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443506 TRUEPOINT SOLUTIONS LLC - INSURANCE CERTIFICATE (9)
�acc�►r�r CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDtYYYY) [01/14/2019 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 SUBROGATIONIS 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 CONTACT VITAS INSURANCE AGENCY LLC/PH5 57128433 The Hartford Business Service Center E: PRONE (866)467-8730 (A/C, No, Ext): FAX (888)443-6112 (A/C, No), 3600 Wiseman Blvd E-MAIL San Antonio, TX 78265 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A : The Sentinel Insurance Company 11000 TRUEPOINT SOLUTIONS, LLC INSURER B 3262 PENRYN RD STE 100 INSURER C : LOOMIS ,CA 95650-8050 INSURER D 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. INSR1 LTR TYPE OF INSURANCE ADDL R SURR WVD POLICY NUMBER POLICY EFF M D/YYYY POLICY EXP MM/DDIYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR L_ DAMAGE TO RENTED PREMISES nr 1 $1,000,000 MED EXP (Any one person) $10,000 X General Liability A 57SBA AX4262 02/01/2018 02/01/2019 PERSONAL BADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 Lac POLICY PRO" El JECT PRODUCTS - COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT erg) $1,000,000 ANY AUTO — BODILY INJURY (Per person) A ALL OWNED SCHEDULED AUTOS AUTOS 57 SBA AX4262 02101 /2018 02/01/2019 BODILY INJURY (Per accident) X HIRED NON -OWNED AUTOS Ix AUTOS PROPERTY DAMAGE (Per accident,' X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $2,000,000 A EXCESS LIAR CLAIMS- MADE 57 SBA AX4262 02/01/2018 02/01/2019 AGGREGATE $2,000,000 ED X I RETENTION $ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS* LIABILITY STATUTE R E.L. EACH ACCIDENT ANY Y/N PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N1 A -- E.L. DISEASE -EA EMPLOYEE — (Mandatary in NH) It yes, describe under E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below A FAILSAFE MEGA TECHNOLOGY E OR O 57 SBA AX4262 02/01/2018 02/01/2019 Each Glitch Aggregate $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 7I more space is required) Those usual to the Insured's Operations.Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy, CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 2ND FLOOR -PURCHASING 215 N MASON ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED FORT COLLINS CO 80524 IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE �AUTHORIZED �...1 �'77.t/3 C7i - L- Llfi�LE.z,r✓2Z.-J ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD