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HomeMy WebLinkAbout127569 FRONT RANGE INTERNET INC - INSURANCE CERTIFICATE (2)Client#: 41544 rd.T.wl ACORD.. CERTIFICATE OF LIABILITY INSURANCE D11v09/ zola IDDIYYYY) o9r 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: Ifthe 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 Flood & Peterson Ins., Inc. P. O. BOX 578 Greeley, CO 80632 970 356-0123 TACT NAME: Rosemary Kisling PHOANC NNoE g70 266-7158 97050B6645 E# AID No: ADDRESS, INSI AFFORDING COVERAGE NAIC p INSURERA: Chubb Group of Insurance Compan INSURED Front Range Internet, Inc. l bQ 3350 Eastbrook Drive J / INSURER B: PlnnaCol Assurance INSURER C: Fort Collins, CO 80525 INSURER D: NSURER E NSURER 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 FORTHE POLICYJTHIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THEEXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL NSR UB WVD POLICY NUMBER POUCYEff NTVDD/YYYY PO CYEXP 0 LIMnsA GENERAL LIABILITY X 3579477SWCE 1/01/2013 11/01/201 EEAACCHp�O�CTCURRENCE $1000X PREMISES eomance S1 NOCLAIMS-MADE COMMERCIALGENERALLIABILITY OCCUR MED EXP one Ilan $10 00 PERSONAL-&ADV INJURY SO GENERAL AGGREGATE 62000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $1000OOO POLICY PRO LOC It A AUTOMOBILELIABLRY 1374970114 11/01/201311/01/201 OEOMBINU)SINGLELIM11 1000000 BODILY INJURY (Per person) $ ANY ALTO A OYJNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON-OVMED AUTOS IX BODILY INJURY (Par a Wan) $ PROPERTYDAMAGE Per actl . $ $ A )( UMBRELLALIAB OCCUR 93631904 1/01/2013 11111011=14 EACH OCCURRENCE $1 000000 N AGGREGATE $1 000 000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION S B WORKERS COMPENSATION AND EMPLOYERS, IIABIfrY ANY PROPRIETOMPARTNEMEXECUTNE YIN OfICERRAEMBER EXCLUDED? LY-1 (MrnealoryIn NH) NIA 4054469 3/012013 03101/2014 X TW STATu- OTH- FA E.L. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE $500000 E.L. DISEASE -POLICY LIMIT $500000 ifyyaass rlascri sunder OESCRIPTION OF OPERATIONS below A Errors & Omission 35784775WCE 1/012013 111`0112014 $1,000,000 $10,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional RemaAs SaIr".1a, ll mom apaca Is reeuYsd) "Workers Comp Information " Other States Coverage Proprietors/Partners/Executive Officers/Members Excluded: William Ward Shawna Killen, Corporate Officer (See Attached Descriptions) City of Fort Collins Director of Purchasing and Risk Management PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORRED REPRESEWAT1VE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 2 #S854580/M840477 The ACORD name and logo are registered marks of ACORD DESCRIPTIONS (Continued from Page 1) Blanket Waiver of Subrogation Supplemental Names .. Eastbrook Ventures, LLC: Vilata Communication, LLC; FRII Wireless LLC Certificate holder is included as Additional Insured as required by written contract with respect to liability arising out of work performed by the named insured. SAGI77A 25.3 (2010105) 2 of 2 #58545801M840477