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HomeMy WebLinkAbout103885 COMPUTER SITES INC - INSURANCE CERTIFICATE (4)COMPSIT-01 NADARTS 'A`� �� CERTIFICATE OF LIABILITY INSURANCE °AT8/4� 014 n 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 Willis of Colorado, Inc. c%o26CenturyBlvtl P.O. Box 305191 Nashville, TN 37230-5191 CONTACT NAME: certificates@willis.com PHONE FIX acNeExt:(877)945-7378 JCNo:(888)467-2378 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC M INSURER A: Continental Insurance Company 35289 INSURED INSURER B: Valley Forge Insurance Company 20508 Computer Sites, Inc. 1225 South Huron INSURER C: Continental Casualty Company 20443 INSURER D: Pinnacol Assurance Company 41190 Denver, CO 80223 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. INSRLTR LTR TYPE OF INSURANCE AnmPOLICY NUMBER MMIIDCDNYYYY Y EFF MM/D�NYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR 4024840653 8/1/2014 8/1/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 1,500,00 MED EXP (Any one Person) $ 5,00 PERSONAL 6 ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JERCT LOC OTHER: GENERALAGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY X ANY AUTO AUTOSS AUTOS OSCHEDULED AU NON -OWNED HIRED AUTOS AUTOS 4024840636 8/1/2014 B/1/2015 COMBINED SINGLE LIMIT Ea a.,d.nt $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per oxidant) $ PROPERTY DAMAGE Per eramidaxident $ C X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE CUP4030406096 8/1/2014 8/1/2015 EACH OCCURRENCE $ 10,000,00 AGGREGATE $ 10,000,00 DED I X I RETENTION$ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE Y/N OFFICERMIEMBER EXCLUDED? (Mandatory in NH) It a, descnbe under DESCRIPTION OF OPERATIONS below N/A 4107093 8/1/2014 8/1/2015 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remark, Schedule, may be attached If mom space Is required) 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 City of For Collins, Colorado P.O. Box 580 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD