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HomeMy WebLinkAboutTELECOMMUNICATIONS TECHNICAL SERVICES - INSURANCE CERTIFICATE7i" page 2 of 2 Client#: 1765473 128TELETGA ACORD,v CERTIFICATE OF LIABILITY INSURANCE 1 DATEIYYYY) 6/29/201/2018 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(les} must have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). CONTCT PRODUCER NAME: Amanda McGlinchey McGriff Insurance Services PHONE (A/C, No): 866 925-7124 (A/C, No, Ext): 770.533.4128 200 Broad Street (30501) ADD_REs_s, amcglinchey@mcgriffinsurance.com _ PO BOX 1 357 ph-770-536-3311 INSURER(S) AFFORDING COVERAGE NAIC $ Gainesville, GA 30503 INSURER A: American mining lnsurenceComPanY 15911 INSURED Teletechsery GA LLC; Teletechsery FL LLC dbaTelecommunications Technical Services 9335 Industrial Trace Alpharetta, GA 30004 INSURER B : Gran Divide Insurance Company INSURER C : INSURER D INSURER E INSURER F : neoTirlrwro wtxalaCc7• 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 CONTRACTOR 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. TR IN TYPE OF INSURANCE A0 INSR WVp - POLICY NUMBER POLICY EFF MMIDD/YYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ _ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PRO. POLICY JECT LOC OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident)$ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LABCLAIMS-MADE DID RETENTION $ $ A _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE YIN OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X _ AMWC287901 7/01/2018 07/01/201 X STATUTE RH E.L. EACH ACCIDENT $1,000 000 E.L. DISEASE - EAEMPLOYEE $1,000,000 E.L. DISEASE- POLICY LIMIT $1,000,000 _ I DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It more space Is required) B GAWC288101 Eff Date: 07/01/2018 Exp Date: 07/01/2019 WC Each Accident Limit: $1,000,000 WC Policy Limit: $1,000,000 WC Each Employee Limit: $1,000,000 Proprietors/Partners/Executive Officers/Members Excluded: Keith Marshall, Bettie Lodge, Pascal Gagnon, Doug Barker WC 00 03 13 Blanket Waiver of Subrogation CERTIFICATE HOLUEH l'AIYV GLLA 11- City of Fort Collins PO Box 580 Fort Collins, CO 80526 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 U 1udd-1UIn AIiV FIU GVI"fYVI"IH I11J 1`I. All nynw 1cacl.cu. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD 9251 #S20477173/M20476739 AAMC