HomeMy WebLinkAbout443506 TRUEPOINT SOLUTIONS LLC - INSURANCE CERTIFICATE (3)d !'Yl0
CERTIFICATE OF LIABILITY INSURANCE
1 03TE18_2013
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
128433 P: (866)467-8730 F: (877)905-0457
CONTACT
PHONE FAx
AIC N°E.0: (866)467-8730 IAIC. N°c (877)905-045
MAIL
PO BOX 33015
ADDRESS:
INSURERS) AFFORDING COVERAGE NAICN
SAN ANTONIO TX 78265
INSURER A: Hartford CasualtyIns Co
{
INSURED 0
�V
INSURER : Multiple Companies
INSURER C:
TRUEPOINT SOLUTIONS, LLC
3262 PENRYN RD UNIT 100
INSURER D:
INSURER E:
LOOMIS CA 95650
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR
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
LTR
TYPE OF INSURANCE
A D
SUBRi
WVD
POLICY NUMBER
T-117
(MMIDD
IPOLICYMMIDDUP
YYY)LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
5 1, 000, 000
PREMISES IEa «currencel
S 3 Q Q , OOO
COMMERCIAL GENERAL LIABILITY
A
CLAIMS -MADE X I OCCUR
X General Liab
�y�
L"J
I I
u
57 SBA AX4262
02/01/2013
02/01/2019
MED UP(An'/ one Pers°nl
$ 10, 000
PERSONAL&ADV INJURY
S 1 On 000
GENERAL AGGREGATE
s 2, 000,000
GENT AGGREGATE LIMIT APPLIES PER:
�
POLICY X l PRO
POT. u LOC
PRODUCTS - COMP/OP AGG
s 2, 000,000
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea eccidenU
$ 1, Q O O , OO O
ANY AUTO
BODILY INJURY (Per oerson)
$
BODILY INJURY accident
$
A
ALL OWNED SCHEDULED
AUTOS U AUTOS
X HIRED AUTOS �YY�NON OWNED
L_1 AUTOS
I
u
u
57 SBA AX4262
02/01/2013
02/01/2014
PROPERTY DAMAGE
(Per accidenH
$
X
UMBRELLA LIAB X OCCUR
EACH OCCURRENCE
$ 1 000
AGGREGATE
,000
$ 1 000,000
A
EXCESS LIAB CLAIMS -MADE
I
_u I
u
57 SBA AX4262
02/01/2013
02/01/2014
DEO X RETENTION 5 10,000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? a
(Mandatory ,n NH)
It yes, describe under
N/A
U
57 NEC RL0324
04/01/2013
04/01/2014
WC STATU- OTH-
X TORV LIMITS ER
E.L. EACH ACCIDENT
5 1 000 000
E.L. DISEASE - EA EMPLOYE
$ 1 O ISO O O O
E.L. DISEASE -POLICY LIMIT
S 1,000, 000
DESCRIPTION OF OPERATIONS below
A
Technology E&O
U
u
57 SBA AX4262
02/01/2013
02/01/2014
2,000,000/2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AUacb ACORD 101. Additional Reme,ks Schedule, it more .Gees is repurad$
Those usual to the Insured's Operations.Certificate Holder is an Additional
Insured per the Business Liability Coverage Form SS0008 attached to this
policy,
City of Fort Collins
2ND FLOOR -PURCHASING 215 N MASON ST
FORT COLLINS, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD