HomeMy WebLinkAboutTELESUPPORT SERVICES FLEXIBLE TECHNOLOGY INFRASTRU - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE
DATE 06/06/200S) /D005
I
PRODUCER (303)442-1484 FAX (303)442-8822
Taggart & Associates, Inc.
1600 Canyon Boulevard
P. 0. Box 147
Boulder, CO 80306
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 TELESUPPORT SERVICES INC and Flexible
Technology Infrastructure
4830 Pearl Street
Boulder, Colorado 80301
INSURER A: Phoenix
25623
INSURER& Travelers Indemnity
25658
INSURERC: Pinnacol Assurance
INSURER D:
INSURER E:
:OVFKY(:Fti
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 (MtM/QDfYYI
POLICY EXPIRATION
DATE IMMIDDNYI
05/23/2006
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE rX OCCUR
I6807768W116PHX05
05/23/2005
EACH OCCURRENCE
$ 1' 00O OO
DAMAGE TO RENTED
$ 300,000
MED EXP (Any one person)
$ 5,000
PERSONAL& ADV INJURY
$ 11000,00
GENERAL AGGREGATE
$ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
X POLICY PRO-
JECT LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIREDAUTOS
NON -OWNED AUTOS
I6807768W116PHX05
05/23/200S
05/23/2006
COMBINED SINGLE LIMIT
(Ea accident)$
1,000,00
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$ -
GARAGELIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
RXDEDUCTIBLE
RETENTION $ S,00
ISFCUP7768W221IND05
OS/23/2005
05/23/2006
EACH OCCURRENCE
$ 1,000,00
AGGREGATE
$ 1,000,000
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
II yes, describe under
SPECIAL PROVISIONS below
345405S
10/01/200S
10/01/2006
1 WcsTATU I IorH-
FR
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYEE
$ 500,000
E.L. DISEASE - POLICY LIMIT
$ 500 OO
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
e: Bid #5757 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 INS
AUTHORIZED REPRESENTATIVE
Klisows
ACORD 2512001/ORl FAX: (970)221-6707
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