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Home My WebLink About124503 SAGE TELECOMMUNICATIONS CORP - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 07/`07/2014 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 endorsement(s). PRODUCER CONTACT Willis of Pennsylvania, Inc. c/o 26 Century Blvd. P. O. aox 305191 PHONE FAX 877-945-7376 888-467-2378 eza MAIL certificates@willis.com Nashville, TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAICk INSURERA: Liberty Mutual Fire Insurance Company 23035-001 INSURED Sage Telecommunications Corp of Colorado, LLC INSURERS: Westchester Pire Insurance Company 10030-001 INSURERC: Liberty Insurance Corporation 42404-001 6700 Race St. Denver, CO 80229 INSURER 0: NSURER E: INSURR RF: I COVERAGES CERTIFICATE NUMBER: 21814576 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 ITR 1 TYPE OF INSURANCE DD' SUB(NqRr .1 ppLICYNUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY y TB2631004260014 7/31/2014 7/31/201$ EACH OCCURRENCE $ 5 000 000 PREMISE$ EaEoacurence $ 1 0001 000 X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEFX]OCCUR MED EXP(Any one Person) $ PERSONAL&ADV INJURY $ 51000,000 GENERALAGGREGATE $ 51000,000 GENT AGGREGATE LIMIT APPLI ES PER: PRODUCTS-COMP/OP AGG $ 5,000,000 POLICY X PRO IF, FLOC $ A AUTO MOBILE LIABILITY AS2631004260024 7/31/2014 7/31/2015 �EaeBCdant) GLE LIMIT $ 5,000,000 BODILY INJURY(Per person) $ X ANYAUTO ALLOWNEO SCHEDULED AUTOS AUTOS BODILY I NJURY(Per accident) $ X HIREDAUTOS X NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S B X UMBRELLALIAB X OCCUR G22049860009 7/31/2014 7/31,12015 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 51000,000 EXCESS LIAR CLAIMS -MADE DED I RETENTION$ Is C WORKERS COMPENSATION WA763DO04260034 /31/2014 7/31/2015 X C AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE FNJ OFFICER/MEMBER EXCLUDED? FfMandatory in NH) mdescdbs under DRIPTION OF OPERATIONS below N/A WC7631004260044 7/31/2014 7/31/2015 E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach Acurd 101, Additional Remarks Schedule, if nrore space is required) Workers' Compensation in State of Washington is Self Insured. The following is Additional Insured as respects General Liability only if required by written contract and coverage applies only as respects work performed by the Insured for the Additional Insured. All coverage terms, conditions and exclusions of the policy apply. Additional Insured: City of Fort Collins. City of Fort Collins Attn: Engineering Dept 300 La Porte Ave 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. AUTHORIZED REPRESENTATIVE Coll:4457547 Tpl:1839522 Cert:21814576 @1988-2010 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD