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MANAGEMENT RESOURCE SYSTEMS INC - INSURANCE CERTIFICATE
MANAG-1 OP ID: FY ,aik. o CERTIFICATE OF LIABILITY INSURANCE DATE 03/04/2015 ) 03/04/2015 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 Low Haywood & Associates P.O. BOx 30517 CONTACT NAME: PHONE 704-332-8871 AAX A/c No Exe: C No Charlotte, NC 28230-0517 David R. Norton A DRIESS:fyount@lowryassoc.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Employers Mutual Casualty Co. 21415 INSURED Management Resource Systems INSURER B:Mont Ome Insurance 14613 Inc. 1907 Baker Road High Point, NC 27263-2007 INSURER C: Travelers Insurance Company 19038 INSURER D: Travelers Property & Casualty INSURER E : 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 POLICY NUMBER MM DD/YYYV MM /DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX7 OCCUR 3D05292 04/01/2015 04/01/2016 EACH OCCURRENCE $ 1,000,00 DAMAGE TO PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 5,00 PERSONAL& ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY X PRO n LOC PRODUCTS - COMP/OP AGG IS 2,000,00 $ A AUTOMOBILE LIABILITY X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS AUTOS 3EO5292 04/01/2015 04/01/2016 COMBINED SINGLE LIMIT __ Ea accident $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE PERACCIDENT $ D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP15N6260A 04/01/2015 04/01/2016 EACH OCCURRENCE $ 10,000,00 AGGREGATE $ 10,000,00 DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERWEMBER EXCLUDED? � (Mandatory in NH) If es, describe under DESC RiPTION OF OPERATIONS below N I A 3HO5292 04/01/2015 04/01/2016 X WC STATU- OTH- 1EfL E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE: - POLIGY LIMIT $ 1,000,00 B C IBldrs Risk/InstF1 IiFidelity Bond IMS417218 105224454 04/01/2015 01/14/2015 04/01/2016 01/14/2016 Limit 1,000,00 Limit 250,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CITYFO3 City of Fort Collins 215 N Mason St Ft 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, AUTHORIZED REPRESENTATIVE k N01� © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD