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Home My WebLink AboutCZERO INC - INSURANCE CERTIFICATEACOR& CERTIFICATE OF LIABILITY INSURANCE TE DA(MMIDYY) 02/28/200D/YY8 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brooke Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2108 Milestone Drive Suite 200 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED By THE POLICIES BELOW Fort Collins CO 80525 Czero Inc 406 Bear Creek Place Colorado Springs CO 80906 COVERAGES INSURERS AFFORDING COVERAGE INSURER The Hartford INSURER C American Insurance NAIC # 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 Im Au" LTR INSRO TYPE OF INSURANCE POLICY NUMBER SKYMFW(WWANLIMIT$ A GENERAL LIABILITY 1/1 COMMERCIAL GENERAL LIABILITY CLAIMS MADE Z OCCUR 34SBAIH9784 12/19/2007 12/19/2008 EACH OCCURRENCE $ 1 000 000 DA p PREMISES Ea occurence $ 300000 MED EXP (Any one person) $ 10 000 PERSONAL & ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2000000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $ 2 000 000 POLICY PROJECT LOC AUTOMOBILE UABILRY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1 000 000 A ALL OWNED AUTOS O/ SCHEDULED AUTOS 34UECN03577 02/28/2007 12/19/2008 (Parr Person)URY $ �I HIREDAUTOS Y/ NON -OWNED AUTOS (Per�atlINJURY $ PROPERTY DAMAGE (Per awden0 $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY AGO $ $ EXCESSAIMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ E DEDUCTIBLE RETENTION $ E A WORKERS COMPENSATION ANC EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? 12/21/2007 01/01/2009 J TORV LIMITS ER E L EACH ACCIDENT $ 100 000 E L DISEASE EA EMROYEE $ 100000 Ityes desmbe under SPECIAL PROVISIONS below E L DISEASE POLICY LIMIT $ 500 000 B OTHER Architects & Engineers Professional Liability EOC 5963452 00 12/19/2007 12/19/2008 $1 000 000 Each Claim $1 000 000 Policy Aggregate Retroactive Date 01/08/2007 IORS I LOCATIONS I VEHIdL.. I EXCLUSIONS ADDED BY ENUUR9eMEN r I SPECIAL FRUVISIONS Scheduled Auto 19901nternabonal 4000 series 4700 VIN#1 HTSCCFN 1 LH2O1595 Certificate Holder added as Additional Insured to General Liability and Auto Liability Policies CMDTICIrAre unr nvn City of Fort Collins PO Box 580 Fort Collins CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO1 DATE THEREOF THE ISSUING INSURER WS ILL ENDEAVOR TO MAIL 30 DAYWRITTEN NOTICE TO THE CERTIFICATE HOLDER MANED TO THE LEFT BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPQN THE INSURER ITS AGENTS OR PI.iDL?iTr(T:T AUTHORIZED REPRESENTATIVE 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 28