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Home My WebLink AboutRESOURCE ONE TERRA FIRMA - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE IOVBA3KO °02/19/200 " PRODUCER Moreton a Company 4600 s In star St Denve CO 80237 Ste 380 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 ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW 303 3S5 2100 Tracy Eddy INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA P nnacol A urance Eason One LLC db T rra Firma INSURERS INSURERC 600 Grant Street Su to 700 Denver CO 80203 INSURER D INSURER E COVERAGES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE IMM.DNYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occu e e $ COMMERCIAL GENERAL LIABILITY MED EXP (Any o e person) $ CLAIMS MADE ❑ OCCUR PERSONAL B AM INJURY $ GENERAL AGGREGATE $ GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG S POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accede I) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILYINJURY (Pe a cd nU $ HIRED AUTOS NON-0WNEDAUTOS PROPERTY DAMAGE (Per poodle p $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY AGO LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE R8SAJMBREU-A $ DEDUCTIBLE $ RETENTION S A WORKERS COMPENSATION AND 4038719 01 01/2008 01/01/2009 WC STATU X OTH EL EACH ACCIDENT $ 1 000 000 EMPLOYERS LIABILITY ANY CER]MEMB R EXCL DED' CUTIVE OFFICER/MEMBER EXCLUDED'+ EL DISEASE EA EMPLOYEE $ 1 000 000 EL DISEASE POLICY LIMIT $ 1 000 000 Ifyes des be nder SPECIAL PROVISIONS below OTHER 7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS This certificate shows that IT & H Data Services Inc is covered under the workers compensation policy issued to Resource One LLC dba Terra Firma 10 Day notice of cancellation will be given for non payment of premium City of Fort Collins PO Box 580 Fort Collins CO 80522 058 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO 50 $HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE P Pace 1 of 2 r�� IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) 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) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon Arn.n n. 1-1-1