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HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCECERTIFICATE OF LIABILITY INSURANCE 10/20 �2008
A CORD,M DATE ( MMIDDIVYYY)
PRODUCER (303)442-1484 FAX: (303)442-8822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Taggart & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1600 Canyon Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 147
Boulder CO 80306 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA'. Travelers Indem Cc of CT 125682
TELESUPPORT SERVICES INC, FLEXIBLE TECHNOLOGY
4830 PEARL ST
BOULDER
CO 80301
INSURER E:
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.
AG GATE LIMITS SH LAN MAY HAVE SEE REDUCED BY PAID CLAIM
INSR
ADD
INSRDI
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YV
POLICY EXPIRATION
DATE MMIDDlYYI
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMSMADE lil OCCUR
16807768WI16TCT08
5/23/2008
5/23/2009
EACH OCCRRENCE
$ 11000,000
DAMAGE TO RENTED co
$ 300,000
MED EXP (Any one erson
$ 5,000
PERSONAL & ADV INJURY
$ 11000,000
GENERAL AGGREGATE
$ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
X1 POLICY I PRO-
JECT LOC
PRODUCTS - OMPIPA
$ 2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
16807768WI16TCTOB
5/23/2008
5/23/2009
COMBINEDSINGLELIMIT
(Ea accident)
�—
$ 11000,000
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA C
AUTO ONLY. qGG
$
$
B
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $5,000
ISFCUP7768W221IND08
5/23/2008
5/23/2009
EACH OCCUR ENQE
$ 11000,000
AGGREGATE
$ 11000,000
$
$
C
WORKERS COMPENSATION AND
EMPLOVERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMSER EXCLUDED?
It yes, describe under
SPECIAL PROVISIONS below
3454055
10 1 2008
//
10 1 2009
//
WC STATU- OTH-
E.L. EACH ACCIDENT
$ 11000,000
E.L. DISEASE - EA EMPLOYEE$
11000,000
E.L. DISEASE -POLICY LIMIT I
$ 11000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
(970)221-6707
City of Fort Collins
Attention: Ed Bonnette, C.P.M.
Purchasing Division
215 North Mason Street
2nd Floor
Fort Collins, CO 80522
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
AUTHORIZED REPRESENTATIVE _
Robben Roe CSC/LJK
© ACORD CORPORATION 1988
o.vv..� N,00,.vaa
Page 1 of 2
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 25 (2001108)
INS025 (0108) 0ea Page 2 of 2