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Home My WebLink AboutREALFAX INC DBA TECHNETRONIC SOLUTIONS INC - INSURANCE CERTIFICATEA Pinnacol Assurance 41190 Pinnacol Assurance 7501 E. Lowry Blvd. Denver, CO 80230-7006 Realfax, Inc. dba Technetronic Solutions, Inc. 1414 S Uinta CT Denver, CO 80231 10/28/2018 4061943 10/01/2018 10/01/2019 500,000 500,000 500,000 1939944 City of Fort Collins PO Box 580 Fort Collins, CO 80522 jgroves@fcgov.com Pinnacol Assurance X Unless otherwise stated in the policy provisions, coverage in Colorado only. Refer to the Acord 101 Additional Remarks Schedule for supplemental cancellation notification information. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT (CONT) CERTIFICATE HOLDER COPY 41190 Acord 25 (2016/03) Certificate of Liability Insurance N/A N/A Pinnacol Assurance 4061943 Realfax, Inc. dba Technetronic Solutions 1414 S Uinta CT Denver, CO 80231 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO PROVIDE 30 DAYS WRITTEN NOTICE TO THE NAMED CERTIFICATE HOLDER, BUT FAILURE TO PROVIDE SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 10/28/2018 3 4 Pinnacol Assurance City of Fort Collins PO Box 580 Fort Collins, CO 80522