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HomeMy WebLinkAbout159569 OASIS ACQUISTION INC - INSURANCE CERTIFICATEacoR& CERTIFICATE OF LIABILITY INSURANCE D05/23/2013YY) THIS CERTIFICATE IS 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 ADDITIONAL INSURED, the policy(ies) must 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 CONTA NAME: Af N (480 951-4177 uC No): (480) 951-4266 Doug Jones do Artex Risk Solutions, Inc. 8800 E. Chaparral Rd, Suite 230 Scottsdale, AZ 85250 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: American Zurich Insurance Company 40142 INSURED INSURER B : Oasis Acquistion, Inc Alt. Emp: P.S. Installations, Inc. 2054 Vista Parkway Suite 300 INSURER c: West Palm Beach, FL 33411 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 13FLO75826400 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 LTR TYPE OF INSURANCE AODL SUER NUMBER POLCPOLICY MMIDIDY EFF EXP 11 MM/DDPOLICYIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMA T R D PREMISES RENcT E CLAIMS -MADE 7 OCCUR MED EXP (Any one person) E PERSONAL B ADV INJURY E GENERAL AGGREGATE E GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG E I POLICY PRO- ECTLDD $ AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED AUUTOSS SCHEDCHED AUTOSWNED BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ NON-0 HIRED AUTOS AUTOS E UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OF Excwoaov N/A WC 29-38-687-11 06/Ot/2013 06/01/2014 X WCSTATU- OTH- FR E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE- EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, descrdthe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT E 1,000,000 Location Coverage Period: 06/01/2013 06/01/2014 Client# 9516-CO-MAIN DESCRIPTION OF OPERATIO S (Attach ACORD 101, Additional Remarks Schedule, If more space is required) P.S. Installations, Inc. FORT COLLINS MUSEUM OF DISCOVERY Coverage is provided r 3857 Steele St Ste C only those employee Denver, CO 80205 leased to but not subcontractors of: CITY'S DIRECTOR OF PURCHASING AND RISK MANAGEMENT PO BOX 580 FORT COLLINS, CO 80522 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 © 1988.2010 ACORD CORPORATION. All ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD