HomeMy WebLinkAbout443506 TRUE POINT SOLUTIONS LLC - INSURANCE CERTIFICATE (5)'A� Ro® CERTIFICATE OF LIABILITY INSURANCE
DATE
12-19-201)0
THIS CERTIFICATEIS 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 ADDITIONALINSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
VITAS INSURANCE AGENCY, LLC/PHS
UUNIACI
PHONE FAX
(A/C,NoEx0: (866)467-8730 (A/C No): (877)905-045
128433 P: (866)467-8730 F: (877)905-0457
PO BOX 33015
ADDRESS:
SAN ANTONI O TX 78265
CUSTOMER ID p:
INSURER(S) AFFORDING COVERAGE
NAIC k
INSURED
INSURERA: Hartford Casualty Ins Cc
INSURER B
TRUEPOINT SOLUTIONS, LLC
3262 PENRYN ROAD SUITE 100
INSURER C
LOOM I S CA 95650
INSURER D
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: 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.
LTR
TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
(MM/DD/ ,YY)
(MM/DD/YYYYPOLICY EXI )
LIMITS
A
GENERAL LIABILITY
MMERCIAL GENERAL LIABILITY
CLAIMS -MADE U OCCUR
]X# eneral Liab
X
57 SBA AX4262
02/01/2011
02/01/2012
EACH OCCURRENCE $ 1,000,000
PREMISES (Es occurrence) $ 300, 000
MED EXP (Any one person) I $ 10,000
PERSONAL & ADV INJURY $ 1,000, 000
GENERAL AGGREGATE I S 2,000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
JO-
POLICY U PRO- ECT U LOC
PRODUCTS - COMP/OP AGG
S 2,000, 000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
- -
57 SBA AX4262
02/01/2011
02/01/2012
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
S
A
X
UMBRELLA LIAB X OCCUR
EXCESS LIAB CLAIMS -MADE
57 SBA AX4262
02/01/2011
02/01/2012
EACH OCCURRENCE
$ 1,000, 000
AGGREGATE
$ 1,000,000
X
I DEDUCTIBLE
RETENTION $ 10,000
$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EY,CLUDED'
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
i
WC STATU- OTH-
TORY LIMITS I I ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
1 $
AlTechnology
Ego
57 SBA AX4262
o2/01/2011
02/01/2012
2, 000, 000/2, 000, 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Those usual to the Insured's Operations.Certificate Holder is an Additional
Insured per the Business Liability Coverage Form SS0008 attached to this
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
City of Fort Collins
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZE-9 R,9PRESENTATIVE
2ND FLOOR -PURCHASING 215 N MASON ST
FORT COLLINS, CO 80524-�C��"�-�
t' 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD