HomeMy WebLinkAboutAPPLICATION SOFTWARE INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OPID B.1 DATE(MMfDDA'YYY)
APPLI-1 1 09/11/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENDOR
200 East Southampton Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Columbia MO 65203
Phone: 573-875-4800 Fax:573-875-4514 INSURERS AFFORDING COVERAGE NAIC9
__- INSURED __--._.. _._ ..._. - __. ......""
NSUR,ERA Zurich North America 39306
INSURER 0 United Fire & Casualty Co.
Application Software, Inc wsuReac St. Paul Travelers
P 0 Box 6044 INSURER U Philadelphia Ins
Columbia MO 65205
INSUfYcR E
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THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAIAED ABOVE FOR POLICY PERIOD INDICATED NO I AITHSTANDING
ANY REOUIRFMENT.TFRfA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIH RFSPECTTO WPIICH THIS CERTIF CAFE MAY BE ISSUED OR
MAY PERTAIN, THE INSk3RANCF WFORDIPD RY THE POLICIES DFFCRIB..D HFRFIIJ r SUBJECT TO ALL THE TERMS. FXCLUSII AND CONDB IONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN I HAVE BEEN REDUCHD BY PAID CLAIMS
- - PC LICY-EF E TIVE POCIIU701M ATI N
LTft NSR TYPEOFINSURANCE POLICY NUMBER DATE(MM/DDIYY) OATS KAM/DD/YY LIMITS
GENERAL LIABILITY
EACH OCCURRENCV
$ 1000000
B
X,COMMERGIAL GENERAL nBIut'Y
60345882
03/09/08
03/09/09
-DAMAGCTO RENTED
PREMISES (Ea ocauoloo)
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�$100000
MADE X OCCUR
MILD
_
0 0
�CLAIMS
ny ono ponson)
ESP (Ay
$5
PERSONAL &AW IN JJRY
$- 1000000
GRFRA APGRFCATI
$2000000
GBN'LAGGREGA.TELIPAIT/PPIIESPER
PRODUCTS COMP/OPAGG
$2000000
POLICV Pc 0-
J�CT LOC
AUTOMOBILE
LIABILITY
-
CSINGLE LIMIT
$ 1000000,
B
ANY AUTO
60345862
03/09/08
03/09/09
EOMBVFD
(amiaenq
ALL O\VNED All I OS
BODIEY LA'.41RY
- --
SCHEDULED AU
(P¢r person)
$TOS
X
HIREDAUTOS
-- ----__
—.-
—
II J)RY
$
X
tJOR�OVJNED AUT05
(PNIacBODII
(Per acc donry
---------- ------
PROPER I Y DAMAGE
'$
(Per accrdenp
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANYAUTG
GTHFRTHAN LA ACC
--
AUTO ONLY
ncG
--____--
$
EXCESSNMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR ACIAWSII
AGGGLGATF
P
_
(P
DEDUCT 01F
$
RETENTION
WORKERS COMPENSATION AND
'
EMPLOYERS' LIABILIT'
TORY LIMITS ER- -
.__
-- -
EL EACH ACCIDENT
--------
$500000
C
ANY PROPRIETOR/PARTNLR/FXF.CUTIVE
6TMUB7741A76A08
07/01/08
07/01/09
OFFICERRAEMBER FXCILDEDv
EL DISEASE LA LMPI OYFE
-----
$ SOOOOO
yes,
SPECIAL PROVISIONS 0.101
EL DISEASE - POIJOV LIMIT
$ SOOO OO
OTHER
A
Fidelity &Deposit
CCP000398213
03/15/06
03/15/09
Emp Theft 1000000
D
Philadelphia
PHSD302377
01/01/08
01/01/09
Prof Liab 1000000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Fidelity & Deposit Commercial Crime Bond Employee Theft $1,000,000 policy
limit
Professional Liability $1,000,000 each occurrence/$3,000,000 aggregate
UCF( I IYIUA I t MLDLl CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
n Arngn rPN?PnP➢TI(1M 190R
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, not does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
WITAFAen