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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