HomeMy WebLinkAboutH AND H DATA SERVICES - INSURANCE CERTIFICATE (2)OP ID DATED/YYYY)CCERTIFICATE OF LIABILITY IUSURA�E E 8/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1100 Haxton Drive Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone: 970-223-1804 INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Secura
INSURER B;
H & H Data Services -----
Joe Hehn INSURER C:
1310 Webster Avenue INSURER D:
Fort Collins CO 80524
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,
INS PoLT�FFECTIVE POLICY EI(PIRATION
LTRR I N TYPE OF INSURANCE POLICY NUMBER -� DATE MMIDD/YY DATE MMIDD/YY) LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
S l 000 QOO
A
X
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE C_) OCCUR
TC3140442
07/01/08
07/01/09
AMAGE'TOREATECT
PREMISES (Ed occurence)
r r
$100,000
MED EXP (Any one person)
$ 5 r 000
PERSONAL & ADV INJURY
S l r 000 QOO
GENERAL AGGREGATE
r
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY PRO-
JECT LOC
PRODUCTS - COMP/OP AGG
---
$2r000 r 000
-
-
A
AUTOMOBILE
LIABILITY
ANY AUTO
3140443
07/01/08
07/01/09
COMBINED SINGLE LIMIT
(Ea accident)
$1 OOO
r r000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
X
X
HIREDAUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
- -
GARAGE LIABILITY
AUTOONLY-EAACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
S
AUTO ONLY: ASS
S
A
EXCESSIUMBRELLjA LIABILITY
X. OCCUR 1j CLAIMS MADE
CU3140444
07/01/08
07/01/09
EACH OCCURRENCE
$ 1 r 000 r 000
AGGREGATE
$
DEDUCTIBLE
-
X RETENTION $ 1O r 000
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
-
TORY LIMITS ER
_
E.L. EACH ACCIDENT
S
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER L=XCLVDED?
Has, describe under
SPECIAL PROVISIONS belovi
EL DISEASE - EA EMPLOYEE
—'
$
E.L. DISEASE -POLICY LIMIT
$
OTHER
A
Property Section
TC3140442
07/01/08
07/01/09
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
City of Fort Collins is named as additional insured with regards
City of Fort Collins
P.O. Sox 580
Fort Collins CO 80522-0580
FORTC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.