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Home My WebLink About125038 H & H DATA SERVICES - INSURANCE CERTIFICATEOP ID: SC A`ORO' CERTIFICATE OF LIABILITY INSURANCE Dar0o7/22nzn1 1 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: If 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 endorsements PRODUCER 970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 CONTACT NAME' PHONE FAX INC. No Ext : INC, No), E-MAIL ADDRESS: Fort Collins, CO $0525 David A. Wooldridge LUTCFAAI PRODUCER HHELE-1 CUSTOMER ID N: INSURERS AFFORDING COVERAGE NAIC M INSURED H & H Data Services INSURER A: Secure Insurance Companies 22543 Joe Hehn INSURER B 1310 Webster Avenue Fort Collins, CO 80524 INSURER C: INSURER D: 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. INSR LTR TYPE OF INSURANCE IN B POLICY NUMBER EFF MMIDDPOLICY/YYYY DDIYYCY X IF MMIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR r X TC3140442 07101111 07101/12 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Anyone person) $ 5,00 PERSONAL B ADV INJURY $ - 1,000,00 X- EPL: $100,000 p• GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE X POLICY LIMIT APPLIES PER. PRO JECT LOG PRODUCTS - COMPIOPAGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS A3140443 07/01111 07/01112 COMBINED SINGLE LIMIT (Ea accident) S 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X $ S A UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE CU3140444 07I01111 07I01112 EACH OCCURRENCE $ 4,000,00 AGGREGATE $ DEDUCTIBLE RETENTION $ 10,000 $ X $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yerib s, desce under DESCRIPTION OF OPERATIONS below N I A I WC STATU- OTH- LIMER EL EACH ACCIDENT It E. L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ A A Business Pars Prop Floater TC3140442 TC3140442 07101111 07/01/11 07/01112 07/01112 BPP 71,40 Floater 127,78 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space is required) City of Fort Collins is named as additional insured with regards to general liability as their interest may appear. FORTC-1 City of Fort Collins P.O. Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD