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Home My WebLink AboutINTELLISOURCE LLC - INSURANCE CERTIFICATE (3)ACORD,a CERTIFICATE OF LIABILITY INSURANCE 9/1/20158/29/2014 CERTIFICATE DATE 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(les) 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 endoreement(s). PRODUCER Lockton Companies 8110 E Union Avenue Suite 700 Denver CO80237 (303) 414-6000 CONTACT AIC No Ect : (A/C, No E-MAIL ADDRESS, INSUREFUSI AFFORDINGN INSURER A: The Charter Oak Fire Insurance CompanyCompariy 25615 INSURED IntelliSource, LLC 1344046 1899 Wynkoop Street, Suite 900 Denver, CO80202 INSURER B: The Travelers Indemnity Co of America 25666 INSURERC: T1.v&11PropenyCasua1'yCoofAnenca 25674 � XL Inecialty Insurance Comoany 37885 ME E INSURE COVERAGES IUTC090 CERTIFICATE NI IMRFR- I IQA.2A IA RFVISION NUMBER- 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. INSR LTRMan TYPE OF INSURANCE ADDL SUBR INVIDA POLICY NUMBER POLICY EFF MOUCY EXP LIMITS X COMMERCIALGENERALLOBILITY CLAIMS -MADE xOCCUR N N 630-5A570042 9/1/2014 9/1/2015 EACH OCCURRENCE 1000000 PREM E T EaE. '.rce 1 000 000 MED EXP (Ary oneperson) 10,000 PERSONAL A ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY❑JECT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGGs2000000 $ A AUTOMOBILE LIABILITY X ANYOAUTO p AUTOS VIED AUTUSULED HIRED AUTOS NON -OWNED N N HA-SA570042 9/1/2014 9/12015 OMBINdEeDISINGLELIMIT $ 1000000 BODILY INJURY (Per Person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE $ XXXXXXX $XXXXXXX C X UMBRELLAUAB EXCESS LIAR X OCCUR CLAIMS -MADE N N CUP-5A570042 9/1/2014 9/1/2015 EACH OCCURRENCE s4000000 AGGREGATE $ 4,000,000 DED RETENTION $ $ XXXXXXX D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N OFFICERIMEMBERP CLUOE�7 ELUTIVE � (Myan"ary in NH) DESCRIP➢ON OF OPERATIONS W1. NIA N RWD500033702 9/1/2014 9/I/201$ X STATUTE DTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 EL. DISEASE -POLICY LIMIT 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarka Schedule, my Ba attached if more space is required) 11963814 City of Fort Collins Purchasing Division 215 N. Mason St., 2nd Floor P.O. 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. 26 (2014/01) The Arnwn ...me a.A Inns ..e .m.he.A ma4a .A ACn Rn