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HomeMy WebLinkAboutINTELLISOURCE LLC - INSURANCE CERTIFICATE (2)Al CERTIFICATE OF LIABILITY INSURANCE,/1/2014 TE DA8/30/2013�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 endomement(s). PRODUCER Lockton Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CO 80237 (303)414-6000 CONTACT NAME: NC, No Est : AX No E-MAIL ADDRESS: INSURERINSUREFUSI AFFORDING COVERAGE NAICN INSURER A: The Charter Oak Fire Insurance Com anv 25615 INSURED IntelliSouree, LLC 1344046 1899 Wynkoop Street, Suite 900 Denver, CO 80202 INSURER B: Travelers N.,r, Cacualry Cuof ,\men<a �5674 INSURER C: XL Specialty Insurance COm anv 37885 INSURER D: The Travelers lndemnily Co ofAmenca 25666 INSURER E: INSURER F : COVERAGES I1.ITC000 CEDTIPICATF MIIMRFR• I IOC"k I RFVISION NIIMRFR- XXXXXXX 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. VTR TYPE OF INSURANCE ANDR Syyp POLICY NUMBER MMPOl1� MM)DDYEXP LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X� OCCUR NI N 630-5A570042-COF-13 9/1/2013 9/1/2014 EACH OCCURRENCE 1.000000 PREM ISESOEa RENTED nce 1000,000 MED EXP (Any oneperson) 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE s 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: X POLICY PELT LOC PRODUCTS - COMPIOP AGG s 2,000,000 $ D AUTOMOBILE LIABILITY ANY AUTO ALL OMEO SCHEDULED HIRED AUTOS AUTOS BD N N BA-5A570042-13 9/1/2013 9/1/2014 OMBBINEDISINGLE LIMIT $ j,000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident s XXXXXXX PROPERTYDAMAGE $ XXXXXXX $XXXXXXX B X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMSWADE N N CUP-5A5700424IL-13 9/1/2013 9/1/2014 EACH OCCURRENCE s 4000.000 AGGREGATE s 4,000,000 DED I I RETENTION s $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNE-EXECIITl- YIN OFFICERIMEMBER EXQ.E.N (Mandatory in NH) DESCRIPTION OF OPERATIONS debw NIA N RWD500033701 9/1/2813 9/1/2814 WC STATU- DTH- X TORY LIMITSFIR E.L.EACH ACCIDENT s 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000000 E L. DISEASE POLICY LIMIT I.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER GANCELLA I ION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE.THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11963814 AUTHORIZED REPRESENTATIVE City of Fort Collins Purchasing Division 215 N. Mason St., 2nd Floor P.O. Box 580 Fort Collins, CO 80522 C&,/, ACORD 25 (2010/05) ©19 8 2010 ACORD CORPOKATION. All rights reserved Tho Annon no,..o onA Innn Pro ranicforo.l morkc of Arnon