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HomeMy WebLinkAboutAFFINITY TELECOM CCOM - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE TM. DATE 0928/2007 PRODUCER Phone: (30)443-1586 Fax: (303)443-760t MEYERSDINING PROPERTY CASUALTY LLC 3223 ARAPAHOE AVE., STE. 300 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 BOULDER CO 80303 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # ARenc Uc#: 86073 INSURED INSURER A: Hartford Casualty Insurance Company 29424 AFFINITY TELECOM, INC. INSURER B: 4745 WALNUT ST., STE 300 BOULDER CO 80301 INSURER C: 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATELIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADO INSR TYPE OF NBURANCE POLICY NUMBER PDucYEFFEciNE DATE I I DOW POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY 34SBAPI6324 10/01/07 10/01/08 EACH OCCURRENCE $ 2,000,000 X DAMAGE TO RENTED PREMISES (Ee ogvrence) $ 300,000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED. EXP(Any one person) $ 10,000 PERSONAL It ADV INJURY $ 2,000,000 A GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS-COMPlOPAGG. $ 4,000,000 POLICV JECT LOC AUTOMOBILE LIABILITY ANY AUTO 34SBAPI6324 10/01/07 10/01/08 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ A HIRED AUTOS NON -OWNED AUTOS X 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 $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY -- MIYCERIMEETORIPARTNEIt/EXELUTIVE —` — - WcsiniD- OTHER TORv LImCI E.C. EACH AC OFFILERIMEMBER E%CLUDEDT E.L. DISEASE -EA EMPLOYEE $ Nyea, tlesctlba un&r E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS b I— OTHER: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CITY OF FT COLLINS IS NAMED AS AN ADDITIONAL INSURED WITH RESPECTS TO THE GENERAL LIABILITY AS THEIR INTEREST MAY APPEAR. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FT COLLINS ATTN: ED BONNETTE EXPIRATION 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, PO BOX 580 ITS AGENTS OR REPRESENTATIVES. FT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE Attention: 970-221-6707 Aa licia a ACORD 25 (2001/0a) Certificate # 5148 © ACORD CORPORATION 1988