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127569 FRONT RANGE INTERNET INC - INSURANCE CERTIFICATE (4)
.Aw FRONRAN-44 MPOMPEO ,d►CORO CERTIFICATE OF LIABILITY INSURANCE �.� DATE (29/2MMIDY01 11/9/28 8 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 have ADDITIONAL INSURED provisions or 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 License # 0757776 CONTACT NAME: PHONE (A/C, No, Ext): (303) 893-0300 (A/C, No):(866) 243-0727 HUB International Insurance Services (COL) 112517th Street, Suite 900 Denver, CO 80202 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company 20281 INSURED INSURERB:PInnacol Assurance Company 41190 INSURERC: Front Range Internet Inc INSURERD: 3350 Eastbrook Drive, Suite 200 Fort Collins, CO 80525 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 TYPE OF INSURANCE AIDDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [:X] OCCUR X 34784775WCE 11/01/2018 11/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TOER�ENTEDREM1SES $ 1,000,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ Excluded GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jp&7 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AIUTOS ONLY AUTO ONLY 74970114 11/01/2018 11 /01/2019 COMBINer SINGLE LIMIT $ 1,000,000 BODILY INJURY Per person)$ BODILY INJURY Per accident BODILY $ PRO. den DAMAGE $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 93631904 11/0112018 11/01/2019 EACH OCCURRENCE 3,000,000 AGGREGATE $ 3,000,000 DED I I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFIC/EER ECU, PROPRIETOR/PARTNER/EXECUTIVE Y / (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4190202 03/01/2018 03/01/2019 X PER OTH- TEER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 A A Errors & Omisions Cyber Liability 34784775WCE 11/01/2018 34784775WCE 11/01/2018 11/01/2019 11/01/2019 Aggregate Limit Aggregate Limit 2,000,000 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is Additional Insured as per the attached Endorsement. City of Fort Collins Director of Purchasing & Risk Managment 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. AUTHORIZED REPRESENTATIVE I� ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD