HomeMy WebLinkAboutAPPLICATION SOFTWARE INC ASIFLEX - INSURANCE CERTIFICATEACORD, CERTIFICAI� OF LIABILITY INSURANCE DPID B
DATE(MMIDD/YYYY)
APO
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, EXTEND OR
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
114SURERA. Zurich North America
39306
INSURER 3 united Fire & Casualty Co.
Ap lication Software, Inc
INSURIPc St. Paul Travelers
P Box 6044
Columbia MO 65205
INSURLR0 Philadelphia Ins
------ .-.. —__—
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATF0 NOTWITHSTANDING
ANYREOUIREMENT, TERM OR CONDITION OF AN YCONTRACTOR OTHH R DOCUMEXHVO HRESP[ CT TO WHICHTH IS CERTIFICATEMAY BF ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT- TO ALL THE TF,RMS. EXCLUSIONS AND CONDTI IONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS
TffSR 'LI-_ - ____.._ .__.
OAECAM)rE Y) LTEMMID LIMITS
TYPE OF INPOLICY NUMBER DATE (A1MIDDIYY) DATE MM/DD/YY LIMITS
GENERALNSR
GENERAL LIABILITY
EACH OCCURRENCE
$1000000
B
� �-
X coMV�eaaa. GENERAL
60345682
03/09/08
03/09/09
-
CAMAGE TO PREMwES([a ocaelce)
---__---
$100000
_J CLAIMS MADE IX OCCUR
SEE ESP (Anyone person)
$5000
PERSONAI.&ADVIN,.URY
S 1000000
GENERA_ AGGREGATE
$ 2000000
SEN'L AGORLGAfE LIMIT APPLIES RE
PRODUCTS COMPIOPAGG
s2000000
POLICY JG. f LOC
AUTOMOBILE
LIABILITY
COMB PER SINGLE LIMIT
$,1000000
B
_..
AUYAHIO
60345882
03/09/08
03/09/09
FE .e ,dent)
ALLOVINTUAUTOS
BODILY.n
SCHEDULED AUTOS
(Pe person)
pe)
B
X
I REDAUIOS
$
NOR OV,1NE1) AUTOS
(Pel owdent)
1p
PROPERI'1DAMAGE
$
(Per eccldonl)
GARAGE LIABILITY
AUTOONLY-EAACCIDENT
$
ANY AN] 0
��
OTIII RiHAN FA ACC
--�—
$
AUTO ONLY AGO
$
EXCESSAIMBRELLA LIABILITY
EACI I OCCURRENCE
_._
$
--
_-. occuR � -_ � aAIMsnInoE
nGGrecnre
$
DEDUCTIBLE
._.
5
P,ETENTIOH
$
WORKERS COMPENSATIONAND
'
FOR, LIMITS IT ER
C
EMPLOYERS' LIABILITY
ANY PEOPPEA
6TMUB7741A76AOS
07/01/08
07/01/09
--
EL EACH ACCIDENT
----- --
I$500000
ORIPARTNERIEXECUTIVE
OFFICERMIFIdBFR CXCLUDED>
EL DISEASE - EA EMPLOYEE
$ 500000
If qes, desalbe under
----- - ------
------.—
SPECIALPROVISiONSTelow
E.LDSEASE- POLICY
500000
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 I EXCLUSIONS ADDED BY ENDORSEMENT I 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
ctKIWIGAIt HQLUtK 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.
gQRQ
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.
F�V VI�V LJ �LVV IIVOr