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HomeMy WebLinkAboutSURELOCK PLUS, LLC - INSURANCE CERTIFICATESUREPLU-01 PDEAVER sa�O�zo, CERTIFICATE OF LIABILITY INSURANCE DAT71312014vv) 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 TrueNorth PO Box 847INC Longmont, CO 80502 CONTACT NAME: PHONE FAX No): (303) 776-5495 n DRIESS: INSURER(S) AFFORDING COVERAGE NAICN INSURER A: Mt. Hawley Insurance Company 37974 INSURED INSURER B:Owners Insurance Company 32700 SureLock Plus, LLC INSURER C: Pinnacol Assurance Company 41190 INSURER D : 2744 Grinnell Drive INSURER E: Longmont, CO 80503 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. INSR LTR TYPE OF INSURANCE S POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM IODNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE � OCCUR E & O included PGA0001432 0710112014 07/01/2015 EACH OCCURRENCE $ 1,000,00 -OANTED— PREMIS�ESE. occunonce $ 50,000 X MED EXP (Anyone person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X]JECOT LOC OTHER: GENERAL AGGREGATE $ 3,000,00 PRODUCTS. COMPIOP AGO $ 3,000,00 PPA MAXIMUM $ 5,000,00 B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X X NOWOWNED HIRED AUTOS AUTOS 4512634300 07101/2014 07/01/2015 COMBINED SINGLE LIMIT Ea a¢itlenl $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per amident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCEss LIAB X OCCUR CUIMS 1nADE XGA0001143 07/01/2014 07/01/2015 EACH OCCURRENCE $ 3,000,00 AGGREGATE $ 3,000,00 DEO X RETENTION$ 10,000 $ C . WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ..� (Mandatory in NH)"" If yes, describe under DESCRIPTION OF OPERATIONS below NIA I 14045600 07/01/2014 0710112015 PER OTH- X STATUTE ER E.L.EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEES 1,000,00 E.L. DISEASE -POLICY LIMIT 1 $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Fort Collins 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 $11i D' UaVtl ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD