HomeMy WebLinkAboutSERVICECO INC - INSURANCE CERTIFICATEDEC-16-2002 MON 09:51 AM TEGELER & ASSOCIATES FAX NO, MC31742002 P. 02102
ACORD_ CERTIFICATE_ OF
LIABILITY INSURANCE OP IERVI1 B DA1(MY; 2
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1'egeler 6 Associates-Pinoda3 e
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
P 0 Box 82.9
Pinedale WY 82941
INSURERS AFFORDING COVERAGE
Phone 307-367-2154 Fax 307-367-2632
INSun En
INSUkCRA Travelers Insurance_ _
INbUREH fI___
SNzviccco, LTD
INSURER
Logan Tower 1580 Logan,Sto745
INSURER
- -- -- - -- "- -
Denvcl Co 06203
I INSURER C _
COVERAGES
I IT POL ICIL S UI IN TIIRAN( F LI , I EU P-I OW I IAVC 5E1,N ISPUI 0 TO THE INSURF D NAMFD ABOVE FOR TI Ic POLICY HuRIOO INDILAI EO VOTWITHSTANGING
ANY R, OUIHL M. NI TCRM UII LONUITII1N Or ANY CON TRACT OR 0 I HER OOCUMCNT WITH HLSPCCT TO WHICH THIS rCRTIr!CAI E MAY DE ISSULD OR
MAI FL RTAA I III INIA IRANLE AI ORDFD DY THL POLIOIFS DFICR16EU I IFRFIN IS SU,3J'1. r 10 Al l TIC I LHMS E%CL (I-, IONS AND CONOITIONS OF SUCH
IOU61EnAC„R' GAI E LIMI IS SH OWN MAY HAVE RFFN RCOULEU by PAID CLAIMS
IN54 POLICYFI-FLCIIVCIPDLICY FXPlklTIOM1r LIMITS
LTR TYPE Or IN5VHANCC _ POLICY NUMBER DATE MMIDDIYYJ II DATE (MMID)NY
GEN11M LIABILITY EACH OCC'JRRENCc J3$1,000J000
A X CUMAIEHIIAIOf NFRALLIAbnNr 680'176W2578 1, 05/03/02 05/03/03(FIRE DAMAGE(Arly Ono 110)-_Is$300,000___
�nAIMS MADE X'ocruR I Mco cxr(An, on'•Prl_AnJ I $5�000
RSONA' EADV INJURY 13 $1 000 000
IIN ASGR[GAJL LIMIT APPI CSPER
POLIK Y PROLOr
AU I OMOOL C LIABILITY
ANY AUID
All (nb Nl0 AU, OS
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WCRKCR5 CUM" E NSATION AND
EMPLOYEHb OAIIILITY
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GrNGTAL ACCREGATC is$2 000,000
I PRODULTb COM010PAGG 13 $2, DOD, 000
CUMtlINFD SINGLE UNIN
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HUUILY INJURY
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Cc�rtif,x.citc holder is named as Additional Insured
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CERTIFICAIF I !OLDER , Y nOm nUNnLJNSUR[D INSURER LETTCa
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City of tort Collins
Tiancfort
256 W Mountain Ave
P O Box 580
rort Collins CO 80522-0580
DT If R TI IAN EA ACC s
AD IO ONLY AGG I S
`F AC I I OC DU RR EN CIE Ir5 _
I ACCHFGATE — S
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_TORY LIMITS! ER _ __-
I E L EACH ACCIDENT 4
C L DISZASt cA EMPLOYEE! 5
EL DISEASC POLICY LIMIT S
CANCELLATION
SHOULD ANY OF II,W ADOVE DESCRIBED POLICIlSBECANCELLEODCFO YHF EYPIRATION
DATE THEREOF. THE nSUING IN5URER WILL ENDEAYLEFT
DAYS WRITT EN
NOTICE 10 TIIC CERTIFICATE HOLDER HAMCD T T////LIRE TO DO SO SHALL
IMP ENO LIGATIIQA DR L/L�iC TY OF ANY///�IpN0UFPH ITS AGENTS OR
CPRE5FNTf CS7- f
ACORD tb S ('197
UHA I IUN "1900
02
DEC-17-2002 TUE 09:23 AM TEGELER & ASSOCIATES FAX NO. 13073672632 D � B Pr 002
ACORQ, CERTIFICATE OF LIABILITY INSURANC��ROF ID $ DALZ�L7r02
THIS CERTIFICATE IS IS5UEa AS p MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Tegeler 6 Associate's-Pinedale HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
I' 0 Box 829 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Pincdale WY 82941
Phone 307-367-2154 Fax 307-367-2632 ` INSURERS AFFORDING COVERAGE
INSURER _ Travelers Insurance_
LN,URFRD
Servxceco, LTD IINSULra C_
Logan Tower 1580 Logan,Ste745 IINSUPERn
Denver CO 86203 — --
COVERAGES
IIIF PM A IFS OF ,rv.,11RANCE U', I LIDPCLOW I IAVE Or FN ISSUCO 10 THE INAUM D NAMLO MOVE FOR lilt POLICY P°'.IDD 7NDIGATLO NDTW17H STANOING
1'NYFtOUVta1tNT (SRM OR( END( I ION Or ANY CONTRAOT OR OTHER DOCUMrN r WIIH Rrm'CCT TO WHICk TI IIS CCR I ICICATC MAY RL ISSUEO OR
MAY PI R FAIN O It IN$UFiANC C AH ORDIr! tlY 1 NE FOLICII S DCSORIULO IEREIN IS SUGIECT TO ALI I HC 1 cRMS EXCLUSIONS AND CCNOH IONS OF SUCH
P01 ES ACC NCGAIr I WITS LI IOWN MAY HAVE ELCN REDUCED By PAID CLAIMS
ub❑ - - `" "- - - -- - I POI ICYFFFELTIVE f OLICYFk PIkATION
Tg ^1 YPE OC INSURANCE -- POLICY NUMBER- I DATE(MrAIDOrcv1 r DATC IM,MIDDJ LIMIIS e
CFNRRAL IInDII ITY 1 ---�J i EACH O_GCUrRENC LS y1, GOD, DOG
A X'roMrn urint orNv:nl unRalTY 680776W2578 OS/03/02� 05/03/031 FmE OAM_A_cC(A,, 0, nro) la_$300,000_
U MMo MXOL X OCCUR MFU EXP tA, ono PAreary If$5 000
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L LNL AGGHCFAIE LIMIT N'nllFy ern �
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AUTOMODA F LIAHII ITY
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1 OCtVR CLAIMS MADE
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W ORKF RE C0nrLNSA`PON AND
I MPLOYtRS' I IA06ITY
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Certificate holder is named as Additional Insurod
GOTIC Ir�A fC L�/ll r1C0 V nnnr rrnnrnr r�lcrrn�n rniclluior r
City of Fort Collins
TrariSf Ort
256 W Mountain Ava
P 0 Box 580
Fort Collins CO 80522-0580
PER TONAL IAIVWRZ S$1, DDDJ DDO
ENERALAGCREGATE_ 1$2_000,000
PRODUCT_COMP OP AOG LT $ 2, 0 0 0, 0 0 0
OOMRWED SINGLE LIMIT
%
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SODA Y N IURY
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EODILY INJURY
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PROPEhTY DAMACE
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IAUTOONLY CAACCIDTT IS _
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ACC I B_ _- _- _ _
AJTO ONLY
AGO S
IEACH OC,CURRPNOC
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CITYOFF SHOULDANYOE TnFADOVEOESCR,OFO POLUCICS 5ECANCCLLE00EFORC THE CtFIRAT101
DA76THLREOr,THE1S$UINGINSURF9WiLLENDFAVORTOMAIL -30_DAYS WRITTEN
NO ICE TO THE CERTINCATI6 HOLDER NAMED TO THE LOFT, BUT FAILURE TO DO 50 SHALL
IMFOSC NO OSLIGAI ION OR LIAOILITY OF ANY KIND UPON THE INSURtR ITS AGENTS OR
REPRESCNTATIVty
Administrative Services
Purchasing Division
Ethel J Pitts
Vice- President kwopi
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SERVICECO
WHERE ENERGY AND SERVICE ARL ONE