HomeMy WebLinkAboutFIRST CLASS MAILING SERVICE FIRST CLASS DIRECT - INSURANCE CERTIFICATEacORDI. CERTIFICATE OF LIABILITY INSURANCE SOP T- 82 DATE (MMIDDIYV)
RT-9 12/02/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & 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
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
First Class Mailing Service,
Inc. dba: First Class Direct,
Inc.
Attn: Patty Taylor
760 SE Frontage Road
Ft Collins CO 80524
CAVFRAGFS
INSURER A: HARTFORD FIRE INSURANCE CO
INSURERB: REPUBLIC INDEMNITY CO OF
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY E FECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MM/DDIYY
LIMITS
A
GENERAL LIABILITY
�
] COMMERCIAL GENERAL LIABILITY I
T �CLAIMS MADE L X OCCUR
34UUVFZ8212
09/24/03
09/24/04
EACH OCCURRENCE
$ 1 , 000 , 000
FIRE DAMAGE (Anyone fire)
$ 300, 000
$ 10,000
MED EXP (Any one person)
PERSONAL&ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-LOC
MT
PRODUCTS - COMP/OP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
34UUVFZ8212
09/24/03
i
09/24/04
COMBINED SINGLE LIMIT
(Ea accident)
$1,ODD, OOD
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 CLAIMS MADE
DEDUCTIBLE
RETENTION $
34XHV1.Z7441
09/24/03
09/24/04
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$1,000,000
Retention
$10,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
I,
13935806
10/01/03
10/01/04
I TORYI WC
LIMITS X ER
E.L. EACH ACCIDENT !$1,000,000
E.L. DISEASE -EA EMPLOYEE $ 1 , 000 , 000
E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: Bid No. 5643
CERTIFICATE HOLDER IN I ADDITIONAL INSURED: INSURER LETTER- CANCELLATION
CITYFT5
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1_ DAYS WRITTEN
City of Fort Collins
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SHALL
Purchasing
P O Box 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH INSURER, ITS AGENTS OR
Fort Collins CO 80522
REPRESENTATIVES. I
AUTHORIZED REPRESENTATIVE
3hanna Jamsa
F1L•UKU 40.0 (rlal) w (7U L:UKFe 7rA IIUN 11d00