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HomeMy WebLinkAboutTELESUPPORT SERVICES - INSURANCE CERTIFICATE (4)ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE 09/14/20044/2004 PRODUCER (303)442-1484 FAX (303)442-8822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Taggart & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1600 Canyon Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 147 Boulder, CO 80306 INSURERS AFFORDING COVERAGE NAIC # INSURED TELESUPPORT SERVICES INC INSURERA: Phoenix 25623 4830 PEARL ST INSURERB: Travelers Insurance Group BOULDER, CO 80301 INSURERC: Pinnacol Assurance 41190 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. INLT R NISRN D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMWnM= POLICY EXPIRATION DATE IMMIDD= LIMITS GENERAL LIABILITY I680776SW116PHX04 05/23/2004 05/23/200S EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR DAMAGE TO RENTED $ 300 OO 0. MED EXP (Any one person) $ 5 OO PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PR0- JECT r LOC PRODUCTS-COMP/OP AGG $ 2,000,00( AUTOMOBILE LIABILITY ANY AUTO I6807768W116PHX04 05/23/2004 05/23/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00C BODILY INJURY (Par person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO 0 OTHER THAN EA ACC AUTO ONLY: AGG E S B EXCESS/UMBRELLA LIABILITY I X OCCUR CLAIMS MADE F CUP 7768WZ21-IND-03 05/23/2004 05/23/2005 EACH OCCURRENCE $ 11000,000 AGGREGATE $ 11000,00 s DEDUCTIBLE $ X RETENTION $ 5 r OO $ WORKERS COMPENSATION AND 3454055 10/01/2004 10/01/2005 WCSTATU- oTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 100,00 C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? yes, describe under S SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ ZOO OO E.L. DISEASE - POLICY LIMIT $ 5OO 00 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS e. Bid #57S7 Cabling - Fiber Optic & Copper City of Fort Collins Attention: Ed Bonnette, C.P.M. Purchasing Division 215 North Mason Street 2nd Floor 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 30 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 REPRESTaggEHTC / Michael Taggartt CPCU CIC/L-_/// y,4-� NI.VRL/2D (LVUTlUtIJ Vn : t7/VJGGJ.-O/V/ ©ACORD CORPORATION 1988