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Home My WebLink AboutQWEST INTERPRISE AMERICA - INSURANCE CERTIFICATE (2)MARSH CERTIFICATEOF INSURANCE CERTIFICATE NUMBER EA-0 os 9690-09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE The Financial Center POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 1215 4th Avenue AFFORDED BY THE POLICIES DESCRIBED HEREIN. Suite #2300 COMPANIES AFFORDING COVERAGE Seattle, WA 98161-1095 - Attn: Kathy B. Harm 206 613-2625 Fax: 206 613-2516 COMPANY 100535-QIA-GAW-06-07 kbh cont none A NATIONAL UNION FIRE INS CO OF PA INSURED COMPANY QW EST INTERPRISE AMERICA, INC. B INSURANCE COMPANY OF THE STATE OF PA 1801 CALIFORNIA STREET, SUITE 1150 DENVER, CO 80202 COMPANY C AMERICAN HOME ASSURANCE COMPANY _.. COMPANY D COVERAGES This certificate supersedes and replaces any proviously issued Certificate for the policy period noted WOW. 9 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE ''! POLICY EXPIRATION 'I, LIMITS LTR DATE (MM/DDIYY) DATE (MM/DD/YY) A GENERAL LIABILITY SEE ATTACHED 04/01/06 10/01/07 GENERAL AGGREGATE $ 1,000,0()0 X COMMERCIAL GENERAL LIABILITYPRODUCTS -COMP/OPAGG I$ 1,000,000 CLAIMS MADE I X OCCUR I PERSONAL & ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT .EACH OCCURRENCE i $ 1,000,000 FIRE DAMAGE (Anyone fire) ' $ 1,000,000 MED EXP (Any oneperson)1 $ 5,000 A AUTOMOBILE LIABILITY iSEE ATTACHED (AOS) i,04/01106 10/01/07 - COMBINED SINGLE LIMIT '�, $ 1,000,000 A X ANY AUTO SEE ATTACHED (TX) 04/01/06 10/01/07 A ALL OWNED AUTOS SEE ATTACHED (VA) i 04/01/06 10/01/07 BODILY INJURY is (Per Person) SCHEDULEDAUTOS : X HIRED AUTOS BODILY INJURY $ I X NON-0WNEDAUTOS (Per accident) X SIELF-INSURED FOR IZITO PHYSICAL DAMAGE PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT is ANY AUTO OTHER THAN. AUTO ONLY: i EACH ACCIDENT $ AGGREGATE � $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM : AGGREGATE $ 'OTHER THAN UMBRELLA FORM.$ B WORKERS COMPENSATION AND SEE ATTACHED (AOS) 04/01/06 10/01/07 X ER EMPLOYERS' LIABILITY TORYLIMBS I' g ' ,SEE ATTACHED(CA) 04/01/06 10/01l07 EL EACH ACCIDENT $ 1,000,000 A THE PROPRIETOR/ INCL SEE ATTACHED (OR) 04/01/06 10101/07 EL DISEASE -POLIcvLIMIT $ 1,000,000 PARTNERSIEXECUTIVE B OFFICERS ARE: EXCL SEE ATTACHED ( FL ) 04/01/06 10/01/07 EL DISEASE -EACH EMPLOYEE $ 1,000,000 OTHER A Workers' Compensation SEE ATTACHED (ND,OH,W1) 04/01/06 10/01/07 Each Accident/Employee $1,000,000 A Workers' Compensation ISEEATTACHED (WV,WY) 04/01/06 10/01/07 Each Accident/Employee $1,000,000 C Excess Workers' Compensation SEE ATTACHED (WA) 04101/06 10/01/07 Excess of SIR Shown Above $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: Backup for City on Nortel equipment maintenance (P871). The City, its officers, agents and employees are Additional Insureds as respects their interest in the operations of the Named Insured as required by written contract regarding General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL M DAYS WRITTEN NOTICE TO THE City of Fort Collins Attn: Jeri Mael CERTIFICATE HOLDER NAMEB HEREIN. BUT FAILURE TO MAIL SUCH NOTCE SHALL IMPOSE NO OBLIGATION OR PO Box 580 LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE Fort Collins, CO 80522 ISSUER OF THIS CERTIFICATE. MARSH USA INC. BY: Cheryl] L. Koch MM1(3102) VALID AS OF:-04112106 ADDITIONAL INFORMATION SEA-000s690.M 04/12/06r' PRODUCER COMPANIES AFFORDING COVERAGE Marsh USA Inc. COMPANY The Financial Center 1215 4th Avenue E Suite #2300 Seattle, WA 98161-1095 COMPANY Attn: Kathy B. Harid 206 613-2625 Fax 206 613-2516 F 100535-OIA-GAW-06-07 kbh cont none INSURED COMPANY OW EST INTERPRISE AMERICA, INC. 1801 CALIFORNIA STREET, SUITE 1150 G DENVER, CO 80202 COMPANY H EXT POLICY TERM 4/1/06 TO 10/1/06 General Liability Policy #GL3917172 Automobile Liability: Policy #CA3780043 (All Other States) Policy #CA3780042 (Texas) Policy #CA3768494 (Virginia) Workers' Compensation: Policy#WC4778329 All Other States) Policy #WC4777998 California) Policy #W C4778330 (Oregon) Policy#WC4778331 (Florida) Policy #WC4778332 (North Dakota, Ohio, Wisconsin, West Virginia, Wyoming) Excess Workers' Compensation Policy #XWC4778869 (Washington) POLICY TERM: 10/1/06 TO 10/1/07 General Liability Policy #GL3948924 Automobile Liability: Policy #CA3818306 (All Other States) Policy #CA3817587 (Texas) Policy #CA3817586 (Virginia) Workers' Compensation: Policy #W C6611392 (All Other States) Policy #WC6611389 (California) Policy #WC661 1390 (Oregon) Policy#WC6611391 (Florida) Policy#WC6611393 (North Dakota, Ohio, Wisconsin, West Virginia, Wyoming) Excess Workers' Compensation Policy #XWC6611394 (Washington) City of Fort Collins Attn: Jeri Mael PO Box 580 Fort Collins, CO 80522 MARSH USA INC. 6Y Cheryll L. Koch 6tu4o(—,6 aa.-,,_., Page MARSH CERTWICATE OF INSURANCE CERTIFICATE NUMBER INSURANCE �7 /G SEA-000659690-10 PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE The Financial Center POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 1215 4th Avenue AFFORDED BY THE POLICIES DESCRIBED HEREIN. Suite #2300 Seattle, WA 98161-1095 COMPANIES AFFORDING COVERAGE Attn: Kathy B. Harid 206 613-2625 Fax: 206 613-2516 COMPANY 100535-QIA-GAW-06-07 kbh coot none A NATIONAL UNION FIRE INS CO OF PA INSURED COMPANY OW EST INTERPRISE AMERICA, INC. B INSURANCE COMPANY OF THE STATE OF PA 1801 CALIFORNIA STREET, SUITE 1150 DENVER, CO 80202 COMPANY C AMERICAN HOME ASSURANCE COMPANY COMPANY D COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 9 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR LIMITS DATE (MM/DDIYY) DATE (MM/DD/YY) A GENERAL LIABILITY !SEE ATTACHED 04/01/06 10/01/07 GENERAL AGGREGATE $ 1,000,000 X 'COMMERCIAL GENERAL LIABILITY 'I, PRODUCTS - COMP/OPAGG $ 1,000,000 ( ' CLAIMS MADE 1 X OCCUR ' PERSONAL S ADV INJURY : $ 1,000,000 I OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any oneperson) $ 5,000 A AUTOMOBILE LIABILITY SEE ATTACHED (AOS) 04/01/06 10/01/07 A X ANY AUTO SEE ATTACHED (TX) COMBINED SINGLE LIMB $ 1,000,000 04/01/06 10/01/07 A ALLOWNEDAUTOS SEE ATTACHED (VA) '04/01/06 10/01/07 BooanNJuav $ SCHEDULED AUTOS ''� (Per person) X HIRED AUTOS '.. X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X SELF -INSURED FOR AUTO PHYSICAL DAMAGE PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO _ OTHER THAN AUTO ONLY _ EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND SEE ATTACHED (ADS) WC STATLL OTH EMPLOYERS' LIABILITY 04/01/O6 10/01/07 X TORY LIMITS "i ER; - B SEE ATTACHED (CA) 04/01/06 10/01/07 EL EACH ACCIDENT $ 1,000,000 A THE PROPRIETOR/ INCL SEE ATTACHED (OR) 04/01/06 10/01/07 IEL DISEASE -POLICY LIMIT 1$ 1,000,000 PARTNERS/EXECUTIVE i . B OFFICERS ARE: EXCL SEE ATTACHED (FL) 04/01/06 10/01/07 ELDISEASE-EACH EMPLOYEE $ 1,000,000 -OTHER A Workers' Compensation SEE ATTACHED (ND,OH,WI) 04/01/06 10/01/07 Each Accident/Employee $1,000,000 A Workers' Compensation SEE ATTACHED (WV,WY) 04/01/06 10/01/07 Each Accident/Employee $1,000,000 C Excess Workers' Compensation SEE ATTACHED (WA) 04/01/06 10/01/07 Excess of SIR Shown Above $1.000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: Backup for City on Nortel equipment maintenance (P871). The City, its officers, agents and employees are Additional Insureds as respects their interest in the operations of the Named Insured as required by written contract regarding General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, City of Fort Collins THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Attn: Jeri Mael CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR PO Box 580 LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE Fort Collins, CO 80522 ISSUER OF THIS CERTIFICATE MARSX USA INC. d. - BY: Cheryll L. Koch i�dl(tiril�„ MMi(3102) VALID AS OF: 05/01/06 MARSH CERTWICATE OF INSURANCE CERTIFICATE NUMBER INSURANCE �7 /G SEA-000659690-10 PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE The Financial Center POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 1215 4th Avenue AFFORDED BY THE POLICIES DESCRIBED HEREIN. Suite #2300 Seattle, WA 98161-1095 COMPANIES AFFORDING COVERAGE Attn: Kathy B. Harid 206 613-2625 Fax: 206 613-2516 COMPANY 100535-QIA-GAW-06-07 kbh coot none A NATIONAL UNION FIRE INS CO OF PA INSURED COMPANY OW EST INTERPRISE AMERICA, INC. B INSURANCE COMPANY OF THE STATE OF PA 1801 CALIFORNIA STREET, SUITE 1150 DENVER, CO 80202 COMPANY C AMERICAN HOME ASSURANCE COMPANY COMPANY D COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 9 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR LIMITS DATE (MM/DDIYY) DATE (MM/DD/YY) A GENERAL LIABILITY !SEE ATTACHED 04/01/06 10/01/07 GENERAL AGGREGATE $ 1,000,000 X 'COMMERCIAL GENERAL LIABILITY 'I, PRODUCTS - COMP/OPAGG $ 1,000,000 ( ' CLAIMS MADE 1 X OCCUR ' PERSONAL S ADV INJURY : $ 1,000,000 I OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any oneperson) $ 5,000 A AUTOMOBILE LIABILITY SEE ATTACHED (AOS) 04/01/06 10/01/07 A X ANY AUTO SEE ATTACHED (TX) COMBINED SINGLE LIMB $ 1,000,000 04/01/06 10/01/07 A ALLOWNEDAUTOS SEE ATTACHED (VA) '04/01/06 10/01/07 BooanNJuav $ SCHEDULED AUTOS ''� (Per person) X HIRED AUTOS '.. X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X SELF -INSURED FOR AUTO PHYSICAL DAMAGE PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO _ OTHER THAN AUTO ONLY _ EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND SEE ATTACHED (ADS) WC STATLL OTH EMPLOYERS' LIABILITY 04/01/O6 10/01/07 X TORY LIMITS "i ER; - B SEE ATTACHED (CA) 04/01/06 10/01/07 EL EACH ACCIDENT $ 1,000,000 A THE PROPRIETOR/ INCL SEE ATTACHED (OR) 04/01/06 10/01/07 IEL DISEASE -POLICY LIMIT 1$ 1,000,000 PARTNERS/EXECUTIVE i . B OFFICERS ARE: EXCL SEE ATTACHED (FL) 04/01/06 10/01/07 ELDISEASE-EACH EMPLOYEE $ 1,000,000 -OTHER A Workers' Compensation SEE ATTACHED (ND,OH,WI) 04/01/06 10/01/07 Each Accident/Employee $1,000,000 A Workers' Compensation SEE ATTACHED (WV,WY) 04/01/06 10/01/07 Each Accident/Employee $1,000,000 C Excess Workers' Compensation SEE ATTACHED (WA) 04/01/06 10/01/07 Excess of SIR Shown Above $1.000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: Backup for City on Nortel equipment maintenance (P871). The City, its officers, agents and employees are Additional Insureds as respects their interest in the operations of the Named Insured as required by written contract regarding General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, City of Fort Collins THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Attn: Jeri Mael CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR PO Box 580 LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE Fort Collins, CO 80522 ISSUER OF THIS CERTIFICATE MARSX USA INC. d. - BY: Cheryll L. Koch i�dl(tiril�„ MMi(3102) VALID AS OF: 05/01/06 ' 106"IADDITIONAL INFORMATION SEA_WG& qO1005/0/ PRODUCER COMPANIES AFFORDING COVERAGE Marsh USA Inc. COMPANY The Financial Center 1215 4th Avenue E Suite #2300 Seattle, WA 98161-1095 COMPANY Attn: Kathy B. Harid 206 613-2625 Fax 206 613-2516 F 100535-QIA-GAW-06-07 kbh cont none INSURED COMPANY QW EST INTERPRISE AMERICA, INC. 1801 CALIFORNIA STREET, SUITE 1150 G DENVER, CO 80202 COMPANY H CAI POLICY TERM 4/1/06 TO 10/1/06 General Liability Policy #GL3917172 Automobile Liability: Policy #CA3780043 (All Other States) Policy #CA3780042 (Texas) Policy #CA3768494 (Virginia) Workers' Compensation: Policy #W C4778329 (All Other States) Policy#WC4777998 Califomia) Policy #WC4778330 (Oregon) Policy#WC4778331 (Florida) Policy#WC4778332 (North Dakota, Ohio, Wisconsin, West Virginia, Wyoming) Excess Workers' Compensation Policy#XWC4778869 (Washington) POLICY TERM: 10/1/06 TO 10/1/07 General Liability Policy #GL3948924 Automobile Liability: Policy #CA3818306 (All Other States) Policy #CA3817587 (Texas) Policy #CA3817586 (Virginia) Workers' Compensation: Policy #W C6611392 (All Other States) Policy #W C6611389 (California) Policy #WC6611390 (Oregon) Policy#WC6611391 (Florida) Policy#WC6611393 (North Dakota, Ohio, Wisconsin, West Virginia, Wyoming) Excess Workers' Compensation Policy #XWC6611394 (Washington) City of Fort Collins Attn: Jeri Mael PO Box 580 Fort Collins, CO 80522 MARSH USA INC. BY Cheryll L. Koch NA ,A a ' 106"IADDITIONAL INFORMATION SEA_WG& qO1005/0/ PRODUCER COMPANIES AFFORDING COVERAGE Marsh USA Inc. COMPANY The Financial Center 1215 4th Avenue E Suite #2300 Seattle, WA 98161-1095 COMPANY Attn: Kathy B. Harid 206 613-2625 Fax 206 613-2516 F 100535-QIA-GAW-06-07 kbh cont none INSURED COMPANY QW EST INTERPRISE AMERICA, INC. 1801 CALIFORNIA STREET, SUITE 1150 G DENVER, CO 80202 COMPANY H CAI POLICY TERM 4/1/06 TO 10/1/06 General Liability Policy #GL3917172 Automobile Liability: Policy #CA3780043 (All Other States) Policy #CA3780042 (Texas) Policy #CA3768494 (Virginia) Workers' Compensation: Policy #W C4778329 (All Other States) Policy#WC4777998 Califomia) Policy #WC4778330 (Oregon) Policy#WC4778331 (Florida) Policy#WC4778332 (North Dakota, Ohio, Wisconsin, West Virginia, Wyoming) Excess Workers' Compensation Policy#XWC4778869 (Washington) POLICY TERM: 10/1/06 TO 10/1/07 General Liability Policy #GL3948924 Automobile Liability: Policy #CA3818306 (All Other States) Policy #CA3817587 (Texas) Policy #CA3817586 (Virginia) Workers' Compensation: Policy #W C6611392 (All Other States) Policy #W C6611389 (California) Policy #WC6611390 (Oregon) Policy#WC6611391 (Florida) Policy#WC6611393 (North Dakota, Ohio, Wisconsin, West Virginia, Wyoming) Excess Workers' Compensation Policy #XWC6611394 (Washington) City of Fort Collins Attn: Jeri Mael PO Box 580 Fort Collins, CO 80522 MARSH USA INC. BY Cheryll L. Koch NA ,A a