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Home My WebLink About125038 DHR COLORADO LLC - INSURANCE CERTIFICATE (2)(:lion}$- A1R75q DHRCOLO ACORD" CERTIFICATE OF LIABILITY INSURANCE TE (MM D1/1312IDOIYYYY) vl3rzola 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 HUB International Ins Svcs Inc 112517th Street, Suite 900 Denver, CO 80202 NAME: ME: Linda Mathews NE" o.En, 303.291-2009 AIC Na: 866-243.0727 E ORRss, linda.mathews@hubinternational.com INSURE S AFFORDING COVERAGE NAICO 888 795-0300 INSURER A, Pinnacol Assurance Company 41190 INSURED .�r a DHR Colorado LLC �L �� O 600 Grant Street Suite 700 O Denver, CO 80203 INSURERS: INSURER URERD: INSD INE : _ INSURERSURER F: CA Licesne #0757776 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 CONTRACTOR 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 ADOL R UB POLICY NUMBER POLICY EFF MID POLICY EXP MID LIMITS GENERAL LIABILITY $ COMMERCIAL GENERAL LIABILITY EEAACCHq�OECCCURRENCE PREMISES F.R xIDinal $ MED EXP (Any oneperson) $ CLAIMS -MADE F—IOCCUR PERSONAL SADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $ $ POLICY F PRO- LOC AUTOMOBILE LIABILITY CEaaMaccideenntSINGLE LIMIT BODILY INJURY (Per pens(M) $ ANY AUTO BODILY INJURY (Par accident) $ ALL OWNED SCHEDULED AUTOS UTOS ON OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ ITE UMBRELLALIAB OCCUR EACH OCCURRENCE s AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LUURLITY ANY PROPRIETOPIPARTNEWEXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) NIA 41447il4 1r0112014 01101120151 1/01/201 X WC BTATU- OTH. E.L EACH ACCIDENT $1 000 NO E.L.DISEASE-EAEMPLOYEE $1 000000 E.L. DISEASE- POUCY LIMIT $1 000 000 If yes, describe Under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD ID1, Additional Remarks Schedule, If more apace is required) This certificate shows that H & H Data Services, Inc. is covered Under the workers' compensation policy issued to DHR Colorado, LLC . City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO $0522-0580 AUTHORIZED REPRESENTATIVE —IV v I V00-1u to �nti ....... ate. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD eS9R'JSo7-vu-)ad nOSR wm