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HomeMy WebLinkAboutTELESUPPORT SERVICES - INSURANCE CERTIFICATE (7)QCORA CERTIFICATE OF LIABILITY INSURANCE 01/31/2005 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 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1600 Canyon Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 147 Boulder, CO 80306 INSURERS AFFORDING COVERAGE NAIC # INSURED TFI FSUPPO IT SERVICES INC INSURERA Phoenix 256] 4830 PEARL ST BOULDER, CO 80301 INSURERB. Travelers Insurance INSURERC Pinnacol Assurance IIdSURER 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 LTRDATE D' NN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE IMMIDDi POLICY EXPIRATION DATE [MMIDDIYY) LIMITS A GENERAL LIABILITY T COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR I6807768IN116PHX04 05/23/2004 05/23/2005 EACH OCCURRENCE $ 1,000,000 DAMAGETORENTED PRFMISFS (I"' or enced $ 300, 00 MED EXP (Anyone person) $ 5,00C PERSONAL & ADV INJURY $ 1,000,00C GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC PRODUCTS - COMPIOP AGG $ 2,000,00( A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS I6807768W116PHX04 05/23/2004 05/23/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILYINJURY (Per person) $ X BODILY INJURY (Per accident $ X PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ B EXCESSIUMBRELLA LIABILITY IS X OCCUR CLAIMS MADE FDEDUCTIBLE X RETENTION $ 5 , OO CUP 7768W221-IND-03 05/23/2004 05/23/2005 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,00 $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEWMEMBER EXCLUDED? If yas desu be inder SPECIAL PROVISIONS below 3454055 10/01/2004 10/01/2005 TGRYWOER E.L. EACH ACCIDENT $ 100,000 EL. DISEASE - EA EMPLOYEE $ 100,00 ELDISEASE -POLICY LIMIT $ 500,00 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS r 00T10[! ATC U^1 nCC !`AAI!`GI 1 STIl1N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attention: Ed Bonnette 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Purchasing Division 215 North Mason Street BLIT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 2nd Floor OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 4 �' �' Fort Collins, CO 80522 Michael Taggart CPCU CIC I'" ACORD 25 (2001/08) FAX: (97110)[[1-b/Ui OACORDCORPORATION 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. ACORD 25 (2001108) ACORDM CERTIFICATE OF LIABILITY INSURANCE 01/31/200 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 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1600 Canyon Boulevard 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 BOULDER, CO 80301 INSURERS: Travelers Insurance INSURERC: Pinnacol Assurance 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 T.DATE D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE fMM1DD[YYI POLICY EXPIRATION DATE nwmtnn�i LIMITS GENERAL LIABILITY I6907768W116PHX04 05/23/2004 05/23/200S EACH OCCURRENCE $ 1,000 00 DAMAGE TO RENTED $ 300It 00 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,00( CLAIMS MADE rX] OCCUR PERSONAL ADV INJURY $ 1,000,00( A GENERAL AGGREGATE $ 2,000,00( GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00( PRO- LOC X POLICY JECT AUTOMOBILE LIABILITY ANY AUTO I6807768W116PHX04 05/23/2004 05/23/2005 COMBINED SINGLE LIMIT (Ea accident) $ 11000,00 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO m $ AUTO ONLY: AGG EXCESSIUMBRELLALIABILITY I F CUP 7768W221-IND-03 05/23/2004 05/23/200S EACH OCCURRENCE $ 1,000 00 AGGREGATE $ 1 , 000 1 00 X OCCUR CLAIMS MADE $ B $ DEDUCTIBLE $ X RETENTION $ 5 , 00 WORKERS COMPENSATION AND 3454055 10/01/2004 10/01/2005 WCSTATu- orH- E.L. EACH ACCIDENT $ 100,000 EMPLOYERS' LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500 00 If es, describe untler SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins Attention: Ed Bonnette Purchasing Division 21S 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 - / 4 % Michael Taggart CPCU CIC/L_ 7"✓( ACORD 25 (2001108) FAX: (970)221-6707 ©ACORD CORPORATION 1985