HomeMy WebLinkAboutCOMMUNICATION TECHNOLOGY SERVICES LLC - INSURANCE CERTIFICATE,acoR�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VYYV)
10/4/2018
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 Christina Wasson
NAME:
Eastern Insurance Group LLC (A C.NE EX 781-596-8919 FAX No):
155B Otis Street E-MAIL" Y
do le easterninsurance.com
ADDRF
Northborough MA 01532 INSURERAMassachusetts Bay Ins.Co. 22306
INSURED INSURERB:Hanover Insurance Co. 22292
Communication Technology Services LLC INSURERC:
Communication Technology Services INC INSURERD:
33 Locke Drive INSURERE:
Marlborough MA 01752 INSURERF:
Ct7VFRAr,FS CFRTIFICATF NIIMRFR•2018 Master RFVIQIr11J NI IIURFR•
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
DL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYVY
POLICY EXP
MM/DD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE ❑X OCCUR
DAMAGE TO RENTED
PREMISES lEa occurrence
$ 1,000,000
X
MED EXP (Any one person)
$ 10,000
No Deductible or SIR
ZDNA127014
10/11/2018
10/11/2019
PERSONAL & ADV INJURY
$ 1,000,000
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
GENT
POLICY FX] jECT LOC
PRODUCTS - COMP/OPAGG
$ 2,000,000
$
OTHER:
AUTOMOBILE
_
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
A
_X
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
ADRA127005
10/11/2018
10/11/2019
BODILY INJURY (Per accident)
$
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
$
_
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$ 25,000,000
AGGREGATE
$ 25, 000, 000
B
EXCESS LIAR
CLAIMS -MADE
DED I X RETENTION 0
$
UHNA127015
10/11/2018
10/11/2019
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
OFFICER/MEMBER EXCLUDED?ANYECUTIVE
(Mandatory in NH)
N / A
WMNA111901
10/11/2018
10/11/2019
X PER OTH-
STATUTE ER
E-L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
_
$ 1,000,000
9 yes, describe under
-
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
L.th( I11-16A I t r1ULUth UANULLLA I III
City of Fort Collins
PO Box 580
Ft. 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
John Koegel/CWASSO �f�>
9)1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 f201401 i