
ACP7512278113
07/01/07
07/01/08
A I
Equipment Floate IACP7512278113
07/01/07
07/01/08
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
City of Fort Collins is named as additional insured with regards
CERTIFICATE HOLDER CANCELLATION
FORTC-1 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City Of Fort Collins P.O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522-0580 REPRESENTATIVES.
AUTHQRAEED"IgEPRESENTATI V E
• %'Wrw cu I,cuu uuol U AGORD CORPORATION 1988