HomeMy WebLinkAboutECOS COMMUNICATIONS - INSURANCE CERTIFICATE (3)Ta JAMES OINEILL From: Anita Most 3-16-05 3:16pm p. 1 of 2
ACORD
OF LIABILITY INSURANCE
DATECERTIFICATE
oAT031612005 m
PRODUCER
STAILEY INSURANCE CORPORATION
2084 S. MILWAUKEE ST.
DENVER CO 80210
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
ECOS COMMUNICATIONS INC.
2028 17TH STREET
BOULDER CO 80302-
INSURER A: Colorado Casualty Insurance Company
41785
INSURER B:
INSURER C:
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.
wsR
LTR
ADD
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE jMMVDOWj
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [j] OCCUR
CPP 0543234 03
12/20/04
12/20/05
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES (E2 occureocel
$ 100,000
MED- EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRO -
POLICY JEC7 LOG
PRODUCTS-COMPlOP AGG.
$ 2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CPP 0543234 03
12/20/04
12/20/05
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY AGG
$
$
EXCESS / UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
77
we sinru- OTHER
TORY LIMITS
E L. EACH ACCIDENT
$
EL DISEASE -EA EMPLOYEE
$
EL.DISEASE-POLICY LIMIT
;$
OTHER:
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE
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
CITY OF FORT COLLINS
DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S
DIRECTOR OF PURCHASING 8: RISK MGMT
AGENTS OR REPRESENTATIVES.
215 N MASON STREET, 2NO FLOOR
AUTHORIZED REPRESENTATIVE -
FT COLLINS, CO 80522-0580
Attention: JAMES OINEILL 970-221.6707
R6ndy Carey
ACORD 25 (2001/08) Certificate # 21772 0 ACORD CORPORATION 1988
To: JAMES 01HEILL
From: Anita Most 3-16-05 3:16pm p. 2 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-S (2001f08) Certificate #21772