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HomeMy WebLinkAboutTECH RESOURCES - INSURANCE CERTIFICATE'�4BD, CERTIFICATE OF LIABILITY INSURANCE 09/22/200 ) PRODUCER (330) 782-8068 FAX (330) 782-0458 Cailor Fleming & Assoc. 4610 Market St. P.O. BOX 3989 Youngstown, OH 44513 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Tech Resources, Inc. 1251 Dublin Rd. Columbus, OH 43215 INSURERA: Citizens Insurance Company INSURERB: DVUA West Virginia, Inc. INSURER C: INSURER D: INSURER E: COVFRG[AFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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 4DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY ODW573644202 12/04/2003 12/04/2004 EACH OCCURRENCE $ 1,000100 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS MADE M OCCUR. MED EXP (Any one person) $ 15,000 A PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICYF'j PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO ODWS73644202 12/04/2003 12/04/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULEDAUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ rl GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO V Y r( - THAN EA ACC � $ $ .� � VVVV NLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR O CLAIMS MADE CC OC ? 2004 AGGREGATE $ $ DEDUCTIBLE CITY OF FC.ia:: I..OLL NS $ $ RETENTION $ RISKAXTAI- WORKERS COMPENSATION AND WC STATU- OTH- Y LIMITSFIR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below B roessional Liability H704-10129 01/1S/2004 01/1S/200S $1,000,000 w/$2,S00 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ITY OF FORT COLLINS IS NAMED AS ADDITIONAL INSURED CITY OF FORT COLLINS CITY'S DIRECTOR OF PURCHASING & RISK MANAGEME P.O. BOX 580 FORT COLLINS, CO 80522 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) ©ACORD CORPORATION 1988 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. AI:VKU Zb (ZUU11UU) Additional Coverages and Factors Line of Business Coverages for General Liability 06/18/2004 Coverage Limits Ded/Ded Type Rate Premium Factor General Aggregate 2,000,000 Each Occurrence 1,000,000 Fire Damage 300,000 Medical Expense 15,000