HomeMy WebLinkAboutTELESUPPORT SERVICES - INSURANCE CERTIFICATE (6)01/07/2004 08:48 3034428822 TAGGART PAGE 01
AMM CERTIFICATE OF LIABILITY
INSURANCE DATErn
O1/07//07/2004
PRODUCER (303)442-1484 FAX (303)442-8822
Taggart A Associates, Inc.
1fi00 Canyon Boulevard
�'
P. 0. Box 147
Boulder, CO 90306
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 EY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC 0
INSURED TELESUPPORT SERVICES, INC.
FLEXIBLE TECHNOLOGY INFRASTRUCTURE, INC.
4830 PEARL ST.
BOULDER, CO 90301
INSURERA Travelers
INsuRERS: Pinnacol Assurance
INSURERC:
INSURER D.
INSURER E:
gel'I U-7�lcl 7-'1
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIM INDICATED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'JMTN 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
4
TYPE OFINSURANCE
P01.14Y mum
POLICY
POLICY EXAI TION
05/23/2004
LIMITS
GENERAL LIABILITY
6801880W29SPHX03
05/23/2003
EACH OCCURRENCE
4 1.000 00
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
S 500,000
CLAIMS MADE ff] OCCUR
LIED EXP (Any one Parscnl
S 5.0001
A
PERSONAL S ADV INJURY
S j 000, 00
GENERAL AGGREGATE
S 2,000, DO
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMPIOP AGG
S Z 000, 00
POLICY X JECT LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
Ma eaddanl)
¢ 1,000,00(
ALI. OWNED AUTOS
69019BOW29SPHX03
05/23/2003
05/23/2004
BODILY INJURY
E
A
SCHEDULED AUTOS
(Per person)
X
HIRED AUTOS
NON -OWNED AUTOS
BODILYINJURY
(Per MmIdentl
S
X
PROPERTY DAMAGE
S
(Per accident)
GARAGE LIA&LITY
AUTO ONLY - EA ACCIDENT
S
ANY AUTO
OTHER THAN EA ACC
S
AUTO ONLY AGG
S
EXCESSNNOAXLLALIABIWTY
EACH OCCURRENCE
S
OCCUR D CLAIMS MADE
AOOREGATE
S
S
DEDUCTIBLE
S
RETENTION S
S
WORKER9COMPENSATON AND
3454055
10/01/2003
10/Ol/2Q04
X wD STATU• OTH-
EMPLOYER$ LIABILITY
E.L. EACH ACCIDENT
S 100.00
B
ANY PROPRIETORIPARTNEREXECUTT,E
OFFICERIMEMBER EXCLUDED?
E.L.pISFABE-FJ, EMPLOYE
S 100,000
Xyea, deeaSae a,dar
SPECIAL PROVISIONS below
E.L, pISEASE-POLICY LIMIT S SQQ, QQO
OTHER
DESCRIPTION OF OPERATIONS I I.QCATIONS I VEHICLES I AX4LUSKINS ADDFD BV ENDORSEMEWr I SPECIAL PROVISIONS
e: Bid #5757 Cabling - Fiber Optic A Copper
City of Fort Collins
Attention: Ed Bonnette,
Purchasing Division
215 North Mason Street
2nd Floor
Fort Collins, CO 90522
ACORD 25 (2001108) FAX:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
C.P.M. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR T9 MAIL
330 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 _
Michael Taggart CPCU C
KITQ' /R
6707 CACORD CORPORATION 1908