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Home My WebLink About125038 H & H DATA SERVICES INC - INSURANCE CERTIFICATE (5)OP ID: SC CERTIFICATE OF LIABILITY INSURANCE DAT05101os/ovDIYYYY) F la 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 970-223-1804 Front Range Insurance Group 1100 Haxton Drive Suite 100 Fort Collins, CO 80525 David A. Wooldridge LUTCFAAI U CONTACT PHONE FAX A C No Est]: ac No): E-MAIL ADDRESS:PRODUCER CUSTOMER ID HHELE-1 p: INSURERS AFFORDING COVERAGE NAICM INSURED H & H Data Services, Inc. Joe Hahn 1310 Webster Avenue Fort Collins, CO 80524 INSURER A:Secura Insurance Companies 22543 INSURER 8: Pinnacol Assurance 41190 INSURER C: 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 TYPE OF INSURANCE POLICY NUMBER MIIDDrYYYY I I I MM/DDY/YYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X TC3140442 07/01/13 07/01/14 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL S ADV INJURY $ 1,000,00 X EPL: $100,000 GENERAL AGGREGATE $ 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 HIRED AUTOS NON -OWNED AUTOS A3140443 07/01/13 07/01/14 COMBINED SINGLE LIMIT accident) $ 1,000,00 X BODILY INJURY BODILY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ A UMBRELLA LIAR EXCESS UAB X OCCUR CLAIMS -MADE CU3140444 07/01/13 07/01114 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ DEDUCTIBLE RETENTION $ 10000 $ X $ B WORKERS COMPENSATON AND EMPLOYERS' LIABILITY ANY PROPRIETORMARTNER/EXECUTIVE V� OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4172851 06/01/14 05/01/15 X WC STATU- OTH- R E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ S00,D0 A q Business Pers Prop Floater TC3140442 TC3140442 07/01/13 07/01/13 07/01/14 07/01/14 BPP 71,40 Floater 127,78 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Addidonal Ramada Schedule, If mom space is required) City of Fort Collins is named as additional insured with regards to general liability as their interest Bay appear. FORTC-1 City of Fort Collins P.O. Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE © 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD