HomeMy WebLinkAbout582943 ADVANCED NETWORK MANAGEMENT INC - INSURANCE CERTIFICATE (2)AC"RIE' CERTIFICATE OF LIABILITY INSURANCE
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DATE (MM/DD/YYYY)
03/01/2018
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 Connie Semanco
NAME:
Poms & Associates Insurance Brokers
PHCONNo Ext : (800) 898-6236 q/C, No): (505) 797-1432
E-MAIL CSemanco@PomsAssoc.com
ADDRESS:
320 Osuna Road N.E. Suite C-1
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Travelers Property Casualty Insurance Company of
25674
Albuquerque NM 87107
INSURED
INSURER B : The Travelers Indemnity Co/TRA
25658
INSURER C : Standard Fire Ins./Travelers
19070
Advanced Network Management, Inc
INSURER D :
4601 Columbine Ave, NE
INSURER E :
INSURER F :
Albuquerque NM 87113
COVERAGES: CFRTIFICATF NUMBER: 18-19 MAS 1 EK 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.
ILTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDD/YYYY
MM DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE OCCUR
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one person)
$ 10,000
A
Y
ZLP91M94476
03/01/2018
03/01/2019
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2.000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
X POLICY PRO LOC
JECT
OTHER:
AUTOMOBILE LIABILITY
COEa acciMBINEDdentSINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Y
BA5K924366
03/01/2018
03/01/2019
PROPERTY DAMAGE
Per accident
$
Medical payments
$ 5,000
X
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ 10,000,000
A
EXCESS LIAB
CLAIMS -MADE
CUP61<891943
03/01/2018
03/01/2019
AGGREGATE
$ 10,000,000
DED I X RETENTION $ 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
UB6K089065
03/01/2018
03/01/2019
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
A
Technology E&O
ZPL16N1342A
03/01/2018
03/01l2019
Per Occurrence
$2,000,000
Aggregate
$2, 000, 000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City, its officers, agents and employees shall are named as additional insureds on the insured's general liability and automobile liability policies, per the
attached endorsements. Notice of Cancellation form to follow from carrier.
GERTIFIGAIE HL)LUEK 1A171 GLLA 11WI4
City of Fort Collins Purchasing
PO Box 580
Fort Collins
CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
U 19t$t$-ZU1b AGUKD GVKYVKA I IVN. All ngnLs reserveu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD