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HomeMy WebLinkAbout443506 TRUEPOINT SOLUTIONS LLC - INSURANCE CERTIFICATE (12)�'•� ® Ac�oRO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDfYYY Y) 4/10/2016 THIS CERTIFICATEIS 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 terns 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 endomement(s). PRODUCER VITAS INSURANCE AGENCY LLC/PHS 128433 P: (866) 467-8730 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: PHONE (866) 467-8730 FAX (888) 443-6112 DRESS: INSURER(S) AFFORDING COVERAGE NAICN INSURER A: Sentinel Ins CO LTD INSURED TRUEPOINT SOLUTIONS, LLC 3262 PENRYN RD STE 100 LOOMIS CA 95650 INSURERS: Multiple Companies INSURER C 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. ArSR TYPEOFLVSUA"CE ADDL SUBR POLICYNUMBER POMCT t4/DD/1'YF POLICTEXP Lmns COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $11 000, 000 CLAIMS MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1, O O O, O O O X X MED EXP (Any one person) :10, 000 A General Liab 57 SBA AX4262 02/01/2016 02/01/2017 PERSONAL & ADV INJURY $1, 0 0 0, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FX ECOT ❑ LOC GENERAL AGGREGATE s2,000, 000 PRODUCTS - COMP/OP AGG s2, 0 0 0, 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1r O O O, 000 BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED AUTOS AUTOS 57 SBA AX4262 02/01/2016 02/01/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS S X UMBRELLA LIAR X OCCUR EACH OCCURRENCE g 2, 000, 000 A EXCESS LIAB CLAIMS -MADE 57 SBA AX4262 02/01/2016 02/01/2017 AGGREGATE 52r 000, 000 D X RETENTION $l 0, 0 0 0 WOR.KOvs COAO'EvsA7101V . ND EWLOYERS'LL411a T ANY PROPRIETOR/PARTNER/EXECUTIVEYIN X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $1, 0 0 0, 0 0 0 $ OFFICER/MEMBER EXCLUDED? F]WA (Mandatory in NH) 57 WEC RL0324 04/01/2016 04/01/2017 E.L. DISEASE -EA EMPLOYEE $ 1 , QOO, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S l,000,000 A Technology E&O 57 SBA AX4262 02/01/2016 2/01/2017 F 2,000,000/2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS / VEHIC(AMDRD 101, Additional Remarks Schedule, may be attached if 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORJZED REPRESENTATIVE 4 2ND FLOOR -PURCHASING 215 N MASON ST�,� FORT COLLINS, CO 80524 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD TRUEPOI-01 SJORDIN 144111:7oRo CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 31291229/2016 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 Vitas Insurance Agency 231 Cherry Ave. Auburn, CA 95603 CONTACT NAME: PHONE (530 823-3733 FAX A/c No t : AIc No : 530 823-3640 ADDRIESS: info@vitasinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Insurance Company 29424 INSURED INSURER B : Hartford Accident and Indemnity Company 22357 INSURER C : TruePoint Solutions LLC INSURER D : 3262 Penryn Rd, Ste. 100-B Loomis, CA 95650 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 ADDL INSD SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fj�] OCCUR Cyber Liability X 57SBAAX4262 02/01/2016 02/01/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1 OOO OOO $ > > X MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: X POLICY jE LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 THIRD PARTY CYB $ 500,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS X 57SBAAX4262 02/01/2016 02/01/2017 COMBINED SINGLE LIMIT a Ea ccident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Peraccident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 57SBAAX4262 02/01/2016 02/01/2017 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/Y❑N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 57WECRL0324 04/01/2016 04/01/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Renarks Schedule, may be attached if more space is required) City of Fort Collins, its officers, agents and employees are named as additional insured with respect to general liability per the attached SS00080405 endorsement. Cancellation provisions are included per the attached SS00051206 endorsement. CERTIFICATE HOLDER CANCELLATION City of Fort Collins PO Box 580 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. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD TRUEPOI-01 SJORDIN ' Ilo_ CERTIFICATE OF LIABILITY INSURANCE � FDATD/YYYY) 1 1291229/2016 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 Vitas Insurance Agency 231 Cherry Ave. Auburn, CA 95603 CONTACT NAME: PHONE 530 823-3733 FAX Arc No t:( ) vc No: (530) 823-3640 ADOREss: info@vitasinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Insurance Company 29424 INSURED INSURER B : Hartford Accident and Indemnity Company 22357 INSURER C : TruePoint Solutions LLC INSURER D : 3262 Penryn Rd, Ste. 100-B Loomis, CA 95650 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NIIMBFR- 1 HIS 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 ADDL I D SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LKOCCUR X 57SBAAX4262 02/01/2016 02/01/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1000,000 $ , MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY [K PE� LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 3rd Party Cyber $ 500,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X 57SBAAX4262 02/01/2016 02/01/2017 COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ 1,000,000 accident Per BODILY INJURY ( ) $ 1,000,000 X PROPERTY DAMAGE Per accident $ 1, OOO OOO , A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 57SBAAX4262 02/01/2016 02/01/2017 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROP RIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF CPERATIONE below N/A 57WECRL0324 04/01/2015 04/01/2016 PER OTH- X STATUTE 11 ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 A Technology E&O 57SBAAX4262 02/01/2016 02/01/2017 Claims Made Aggreagt 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Renerks Schedule, may be attached if more space is required) City of Fort Collins, its officers, agents and employees are named as additional insured with respect to general liability per the attached SS00080405 endorsement. Cancellation provisions are included per the attached SS00051206 endorsement. t,r-K 1 IrII.A 1 t MULLJrK GANGtLLA I ION City of Fort Collins PO Box 580 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. AUTHORIZED REPRESENTATIVE 0. © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD