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HomeMy WebLinkAboutAFFINITY TELECOM - INSURANCE CERTIFICATEAug.2d. '2uui 1 7briVl VleyersUlnIog, LLG No. Mb ACQRDTM. CERTIFICATE OF LIABILITY INSURANCE PRODUCER Pflow (303)443-ImB Fix! (3M)443-7501 THIS CERTIFICATE IS ISSUED AS A MATTER OF M EYERSDINING PROPERTY CASUALTY LLC ONLY AND CONFERS NO RIGHTS UPON THE CE 3223 ARAPAHOE AVE., STE. 300 HOLDER, THIS CERTIFICATE DOES NOT AMEND; BOULDER GO 80303 ALTER THE COVERAGE AFFORDED BY THE Ml II INSURERS AFFORDING COVERAGE r DATE (MMIDDNYYY) 08/2S/2007 INFORMATION 1TIFICATE EXTEND OR NAIG @ INSURED INSURERA: Hartford Casualty InSNranoc Company 22424 AFFINITY TELECOM, INC. INSURER B: 4745 WALNUT ST„ STE 300 INSURER C: , BOULDER CO 80301 INSURER D: 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. AGGREGATELIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. liin lrv� TYPE OFINSURANCE POLICY NUMBER PBMGYETEEDTNE DATE PDUDYEXPIRAnoN DATE NMr LIMITS GENERAL LIABILITY 34SBAP16324 10/01/07 10/01/08 EACH OCCURRENCE 5 2,000,000 X COMMERCIALGENERALLIABILRN CLAIMS MADEa OCCUR DAMACETD REINED PREMISES wamcel S 300,000 MED. EXP(My., pCta ) Is 10,000 PERSONALA ApV INJURY Is 2,000,000 A GENERAL AGGREGATE Is 4,000,000 GENL AGGREGATELIMITAPPUESPETt POLICY EIa LOC PRODUCTS-COMP/OP AGG. Is 4,000,000 AUTOMOBILE LIABILITY ANY AUTO 34SBAP16324 10/01/07 10/01108 COMBINED SINGLE LIMB (ER aml nl) $ Z,000, OOO ALL OWNEC AUTO$ BODILY IWURY SCHEDULED AUTOS (P-PAN $ A HIRMPAUTOS NON-0WNED AVTOS X X (PST ewDani) PROPERTY DAMAGE $ GARAGE LIABILITY ONLY. FI. A(XCIOENT $ �AUTU THERTHAN FA ACCUTO ANYAUTO ONLY. AGO $ EXCESS I UMBRELLA LIABILITY OCCUR ❑CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY rvt aTAnl" OTHER TOkY Lneha EL. EACH ACCIDENT $ ANY PROPRIETORRARMZWEUCNTIYE DWIGERINEMIDER EYCLODED9 c, wcmw Pnwr EL DISEASE -EA EMPLOYEE $ EA-DIBEA$E-PDLDY LIMIT Is SPE SPECML PROVI81DNB wlow JOTHER: DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/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. YHIYI,CLLH I Irl1Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FT COLLINS EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS' ATTN: ED 80NNETTE 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 IPS AGENTS OR REPRESENTATIVES, FT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE Attention: 070-221-6707 .,,} r .G7 ""' AII' Clad ACORD 25 (2001/0S) CartlflCato # 5148 (b ACORn CORPORATNIN 4nRR Aug.28 2007 1:58PM MeyersNning, LLC No.8826 P. 1 ACQRD CERTIFICATE OF LIABILITY INSURANCE TM. DA oarz812007 PRODUCER Plrone'. (303)443-108S FA¢: (003)443-7601 MEYERSDINING PROPERTY CASUALTY LLC 3223 ARAPAHOE AVE., STE- 300 BOULDER GO 80303 THIS CERTIFICATE 13 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 NAIL # A enc Ud1: 86073 INSURED INSURERA: Hartford CasuaB Int3MTBnce Company 129424 AFFINITY TELECOM, INC. INSURER B: 4745 WALNUT ST„ STE 300 BOULDER CO 80301 INSURER C: INSURER D:. 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 OOCfIMENT 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. AGGREGATELIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR IWP TYPE OF INSURANCE POLICYNUMBER POl1CY EPFECTNE mmmumwm POLICY MONRATION GATE LVO LIMITS GENERAL LIABILITY 34SBAP16324 10/01/07 10/01/08 EACH OCCURRENCE 1 2,000,000 X PAMAGE TO RENTEu m PREMISES Feomeenl $ 300,000 COMMERCIALGENERALLIABILITY CLAIMS MADE OCCUR MED. EXP(My one person) Is 10,000 PERSONAL 9 ADV INJURY $ 2,000.000 A GENERAL AGGREGATE $ 4,000,000 GENLAGGREGATE LIMIT APPLIES PER POLICY JPERO- LOC PRODUCTSCOMP/D➢AGG. $ 4,000,000 AUTOMOBILE LIABILITY ANY AUTO 34SBAP16324 10/01/07 10/01/08 COMBINED SINGLE LIMIT (EA RWd.nt) $ 2,000,000 ALL OWNED AUTOS BODILY INJURY SCHEWLEDAUTOS (Per person) $ A HIREDAUTOS X NON -OWNED AUTOS . .. BODILY INJURY (PerS ldmt) $ X $ PROPERTY DAMAGE (Per acotlent) GARAGE LIABILITY AUTO ONLY .EA ACCIDENT 1 $ ANY AUTO OTHERTHAN EAACC $ AUTO ONLY: qGG $ EXCESS I UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE FAGH OCCURRENCE $ AGGREGATE $ is DEDUCTIBLE Is RETENTION $ Is WORKERS COMPENSATION AND EMPLOYERS' LIABILITY we srAru- OIHER TORY LIMITS E L. EACH ACCIDENT $ ANY PROPRIETOWA.EWEXECIIIIVE DMICERMEMBER ECCLUOEOT UEE E.L, DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ LPROouoew sPEC1AL PRWISIOxe Mlmx OTHER: I T DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/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. rcermir•v� , rn... �.. CITY OF FT COLLINS ATTN: ED BONNETTE PO BOX 580 FT COLLINS, CO 80522 Attantlan: 870-221-6707 ANY OF THE ABOVE DESCRIBED POLICIES EE CANCELLED BEFORE THE ON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE > SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, pINo ©AGORD CORPORATION 1983