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Home My WebLink AboutQuisitive - Insurance Certificate,�►co � CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �� 01 /03/20� vua � • titi THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 garb Michaels NAME: Christensen Group PHONE (g52) 653-1000 F� (952) 653-1100 A/C No E�R : A/C, No : 9855 West 78th Street, Ste 100 E-MAIL bmichaels christensen rou com A��RESS� � g P� Eden Prairie INSURED MN 55344 INSURER�S) AFFORDING COVERAGE iNsuReRq: Massachusetts Bay Ins Co iNsurtErt s: Allmerica Financial Benefit iNsurzeR c: Hanover Ins Group iNsuReR o: Hartford Fire Insurance Co iNSUReR e: Indian Harbor Insurance Co TX 75038 � iNsuRER F: Lloyds of London NAIC # 22306 41840 22292 19682 36940 Quisitive, LLC 1431 Greenway Drive Suite 1000 Irving COVERAGES CERTIFICATE NUMBER: 24-25 GL Master 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENER.4L LIABILITY EACH OCCURRENCE g ��OOO,OOO CLAIMS-MADE � OCCUR PREMISESOEaoccurrence 5 �,��,�� MED EXP (Any one person) $ 1�,�� %{ ZDXH882874 Ol/O1/2024 O"I/O'I/2025 pERSONAL&ADVINJURY g �,OOO,OOO GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2�000,000 POLICY PR� PRODUCTS-COMP/OPAGG $ JECT � LOC Z,OOO,OOO X orHErt: Project & Location Fire Damage' g 1,000,000 AUTOMOBILE LIABIL!TY � COMBINED SINGLE LIMIT g 1,000,000 Ea accident ANY AUTO BODILY INJURY (Per person) $ g OWNED SCHEDULED AWXH844128 01/01/2024 01/01/2025 BODILYINJURY(Peraccidenq $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY (Per accident) $ $ x UMBRELLA LIAB X pCCUR EACH OCCURRENCE $ � O,OOO,OOO C EXCESS LIAB CLAIMS-MADE UHXH882877 01/01/2024 01/01/2025 AGGREGATE g 10,000,000 DED X RETENTION 5 � $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y� N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑ N�A E.L.EACHACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Employee Theft/Client Premises � 41TP0293856 01/01/2024 01/01/2025 Crime Limit 5,000,000 Deductible 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addilional Remarks Schedule, may be attached if more space is required) City of Fort Collins is additional insured on the general liability and auto liability policies where required by written contract. CERTIFICATE HOLDER cnNr.Fi i erinN City of Fort Collins 215 N Mason Ste 300 Fort Collins CO 80521 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 O 1988-2015 ACORD CORPORATION. All rights reserved. �s nr.nan Other Named Insureds BankCard OSP h;erchan� Services, Inc. Ca�apult Systems, LLC rusion Agiltech Partners, Inc. Ledge-pay, _.._. N,azik Global, Inc. �;enlo Technologies Acqu��siticns inc. Men-o Te�hr.clogies, Inc. !�:ici?ech So'cwa-e Solu�icns, _...,. Quisitive Payment Solutions, Inc. Quisi�ice Techno�_ogy Scluti��ns Quis'�tive, Ltd. BB?� Consulting South�vest, ��C ., , _ rt Solutio:�s Ir.c. Additional Named Insureds �ddi�ional Named Insured Limitew �iability Company, Additional Na:�ed Ins:red Corqo-ation, Aridicional 1<amed Insured Fddicional Named Insured F.driitio^a'_ Nac�ea ?nsu-ed Additional Named Insu-ed Cor^o�atio�, Aadi��_cna_ l�:amed T_r.su�ea Aaai�_o.^.a�: iJar..ea I.^.sur��d Corporation, Additional Named Insured Con�=oling �=^:terest, bdd�_tional Va^�ed Insured tdditional Named Insured Additional Vamed =nsured P_ddi�ic�a1 Named Insured � � �•;� i •,� OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC