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Home My WebLink About125038 H & H DATA SERVICES INC - INSURANCE CERTIFICATE (4)OP ID: CR A�ROr CERTIFICATE OF LIABILITY INSURANCE DaT06/2612 06/26/12 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 INSURERS), 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 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI O o CONTACT NAME: ' PHONE FAX A/C Nogall, AIC No), ' E-MAIL PRODUCER CUSTOMER,, HHELE-1 INSURERS AFFORDING COVERAGE NAIC0 INSURED H & H Data Services, Inc. INSURERA:Secura Insurance Companies 22543 Joe Hahn 1310 Webster Avenue INSURER B : Fort Collins, CO 80524 INSURERC: 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 rypE OF INSURANCE POUCYNUMBER POLICY EFF MMIDDIYYYYl POLICY UP IMMIDDIYYYY1 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKOCCUR X TC3140442 07/02/12 07/01/13 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED UP (Any one Person) S 5,00 PERSONAL S ADV INJURY $ 1,000,00 X EPL:$100,000 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS - A3140443 07/01/12 07/01/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ X PROPERTY DAMAGE (Per accident) $ X X $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CI -AIMS -MADE CU3140444 07101112 07101/13 EACH OCCURRENCE $ 4,000,00 AGGREGATE S DEDUCTIBLE RETENTION $ 10000 g X $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WCSTATU- OTH- E.L. EACH ACCIDENT S E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ A A Business Pers Prop Floater TC3140442 TC3140442 07/01/12 07/01/12 07/01/13 07/01/13 BPP 71,40 Floater 127,76 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AMch ACORD 101, Additional Remarks Schedule, If mom space Is mRulred) 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 80522-0680 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 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD