HomeMy WebLinkAboutTELESUPPORT H AND H DATA AXIS NETWORKS - INSURANCE CERTIFICATE (3)From' Tiffany Shannon At: Compass Insurance Agency/Olson and Olson DiV: ision FaXID: Olson and Olson DM To: JuleneDate: 1/20/2006 07:56 AM Page: 2 of 2
ACORD INSURANCE BINDER OP ID S
DATE
01/20/06
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRODUCER PRCiNE
(Ac,N Et): 303-761-0085
COMPANY
BINDER
4086
303-788-1817
Compass Insurance Agency, Inc.
Allied National Companies
DATE TIME DATE ¶0� TIME
Olson & Olson Division
XiLX�1_ol=:a
12/21/05 12:01 �M1I 02/20/06
P.O. Box 1467
Englewood CO 80150
Lance M. Olson
_ TErlr �E�-:_elllr- >E:'✓E;.v0/06r.F_rr
'E: E.P Fir;B FP: L'.0 r = 75020731S7
-- -----
CODE. SUB CODE:
AGENC
CUSTOMER ID: AXISN-1
DESCRIPTION OF OPERATIONSNEHICLES/PROPERTY (Including Location)
Location: 1 Building: 1
INSURED
Axis Networks, Inc. and
Premier Network Solutions,Inc.
1070 W. 124th Ave., #400
Denver CO 80234
Low voltage cable supply and installation
company. Installation in commercial
buildings and fiber optic cabling. 1070 W.
124th Ave.
COVE
TYPE OF INSURANCE - _ _ COVERAGE/FORMS DEDUCTIBLE I COINS %
AMOUNT
PROPERTY_ LOc 001 Business Pers Prop 1,000 90
125,000
=' X', f=' Loc 002 Contents 1,000 j 90
5,000
Business Income/Ext Expense j
I
25,000
GENERAL LIABILITY
r rrFll'-.F
1fl,000,000
X
=i nynl hr-i
1
1100 000
:L=::r<I>mwDE X. ___
HEDE1r^I y•:n<,ereon)
$5,000
AF !111111re
fl,000 000
i.-.-:FE_'-= -
t2,000,000
,.;
F r :rm :
12,000,000
AUTOMOBILE LIABILITY
C IF Ff i111- r i PAT
r1,000,000
X u.�. -
I
o LILT '_JFY ;F 1 PwLnj
$
-L_ V.f
PAfMEFIT',
$
_ _ _
PEti I L Irl it icry Estiq
$
$
AUTO PHYSICAL DAMAGE -
-_ ___ __ _ -__. ..__ _ r-LL=
X I rJ.LI- H7.:;,I IE
X -.-a ..-. �, 250
X250
GARAGE LIABILITY
L'Ar:;IDE1J?
,,-AIT-
_
-
.AEG T-,,:=1f;;U70 fiPILY.
Ec:_H ACrIDDIT
$
EXCESS LIABILITY
IF_ ti ',r-rrl'F
$2,000,000
I ::,FLL: cr-IEHII�:N
F
�`iC >TATLTURY LIMITz
WORKER'S COMPENSATION
EL Ed:Y
AND
EMPLOYER'S LIABILITY
I
F I pl> F.%.-r _ rp FMPLO'IFE
EL -zE F'OLh_fLwT
'f
SPECIAL
FE°F
$
CONDITIONS/
L,
.t
OTHER
COVERAGES ir^
EZ7Y, ,TEC T:T.;L PREMIUM i$
NAME 6 ADDRESS
� �RaCA-
ACOR0 75-S (1/98) NOTE: IMPORTANT STATE INFORMATION ON REVERSE SIDE r1ACORD