HomeMy WebLinkAbout430295 COLORADO SYSTEMS GROUP INC - INSURANCE CERTIFICATEFeb 02 2012 13:30:47 MST MSG# 4S32SO42-006-1 Page 001 Of 003
Fax
To: Jim Hume
9702216707
Date: Thu Feb 2 13:29:56 MST 2012
Pages: 3
Willis
Website www.Willis.com
From: "Yoon, Kim" <Kim.Yoon@willis.com>
Voice: 720 974 2718
Fax: 720 974 2748
Subject: RE: Certificate for Colorado Systems Group, Inc
Jirn,
Pica e ,ee fir, attached certificate for the above insured a-, ieclue-,led and Ica us know if you r ceJ anything
Thank;
Kim Yoon, Account Manager, CISR
Wilhs of Colorado, Inc 2000 5 Colorado Olvd Tower II 14900, Denver. CO 30222
Direct: 720-974 271C, Fax 720-5240130, kimyoon@willis mm , www willis com
THE WILLIS CAUSE
• We thoroughly understand our clients needs and their industries_
• We develop client solutions with the best rnarkets, price and terms_
• We relentlessly deliver 4uality Chant service_
• We yet Claims paid 4uid(ly_
...WITH INTEGRITY
Click here for more information about The Willis Cause.
'We are pleased to announce the relocation of the Willis of Colorado office, as of Friday, December 9{h, we will
be located at 2000 south Colorado Boulevard, Towev 11, Suite 900, Don vev, CO 80222, our telephone numbers
will remain the sama.'
From: rbarber [mailto:rbarber@cosysgroup.com]
Sent: Thursday, February 02, 2012 10:53 AM
To: Yoon, Kim
Subject: City of Fort Collins requirements
Please contact the sender if you do not receive the number of pages stated a have difficulty with legibility_ Please be aware that this facsimirle is
confidential_ If you are not the intended recipient, please notify w immediately_ You should not copy it or we it for any purpose, nor disclose its
contents to any person
Feb 02 2012 13:31:10 MST
Kim
MSG# 4S32SO42-006-1 Page 002 Of 003
I have attached the requirements for City of Fort Collins. We just need to add Jim Hume as the contact for this
certificate. This certificate can be faxed to 970-221-6707 although I think we will include a copy with the contract.
Thank you for your help.
tteeuan Farber
Lo[or "do S4 Stern S (-rrouv 11IC.
/20-05)-0495 Off,c(,
720-652-0410 Fax
Please contact the sender if you do not receive the number of pages stated a have difficulty with legibility_ Please be aware that this facsimle is
confidential_ If you are not the intended recipient, please notify us immediately_ You should not copy it or we it for any purpose, nor disclose its
contents to any person
Feb OZ-2&1� 13:31:2S MST MSG# 4S32S842-006-1 Page 003 Of WD:KY
CERTIFICATE OF LIABILITY INSURANCE OAT02102D,YY""'
ozrozn z
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
PRODUCER 303-756.7755
i
Willis of Colorado-TLT
PHONE PAX
2000 S Colorado Blvd #2-900
tNr.NQ
Denver, CO80222
-PRUOUG--
_-QSLST-QMEalD9_COL0 27 ----. ----. -. -.
Talty House Account
INAUReAjS!_ AFFORDING COVERAGE _
NA:CR
INSURED Colorado Systems Group, Inc.
INSURERA Philadelphia Insurance Co
23850
1831 Lefthand Cir Ste #B
INAuRER H:Pinnacol Assurance
41190
Longmont, CO 80501
_.. .._..... ... _...... ..
...
INAUH:'-"R G
INSURER D:
INSURER E
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 W17H 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.
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OE$CR?PTION OF OPERATIONS LOCATIONS I VEHICLES fAtfaatt ACORD 101, AOd;banal Rom�ff61SCnadula. IfMora SpHCA IS r0qutr0dl
The City, its officers, agents and employees are named as additional insured
with respects to the general liability and automobile liability Insurance
—ID day for the
policies.. notice of cancellation nonpayment of premium.
r l4PTWWATP Hrll rIFA r ANIr•F1 I ATu-uU
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
Attn: Jim Hume
ALA HORIXku KFPRFSeNTANVX,
215 North Mason, 2nd Floor
Talty House Account
Fort Collins, CO 80522
W 1988 2009 ACORD CORPORATION. All rights reserved.
ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD