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HomeMy WebLinkAboutTELESUPPORT SERVICES - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE TE 5A29 2oo8 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 TELESDPPORT SERVICES INC, FLEXIBLE TECHNOLOGY 4830 PEARL ST BOULDER CO 80301 INSURER A: Travelers Indem Co of CT 25682 INSURER B: Travelers Indemnity 25658 INSURER C:Pinnacol Assurance 41190 INSURER D: INSURER E: QVrRAGFS 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. INSR ADD'L TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMMO POLICY EXPIRATION DATE MMRIDNY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_] OCCUR I680776OW116TCT08 5/23/2008 5/23/2009 EACH OCCURRENCE$ AMAGETORENTEDnwI DP. 1,000,000 $ 300,000 MED EXP one on $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY PRO- PRODUCTS _ p AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS I680776SW116TCT08 5/23/2008 5/23/2009 COMBINED SINGLE LIMIT (Ea eaidwt) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per a.,dent) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B E%CESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE XRETENTION 15,000 ISFCUP776SW221INDOO 5/23/2008 5/23/2009 AGGREGATE $ 1,000,000 $ 11000,000 $ $ (,' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE OFFICER/MEMBER EXCLUDED? 8 yes, describe uMer SPECIALE. 3454055 10/1/2007 10/1/2008 WC STIM - I OTH- LE E, L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE$ 1,000,000 L. DISEASE-P LACY LIMIT 11000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (970) 221-6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL Attention: Ed Bonnette, C.P.M. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Purchasing Division FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 215 North Mason Street 2nd Floor INSURE ID AGENTSREPRESENTATIVE TATIVE REPRESENTATIVES. Fort Collins, CO 80522 MarthAUTHORIZa Pom Reo/L THE Martha Pompeo/LJK ®ACORD CORPORATION 1988 INS025 Iwo8),oee Paw 1 ot2 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. AGORD 25 (2001108) INS025loioel.oea rage 2 a 2