The URL can be used to link to this page

Home My WebLink AboutWIRELESS CONSTRUCTION SERVICES CORP - INSURANCE CERTIFICATEA OW CERTIFICATE OF LIABILITY INSURANCE OPID ME DATE( �MI 04 14 /14/Y11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER NAME: H ONEFAX AIC, No, Eat: WC, No): Mile Hi,Insurance, Inc. IL ADDRESS: 4251 Ripling St. #220 CUSTOMERIDO: WIREL-1 - - Wheatridge CO 80033 Phone:303-237-5445 Fax:303-239-8807 INSURER(S) AFFORDING COVERAGE NAIC6 INSURED INSURER A: Allied 19100 Wireless Construction Services Corrpporation 28051 Camel Heights Circle Evergreen CO 80439 INSURER : Plnnacol 41190 INSURER C: INSURER 0 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR VIVO POLICY NUMBER (MMIDOrVYYY) (MMIDDIVYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X BLRT. ADD-L. INS. ACPGL07512652701 05/09/11 05/09/12 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea Occurrence) $100,000 MED EXP(Any one person) s5,000 PERSONAL B ADV INJURY $1,000,000 X BLRT Waiver of Su GENERAL AGGREGATE s2,000,000 - GEN'LAGGREGATELIMITAPPLIESPER: POLICY X JECT LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNEDAUTOS Blanket Add Insur ACPBA7512652701 05/09/11 05/09/12 COMBINED SINGLE LIMIT (Ea accident) E1,000,000 X BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) E X X $ X $ A UMBRELLA LAS EXCESS LAB X OCCUR CLAIMS -MADE ACPCAA712652701 05/09/11 05/09/12 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ 10,000 E X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIV OFFICERIMEMBER EXCLUDED? M (Mandry atoIn NH) If DES RIPTION OF OPERATIONS below IA 5 BLANXXT sAIVER OF SOBROOA 12/01/10 05/01/12 X - TORv LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. EMPLOYE E1, 00O, 000 E.L. DISEASE -POLICY LIMIT $1,000, 000 A Installation Float Contractors Equipm ACPCIM7522652701 05/09/11 05/09/12 SPECIAL $100,000 FORM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addillonal Remarks Schedule, H mom space Is required) CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sean Kellen rinhic rwcnrund ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD A OW CERTIFICATE OF LIABILITY INSURANCE OPID ME DATE( �MI 04 14 /14/Y11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER NAME: H ONEFAX AIC, No, Eat: WC, No): Mile Hi,Insurance, Inc. IL ADDRESS: 4251 Ripling St. #220 CUSTOMERIDO: WIREL-1 - - Wheatridge CO 80033 Phone:303-237-5445 Fax:303-239-8807 INSURER(S) AFFORDING COVERAGE NAIC6 INSURED INSURER A: Allied 19100 Wireless Construction Services Corrpporation 28051 Camel Heights Circle Evergreen CO 80439 INSURER : Plnnacol 41190 INSURER C: INSURER 0 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR VIVO POLICY NUMBER (MMIDOrVYYY) (MMIDDIVYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X BLRT. ADD-L. INS. ACPGL07512652701 05/09/11 05/09/12 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea Occurrence) $100,000 MED EXP(Any one person) s5,000 PERSONAL B ADV INJURY $1,000,000 X BLRT Waiver of Su GENERAL AGGREGATE s2,000,000 - GEN'LAGGREGATELIMITAPPLIESPER: POLICY X JECT LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNEDAUTOS Blanket Add Insur ACPBA7512652701 05/09/11 05/09/12 COMBINED SINGLE LIMIT (Ea accident) E1,000,000 X BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) E X X $ X $ A UMBRELLA LAS EXCESS LAB X OCCUR CLAIMS -MADE ACPCAA712652701 05/09/11 05/09/12 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ 10,000 E X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIV OFFICERIMEMBER EXCLUDED? M (Mandry atoIn NH) If DES RIPTION OF OPERATIONS below IA 5 BLANXXT sAIVER OF SOBROOA 12/01/10 05/01/12 X - TORv LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. EMPLOYE E1, 00O, 000 E.L. DISEASE -POLICY LIMIT $1,000, 000 A Installation Float Contractors Equipm ACPCIM7522652701 05/09/11 05/09/12 SPECIAL $100,000 FORM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addillonal Remarks Schedule, H mom space Is required) CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sean Kellen rinhic rwcnrund ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD