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Home My WebLink AboutTMA HOLDINGS LLC - INSURANCE CERTIFICATE' �� ACORO' �� TMAHOLD-09 CERTIFICATE OF LIABILITY INSURANCE DATE {MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MAT7�R OF INFORMA710N ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICATE HOLDER. THIS CERTIFICA7E bOES NOT AFFII2MATIV�LY OR N�GATIVELY AMENb, EXTEND QR ALTER THE COVERAGE AFFORDED BY THE POLICIES B�LOW. 7HIS CERTIFICATE OF INSURANCE DOES NOT CONSTfTUTE A CONTRAC7 BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESEN7ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder Is an ADDITIQNAL INSURED, the poltcy(ies} must have ADDITIONAL INSURED provisions or be endorsed. If SU8f20GATION IS WAIVEo, subject to the terms and conditlons of the policy, certain pollcies may requ(re an endorsement. A statement on this certiftcate does not confer riahts ta the certiflcate holder in lieu of such endorsement(sl. PRODUCER ""o��ao.r �vv�v�va� Hub Inter�ational MEd-America 6100 S. Yale Avenue Suite 1900 Tulsa, OK T4136 INSURSD TMA Holdings LLC 1876 Utfca Square Third Floor Tulsa, OK 74114 m B) 551-7900 I ��u"c,wo�: ne.watsonCrDhubinternational.com COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEQ ABOVE FOR THE POLlCY PERIOb INOICA7ED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION QF ANY CONTRACT OR �THER DOCUMENT 1MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOftDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIAIIITS SHOWN AAAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR TypE OF INSURANCE ADDL SUBR ppLICY NUMBER PaLICY EFF PQLICY EJfP LIMITS A X COMMERCIAL GENERAL LIABII�ITY EACH OCCURRENCE S ��OOO,OOfl CLAIMS-MApE U OCCUR BBO74B%H%S9 9l2212023 SIYYIYOZ4 DAMAGE TO RENTED 'I �OOO�OOO MED EXP (An�ate rson � �,�� PERSONAL & AOV INJURY � �OOQ,OOO GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE Z,OOd,OOO POLICY � j��T � LOC PRODUCTS -COMP/OP AGG Z,OOd,OOd OTHER EPL a 'IO,OUd A AUTOMOBILE LIABIUTY C e accideMSINGLE LIMIT a 'I �OOO�OOO ANY AUTO B8074678759 9122l2023 912212024 BODILY INJURY Per erson S �WNED SCHEDULED T AUTOS ONLY AUTOS BORDILY INJURY Per aaitlenl S X AUTOS ONLY X AUTO� OM�Y P?ef Pa pOBTMflI AMAGE s S B X UMBRELLA LIAB OCCUR EACH OCCURRENCE S ��OOO�OOO ExCESS uAB CI.AlMS•MADE B6O74S7H762 912212D23 9I22J2O24 AGGREGATE E DED X RETENTIONS �Q�� Aggregate S rJ�Oa��O� C WORKERS COMPENSA710N x PER OTH- AND EMPLOYERS' LIABILITY C711555651 9J2212023 9i22iZOZ4 ��fl��0 ANY PROPRiETORlPARTNERIEXECU7IVE Y� E.L. EACH ACCIDEN7 QFFICERMIE M8E R EXCLUDED? N�A (klandatoryfnNH) E.L.DISEASE-EAEMPLOYE �,��,�a� �r ya5.de5�� -- �,000,000 DESCRIPTfON OF OPERATlONS bebw E.L. DISEASE - POLiCY LIMIT D Professional Liabili VG00004285AD 1?J2212023 1212ZI2024 AggregatelEach CEaim 4,OUO,U00 DESCRIPTtON OF OPERATIONS ! LOCATIONS! VEHICLES (ACORD 707, AQtlltionat RemaAcs Schetlule, may 6e attached if more spe ce Is requlretl} To the extent required by written agreement, signed 6y the insured, the Blanket Additional Insured endorsement applies to the Certificate Holder in reference to the General LiabiNty, Auto Liability and Excess Liability as their interests may appear. Ctry of CollEns 300 LaPorte Avenue Fort Colll►ts, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATfON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C�lv��..�� ACORD 25 (201fi103) O 1988-2015 ACORD CORPORATION. All rights reserved. 7he ACORD name and logo are registered marks of ACORD � ACOR�" �� AGENCY CUS70ME}2 ID: TMAHQLO-01 LOC #: 1 ADDITIONAL REMARKS SCHEDULE CRAMEY Page 1 of 1 AGENCY License # 400101891 NAME� INSURED ub International Mid-America TMA Holdings LLC 1876 Utica Square POLICYNUMBER Third Floor EE PAGE 1 7ulsa, OK 74114 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTVE DATE: PAG The ACORD name and logo are registered marks of ACORD ACORD 101 (2008/09 ) O 2008 ACORD CORPORATION. All rights reserved.