360Network-CS050208�,°
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PRODUCER
Aon Risk Services, Inc. of Colorado
4100 East Mississippi Avenue
Suite1500
Denver CO 80246 USA
pia' DATE(MM /DD /YY)
' -� 02/08/05
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
ONE-003) 758 -7688 FAX-(303) 758 -9458 INSURERS AFFORDING COVERAGE
INSURED INSURER A: American Home Assurance Co.
360networks Corporation INSURER B: Illinois National Insurance Co
867 Coal creek circle
Suite #160
Louisville CO 80027 USA INSURER C:
INSURER D:
INSURER E:
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,
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM\DD \YY)
POLICY EXPIRATION
DATE(MM\DD \YY)
LIMITS
A
GENERAL LIABILITY
RMGLA2507363
12/31/04
12/31/05
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FDOCCUR
FIRE DAMAGE(Any one fire)
$1, 000, 000
MED EXP (Any one person)
$10,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OPAGG
$1,000,000
PRO-
POLICY JECT El LOC
AUTOMOBILE LIABILITY C
CA2045013 1
11/30/04 1
11/30/05 C
COMBINED SINGLE LIMIT
ANY AUTO (
(Ea accident) $
$5,000,000
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY:
AGG
EXCESS LIABILITY EACH OCCURRENCE
OCCUR R CLAIMS MADE AGGREGATE
DEDUCTIBLE
RETENTION
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WORKERS COMPENSATION AND WC5899171 11/30/04 11/30/05 X WC STATU- OTH-
EMPLOYERS' LIABILITY All Other StateS EXcept CA TORY LIMITS ER
A wc5899172 11/30/04 11/30/05 E.L. EACH ACCIDENT $1,000,000
California WC only E.L. DISEASE - POLICY LIMIT $1,000,000
B WC5899185 11/30/04 11/30/05
Workers Comp.- MI E.L. DISEASE -EA EMPLOYEE $1,000,0001
OTHER
iFF!
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
cancellation Provision shown herein is subject to shorter or longer time periods depending on the jurisdiction of,
and reason for, the cancellation. 43-
GA��__
NuFt
.W w_r
City of Coppel 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION �Jt
Attn: Rhonda Brothers, Engineering Dept. DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
P.O. BOX 9478 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Coppel l , TX 75019 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Z7
AUTHORIZED REPRESENTATIVE h�- f°"- - - - - --
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