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HomeMy WebLinkAboutTELESUPPORT SERVICES - INSURANCE CERTIFICATE (3)I
:.._ACORD -OF.
:,
LIABILITY INSURANCE...._...[—DATE
(MM/DD/YYYY)
05/21/2009
.CERTIFICATE
PRODUCER 719. 544. 1111 FAX 719.545.5120
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Centennial Insurance Agency, LLC
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 Box 8210
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pueblo, CO 81008.
_ -
INSURERS AFFORDING- COVERAGE ..
NAIC #-
INSURED Telesupport Services, Inc
INSURERA: Colorado Casual tyJnsurance.,Co;
-
DBA:,.,F]exible Technology
INSURERB: Pinnacol Assurance;,,;- , ,-,-:I,,;
41190
- -- 4830-Pearl' St:"-' _.. ._.__._ _.....______.......__.__.-._. —_.
__--INSUREWC:•
Boulder, -CO-80301---__--._
I
INSURERD: ;. a•:.'UJ,.t7c't;'l::
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
DD'
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/YYYY
POLICY EXPIRATION
DATE MM/DD/YYYY
LIMITS
GENERAL LIABILITY
3007556909
05/23/2009
05/23/2010
EACHOCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES Ea occurrence$
100,000)
CLAIMS MADE Fv] OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
A
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
X POLICY PRO LOC
JECT
AUTOMOBILE
LIABILITY
3007556909
05/23/2009
05/23/2010
COMBINED SINGLE LIMIT
ANY AUTO
(Ea accident)
$ 1,000,000
BODILY INJURY ,
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
X
BODILY INJURY
$
HIRED AUTOS
� �
X
'� - � ��
NON -OWNED AUTOS-
� _
�_.....- -
(Peraccident).
PROPERTY DAMAGE
,
_
I-•-, :-.;--- ----
------ - - --(Per
accident) - -— --- —_ .-$..
GARAGE LIABILITY
7 t --•—• -
::
AUTO ONLY - EA ACCIDENT
g -
THAN !. - EA ACC
_AUTO
$
ANY AUTO
1 ,..... .a :OTHER
$
ONLY: AGG
EXCESS / UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
- . -
AGGREGATE -
$
$
DEDUCTIBLE
:.
$
RETENTION $
WORKERS COMPENSATION
3454055
05/23/2009
05/23/2010
X T RY C SL M T- ER
AND EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$ ZOO , OOO
B
ANY PROPRIETOR/PARTNER/EXECUTIVE�
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYE
$ 100,000
(Mandatory In NH)
If yes, descr be under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ S00,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
Ed Bonnette, C.P.M.
215 North Mason St 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 INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Doualas Helzer
©1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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
This Certificate of Insurance 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 (2009/01)