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Home My WebLink AboutTRINET HR III INC - INSURANCE CERTIFICATE (2)T3-JL5 CERTIFICA OF LIABILITY INSURANCE DATE (MM/DD/YYrY) 6/12/2020 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 INOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: Ifthe certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions 6rbe 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:conferrights to the certificate bolder in lieu of such endorsement(s). Commercial Lines - (305) 443.4886 US[ Insurance Services LLC 2601 South Bayshore Drive, Suite 1600 Coconut Grove, FL 33133 PHONE FAX (A/C. No Fxth 8664438489 AIc No): 8008890021 E-MAADDRESS: Work.Comp@Trinet.com INSURERS AFFORDING COVERAGE "Co INSURERA: Indemnity Insurance Company of North America 43575 INSURED TriNet HR III, Inc. RE:,PropertyRoom.com, Inc. INSURER B INBURER Cs INSURERD: 9000 Town Center Parkway INSURER E : Bradenton, FL 34202 COVERAGES CERTIFICATE NUMBER: 1505OU6U RFVIRInN NI IMRFR• Rwa halm. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE - INOICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM - - - -- --- - --- LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDNAMEDABOVE FOR THE POLICY PERIOD 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 ADOL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDIYYY LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S DAMAGE TO RENT ED PREMISES Eaowurrence $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: PRO1:1- POLICY El JECT LOC GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG S S OTHER: AUTOMOBILE LIABILITY - - --- COMBINED SINGLE LIMIT Ea aoddent 5 ANY AUTO - BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per amitlent $ UMBRELLAUAB I OCCUR EACH OCCURRENCE $ .AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION S I I I_ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTNE OFFICERIMEMBEREXCLUDED? C NIA WLR I;C67487370 — 07/01/2020 07/01/2021 X PER OTH- STATUTE ER - - E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE- EA EMPLOYEES 2,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below -E.L. . DISEASE -ROLICYLIMIT S 2.000.000 .DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Add tional Remarks Schedule, maybe attax.ined R mom apace is required) Workers Compensation is limited to worksite employees of PropertyRoom.com, Inc. through a co -employment contract with TriNet HR III, Inc. City of Fort Collins 215 North Mason St 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. I I 45r;).= /n, The ACORD name and logo are lregistered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights rat ACORD 25 (2016103) 1111 11111II II 1I II IIII I II II III I I II III III II I IIIII II I 1111111111111 creorAlvootsoMovozrolamro•