HomeMy WebLinkAbout103061 FIRST CLASS DIRECT - INSURANCE CERTIFICATEI
DEC 02 2003 16:41 FR
TO 2245099 P.02i02
Mom CERTIFICAT"' OF LIABILITY
DATE 1MMmar"I
INSURAN"FIRST-9 82
12/02/03
PRODUCER
TH13 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown i Brown Inc - Ft Collins
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1
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
nJsuuD
First Class Mailing Service,
INSURER A: HARTFORD FIRE INSURANCE CO_ _
OF
aB Direct,
Inc. dba: First Class
INSURERS, REPUBLIC INDEMNITY CO
Inc.
A n : Patty Taylor
7 Rrd
INSURER C:
SE Frontage
Ft Collins CO 805Y4
INSURER D:
----- ---
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTJRTHSTANDING
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.
L TYPE Oi INSURANCE POLICY NUMBERA I DATE MMIDDM' FIF IN LIMITS
GENERAL LIABILITY
A ii COMMERCIAL GENERAL LIABILITY
34UUVFZ8212
09/24/0.3
I
09/24/04
I EACH OCCURRENCE
51,000,000
FIRE DAMAGE (Any a"flIGI
*300,000
CLAIMS MADE I I OCCUR
I
I
I
MED EXP (Any pro PCrs I
S 10 000
PERSONAL A ADV INJURY_
_
$1,000,000
..y..�j _X
i
I
I
GENERA AGGREGATE
S2,000,000
GE.N'L AGGREGATE LIMIT APPLIES PER:
I
PRODUCTS • COMPIOP AGO
s2,000,000
.•.I POLICY JEpCT I I LOC
�
A
AUTOMOBILE
x
LIABILITY
ANY AUTO
34UUVFZ8212
09/24/03
09/24/04
COMBINED SINGLE LIMIT
(EN EUidEllll
s1,000,000
BODILY INJURY
(Par psmP )
ALL OWNED AUTOS
SCHEDULED AUTOS
I
I
S
BODILY INJURY
IP61OC4donII
_J
HIRED AUTOS
NON -OWNED AUTOS
�
s
PROPERTY DAMAGE
(For widonl)
S
.....�
_. .._-
i
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
15
OTHER THAN EA AGC
_-
S ..... __-
ANY AUTO
I
j
AUTO ONLY. .AT
EXCESS LNIBILITY
EACH OCCURRENCE
$1,000,000
A
nCLAIMS MADE
34XHVFZ7441
09/24/03
09/24/04
AGGREGATE
_
s110001000__
Retention
510,000
�7000UR
_
I OEDUCTSLE
I
$
RETENTION S
S
WORXERS COMPENSATION AMD
EMPLOYERS' LIABILITY
e
113935806
10/01/03
10/01/04
70RY LIMIT3 %E ER
-...
$1,000,000
ELFACHACCIDENT
E.L. DISEASE - EA EMPLOYEE
S1,000,000
E.L. DISEASE. POLICY LIMIT
51 000 000
OTHER
i
i
DESCRIPTION DF OPERATIONSILOC►TIDRSNEWCL.ESIEICLUSKM ADDCO BY ENDORSEMENTISPECIAL PROVISIONS
Re: Bid No. 5643
CERTIFICATE HOLDER I I ADDITIONAL. NSU090-INEIRER LETTER, CANCELLATION
CITYFT5
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPMATIO
DATE THEREOF, THE ISSUBJG INSURER WILL ENDEAVOR TO MAIL 10-_ DAYS WRITTEN
City of Fort Collins
NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 SO SHALL
Purchasing
P 0 Box 560
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON T71 INSURER, ITS AGENTS OR
Fort Collins CO 80522
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Sharma Jamsay
ACLJI :u Z*-Sf(RBJJ .. ..• /w^vv/+.,....nrvl.,,".. 'w..
'/v**/T/OTAL PAGE.02 **