HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - RIVERSIDE TECHNOLOGY INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE R-2 D DATE (MMIDD YV)
VER-2 04/29/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brown & Brown Inc - Ft Collins HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
125 S . Howes, 5th Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-226
Phone:970-482-7747 Fax:970-484-4165
INSURED
Riverside Techno ogy Inc
2290 E Pros �Oc80i25
Ft Collins
L,UVCKALaCJ
INSURERS AFFORDING COVERAGE
INSURERA: ITT HARTFORD
INSURER B:
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 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR—POLICY
LTR
TYPE OF INSURANCE
POLICY NUMBER
-EFFECTIVE
DATE MMIDDIYY
POLICYEXPIRATION
DATE MMIDDIYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 , 000 , 000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE I -XI OCCUR
34 SBA LR7484
05/01/03
05/01/04
FIRE DAMAGE (Any one fire)
$300,000
MED EXP (Any one person)
$ 5 , 000
PERSONAL&ADV INJURY
$1,000,000
GENERAL AGGREGATE
s21000,000
kGEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
POLICY PRO JECT LOC
AUTOMOBILE
LIABILITY
A
ANY AUTO
34UECFZ9573
05/01/03
05/01/04
COMBINED SINGLE LIMIT
(Ea accident)
$1 OOO OOO
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
X
NON-OWNEDAUTOS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GAR AGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
E%CESS LIABILITY
OCCUR El CLAIMS MADE
DEDUCTIBLE
RETENTION $
~
nIts
1, �,U�%�
�ti) �uiY
EACH OCCURRENCE
$
AGGREGATE
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
` \`>�'� i
��
WC STATU LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
ATTN: Clayton Kimmi
CITYFT7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -A.- DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P . 0. Box 580 Utility
P. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
O. BOX
Fort Collins CO 80522 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ,
25-S (7/97) (c�ACORC CORPARATInN'IQRR