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HomeMy WebLinkAbout640805 APPLIED SOFTWARE TECHNOLOGY INC - INSURANCE CERTIFICATEAPPLSOF-01 LDANIELS ,d►C CERTIFICATE OF LIABILITY INSURANCE DATE 12/31/2018Y) �� 12/31/2018 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 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 CONTACT NAME: _ Spellings Walters Insurance Agency PHONE FAX 1117 Perimeter Center West (A/C, No, Ext): (770) 396-9600 (vc, No):(770) 399-9880 Suite W101 ADDRESS: Atlanta, GA 30338 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Applied Software Technology, Inc. INSURERC: 5901 Peachtree Dunwoody Road, Ste C230 INSURER D : Atlanta, GA 30328 INSURER E INSURER F : nnVFRAr:FC r:FRTIFIr`ATF All IMRFR• RFVICInM MI IMRGI?- 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. INTR TYPE OF INSURANCE INSD ADDLSUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE OCCUR EACH OCCURRENCE $ $ $ DAMAGE TO RENTED PREMI a occurrence MED EXP (Any oneperson) PERSONAL & ADV INJURY $ $ $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JECT LOC OTHER: GENERAL AGGREGATE PRODUCTS - COMP/OP AGG AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY f AUUTOS ONL� COMBINED SINGLE LIMIT a accident $ $ _ $ $ $ BODILY INJURY Perperson) BODILY INJURY Per accident PerOacGdentDAMAGE UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ $ $ AGGREGATE DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A X U68573152A 01/01/2019 01/01/2020 X PER OTH- TATLITE ER E.L. EACH ACCIDENT 1,000,000 $ Ft DISFASF - EA FMPLOYFF $ 1,000,000 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) City of Fort Collins PO 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 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD