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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 _ J w THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P+cOucLR' 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 S( HL 11111 f 0 AUTOS I Ilr= ADIOS NON OWNFO AUTOb GARAGC LIAGII RY ANY AUI U CYCCSS LIA011 II Y 0(('JR ClA1M�MA0r Df 'LUC TALL HFII N1ION S I WCRKCR5 CUM" E NSATION AND EMPLOYEHb OAIIILITY rE - _ _ , l__ _ _ GrNGTAL ACCREGATC is$2 000,000 I PRODULTb COM010PAGG 13 $2, DOD, 000 CUMtlINFD SINGLE UNIN S (Cs scutlenll HUUILY INJURY q Irur r�r nnI I POOILY INJURY S 1P11 11meu0 PROPERTY DAMAGE 5 LP0 I NL11II AUTOO ONLY to AGCIDCNT TZ ][SCRIP Ibn' Of OPERATION SlLOCA TIONSNCNIQESIE%LLUgONS ADDED HY ENDORSCMENTI61'E Cc�rtif,x.citc holder is named as Additional Insured _—_�__._ CERTIFICAIF I !OLDER , Y nOm nUNnLJNSUR[D INSURER LETTCa _r- --_ - CZTYOFF 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 I V%�+TO—�b1TI _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 I I I L LNL AGGHCFAIE LIMIT N'nllFy ern � r or11Y FRO JIII to, AUTOMODA F LIAHII ITY ANY r.11l0 . ALI n,uNCp AlIlUS '„H1 OnLFO AUTOS I HIRf D At) 105 NON O` NCD A'ITOS I GARAGE LNrJLITY ANY Ay) D -- V FXCrAs LIA91LIlY yJ --,-�— -� —-----•-^^-- J 1 OCtVR CLAIMS MADE I nFPUCTIHIE i NETFNTIGN f I W ORKF RE C0nrLNSA`PON AND I MPLOYtRS' I IA06ITY 1 --�—h—'-- I 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 % TEA drerJr nll SODA Y N IURY (rm norsonl EODILY INJURY a (Fv oalnonl) - PROPEhTY DAMACE IHtl/ , CC o Inl) IAUTOONLY CAACCIDTT IS _ - -EA OTHCR 1 HAN ACC I B_ _- _- _ _ AJTO ONLY AGO S IEACH OC,CURRPNOC S t TICTN 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 �v SERVICECO WHERE ENERGY AND SERVICE ARL ONE