HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATEA ORD CERTIFICATE OF LIABILITY INSURANCERST-9 SO ID B2
DATE (MYY)
10/02/03
PRODUCER
Brown 6 Brown Inc - Ft Collins
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone: 970-482-7747 Fax: 970-484-4165
INSURERS AFFORDING COVERAGE
INSURED First Class Maili,
ng Service
Inc, dba: First Class Direct,
Inc.
INSURER A: HARTFORD FIRE INSURANCE CO
INSURER B: REPUBLIC INDEMNITY CO OF
INSURER C:
Attn: Patty Taylor
760 SE Frontage Road
Ft Collins CO 80524
INSURER D:
INSURER E:
COVERAGES
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
LTR
F TYPE OF INSURANCE
POLICY NUMBER
—POLICY EFFECTIVE
DATE MM/DDIYY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F�X] OCCUR
- 34UUVFZ8212
09/24/03
09/24/04
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 300,000
IVIED EXP (Any one person)
$ 10,000
PERSONAL S ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
ECT OC
PRODUCTS - COMP/OP AGO
$2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34UUVFZ8212
09/24/03
09/24/04
INED
CE accideentSINGLE LIMIT
$1,000,000
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS LIABILITY
X OCCUR �CLAIMSMADE
DEDUCTIBLE
RETENTION $
34XHVFZ7441
09/24/03
09/24/04
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$1,000,000
Retention
$10,000
$
WORKERS COMPENSATION AND
B EMPLOYERS' LIABILITY
7E.L.
OTHER
1001 D3
/ /
1D of 04
/ /
WU 6 LIMITS X ER
TORY13935806
ELEACHACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1 , 0 0 0 , 00 Q
DISEASE - POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXC LUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER N I ADDITIONAL INSURED; INSURER LETTER:_ CANCELLATION
FTCCITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATIC
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL SO_ DAYS WRITTEN
Utilities Services Coordinator NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Joanne Agana PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
25-S