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Home My WebLink AboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATE 2004ACORDL CERTIFICATE OF LIABILITY INSURANCE DATE01109/04 1 01 /09/04 PRODUCER 317-615-7600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Acordia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 111 Monument Circle, Ste. 3200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, P. C.-Box 44980 Indianapolis, IN 46244 INSURERS AFFORDING COVERAGE INSURED T2 Systems INSURER A: ITT Hartford Insurance Group Mr. Troy Lane INSURER B: 7835 Woodland Drive, #250 INSURER C: Indianapolis IN 46278 INSURER D: INSURER E: CI)VFRAr:FR 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 JJJLDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE IMM/DDNY) POLICY EXPIRATION DATE iMM/DDNY) LIMITS A GENERAL LIABILITY 36SBAAD3437 1 /01 /04 1 /01 /05 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one tire) $ 100000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 10000 CLAIMS MADE Fx_1 OCCUR PERSONAL& ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 POLICY PRO LOC AUTOMOBILE LIABILITY.., - ANY AUTO COMBINED SINGLE LIMIT (Ea accident) 8 BODILY INJURY -- - - (Per person) - . S ALL OWNED AU-TOS SCHEDULED AUTOS - BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ 71 OCCUR CLAIMS MADE AGGREGATE $ S $ DEDUCTIBLE $ RETENTION S A WORKERS COMPENSATION AND 36WECKE3694 1/01/04 1/01/05 TH- We srMT- OER E.L. EACH ACCIDENT S SOOOOO EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE 8 500000 E.L. DISEASE - POLICY LIMIT S 500000 OTHER _F DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: THE BELOW REFERENCED CERTIFICATE HOLDER IS ADDITIONAL INSURED ATIMA. �&n nt-IVMI G nw&u= I 1 I ADDITIONAL INSURED: INSURER LEI ILK: \,/"TIN\/CLLM I IWIY City of Fort Collins, Colorado Purchasing Division 215 North Mason St., 2nd Floor Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25-S (7/97) Uffl3el ® ACORD CORPORATION 1988