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MASON WIRELESS SOLUTIONS LTD - INSURANCE CERTIFICATE
. 6. O CERTIFICATE OF LIABILITY INSURANCE `� DATE (MM OD 11/13/2014 14 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 endorsements . PRODUCER Denver Agency Company 210 University Blvd, Suite 600 Denver CO 80206-4661 CONTACT Dena Wolfe, CIC NAME: PHONE (303) 892-6900 PAX Nl AIC (303)892-693e EMAIL .dens@denveragency. com INSURERS AFFORDING COVERAGE NAIC p INSURERA:OhiO Security Ins Co Liberty INSURED Mason Wireless Solutions Ltd. 240 Wyandot Street Denver CO 80223 INSURER B:Flremans Fund Insurance Co. I INSURER C:National Union Fire Ins Chartis INSURERPi—acol Assurance INSURERE:D:Ge2n1 Insurance Company INsuRER F:Twin —City Fire Ins Co Hartford GUVERAGE5 CERTIFICATE NUMRFR:14-15 carts a9vlsl11M MI IIMCCp• 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. I�jq TYPE OF INSURANCE ADD POLICY NUMBER MMLIDYEFF NYYYI MMLIDYEXP fCffYJ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A LIABILITY X COMMERCIAL CLAIMS -MADE CLAIMS -MADE OCCUR KS55360269 1/20/2014 7/Ol/2015 DAMAGE T PREMISES E occurrence) $ 300,000 MED EXP (Any oneperson) $ 15,000 PERSONAL B ADV INJURY $ 1,000,000 X Incl. Contractual Liab. X Includes XCU $ 2,000,000GEN'L AGGREGATE LIMIT APPLIES PER: COMP/OP AGG $ 2,000,00017 POLICY X JFCTPRO X LOC $OMOBILE LIABILITY lGENERALGREGATE INGLE LIMN 1 000 000B RY(Per person) $ALL ANY AUTO OWNED SCHEDULED AUTOS 80303678 /19/2014 /19/2015AUTOS RY (Per eccitlent) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident) $ Uninsured motorist combinedp$6,000,000 300,000 C X UMBRELLA DAB X OCCUR E023343983 1/20/2014 7/01/2015 EACH OCCURRENCE AGGREGATE ,000,000 EXCESS LIM CLAIMS -MADE DEO RETENTION$ D WORKERS COMPENSATION EMPLOYERS'LIABILITY YINANY PROPRIETORJPARTNER/ ECUrIVE OFFICERIMEMBER EXCLUDED? � NIA(Mandatory 157315 07/01/2014 07/01/2015 X WC STATU- OTHAND E.L.EACH ACCIDENT OOO OOO EL DISEASE -EA EMPLOYE 000,00If in NH) yes. SCRdescribe under IPTION OF OPERATIONS below DE E.L. DISEASE -POLICY LIMIT $ 1 000 000 E Pollution Liability/E60 PM-DP-00197-00 7/24/2014 7/24/2015 Includes Professional Liability $1,000,000 F Crime/Employ 34KBO28571714 7/24/2014 7/24/2015 Includes Third Party coverage $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more apace Is required) CITY OF FORT COLLINS PO BOX 440 FORT COLLINS, CO 80522-0439 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 25 (2010/05) Wolfe, CIC/DENA f=>_ ti)cR_i>_ ©1988-2010 ACORD CORPORATION. All riahts reserved.