Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutTELESUPPORT SERVICES FLEXIBLE TECHNOLOGY - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE
10/2 2007"
PRODUCER (303) 442-1484 :FAX: (303) 442-8822
Taggart 6 Associates, Inc.
44
1600 Canyon Boulevard
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.
DBA: Flexible Technology
4830 Pearl Street
Boulder CO 80301
INSURER A' Phoenix
25623
INSURERe. Travelers Indedmnity
25658
INSURERc:Pinnacol Assurance
41190
INSURER D:
INSURERS
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.
GREGATE LIMITSSHOWN MAYE EO C P CL61MS
INSR
DD'L
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDNY
POLICY EXPIRATION
DATE MWDDNY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CI -AIMS MADE F(X;CUR
16807768W116TCT07
5/23/2007
5/23/2008
EACH OCCURRENCE
S 1,000,000
PREMISES Ea occxurrrenor
i 300,000
MED EX (My one deI
$ 5,000
PERSONALS ADV INJURY
8 1,000,000
GENERAL AGGREGATE
8 2,000,000
GEN'L AGGREGATE LIMIT APPLIE3 PER:
X POLICY JEOT LOC
PRODUCTS-COMPIOP AGO
$ 2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
I680776814116TC1'07
5/23/2007
5/23/2008
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
Per person)
$
-
X
BODILY INJURY
(Per awitlenQ
6
X
PROPERTY DAMAGE
(Per accident
8
-
_
GAR AGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
8
OTHER THAN EA ACC
AUTO ONLY: ADD
8
$
B
EXCESSIUMBREILA LIABILITY
X OCCUR ❑CIAIMS MADE
DEDUCTIBLE
X RETENTION B 000
ISFCUP776OW221IM07
5/23/2007
5/23/2008
EACH OCCURRENCE
8 1,000,000
AGGREGATE
8 1,000,000
8
8
S
(,`
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
ANY PROPRIETORMARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED'
It yes, describe under
SPECIAL PROVISIONS below
3454055
10/1/2007
10/1/2008
TH
O STATIU OER
E.L. EACH ACCIDENT
8. 1,000,000
E.L. DISEASE EA EMPLOYEES
1, 000, 000
E.L. DISEASE -POLICY LIMIT
$ 1, 000, 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLEVEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERTIFICATE Mnl nPP CANCELLATION
(970)221-6707
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Attention: Ed Bonnette , C.P.M.
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
Purchasing Division
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
215 North Mason Street
2nd Floor
INSURER. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
¢-
Fort Collins, CO 80522
Martha Pompeo/LJK
ACORD 25 (2001108)
INS025 (=B) oaa
O ACORO GORPOKA I ION 188U
Pape 1 A 2
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
INS025 (oiw).w. �'aa=