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Home My WebLink AboutINTANDEM HUMAN RESOURCES LLC - INSURANCE CERTIFICATE (4)ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM ,2,29/2016YY) no,6 PRODUCER Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURER A: Pinnacol Assurance 41190 INSURED Intandem Human Resources LLC INSURER B: 600 South Cherry Street Suite 800 INSURER C: INsS1uRER°. Denver, CO 80246 INURER COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 ADD'. POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YYYY) DATE(MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE El OCCUR PREMISES MED EXP(Any one person) PERSONAL B ADV INJURY GEN'L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS - COMP/OP AGG POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea Accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTYDAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC ANY AUTO AUTO ONLY: A EXCESSIUMBRELLA LIABILITY -- EACH OCCURRENCE AGGREGATE OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ Vic STATU- OTHER WORKERS COMPENSATION AND A EMPLOYER'S LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4144793 01 /01 /2017 01 /01 /2018 TORY LIMITS E.L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? DISEASE- EA EMPLOYEE $1.000,000 If yes, pleasedescribeunderSPEClAL PROVISIONS belowE.L EX DISEASE- POLICY LIMIT $1,000.0120 OTHER _ --- -- DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Fresco Electric Inc. is covered under the Master policy for Intandem Human Resources LLC in regards to Workers Compensation. CERTIFICATE HOLDER CANCELLATION 1760579 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins PO Box 580 THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO NOTIFY 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO Fort Collins, CO 80522-0580 THE LEFT, BUT FAILURE TO NOTIFY SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Matt McKenzie ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988