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HomeMy WebLinkAboutTELESUPPORT SERVICES - INSURANCE CERTIFICATE (5)ACORDM CERTIFICATE OF LIABILITY INSURANCE 07/01/z 0 ) PRODUCER (303)442-1484 FAX (303)442-8822 Taggart & Associates, Inc. JULONLY 1600 Canyon Boulevard U- 8 2004 P. 0. Box 147 Boulder, CO 80306 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE END, TEND OR ALLTLER THE COVERAGE AFFORDED BYTHIS CERTIFICATE DOESTTE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED TELESUPPORT SERVICES INC 4830 PEARL ST BOULDER, CO 80301 INSURERA: Phoenix 25623 INSURERB: Travelers Insurance Group INSURERC: Pinnacol Assurance 41190 INSURER D: INSURER E: rnVr-RAT:FS 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM1DDfYY`1 POLICY EXPIRATION DATE (MM1Dn1YY1 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR I6807768W116PHX04 05/23/2004 05/23/2005 EACH OCCURRENCE $ 1,000,00 DAMAGE TO REPRFMIAF IF, NTED $ 300OO MED EXP (Any one person) $ 5 00 PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GENT AGGREGATE LIMIT APPLIES PER: X POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ 2,000,00( A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS I6907769WI16PHX04 05/23/2004 05/23/2005 COMBINED SINGLE LIMIT (Ea accident) $ 12000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGG $ $ B EXCESSIUMBRELLALIABILITY I X OCCUR CLAIMS MADE RXDEDUCTIBLE RETENTION $ 10, 00 F CUP 7768W221-IND-03 05/23/2004 05/23/200S EACH OCCURRENCE $ 1,000,000 AGGREGATE $ $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Des, describe under SPECIAL PROVISIONS below 345405S 10/01/2003 10/01/2004 WcsTATU-SF OTH- E.L. EACH ACCIDENT $ ZOO 00 E.L. DISEASE - EA EMPLOYEd $ ZOO 00 E.L. DISEASE - POLICY LIMB I $ $00 00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: Bid #S757 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 REPRESENTATIVE ^ Michaal Tannar* fpf11 fTf/fl14141( U ACORD 25 (2001/08) FAX: (970)221-6707 ©ACORD CORPORATION 1988