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DATE(MM/DD/YYYY) <br /> A�" CERTIFICATE OF LIABILITY INSURANCE <br /> 11/03/2020 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Kerry Kiddie <br /> NAME: <br /> Landmark Insurance Group,LLC aCC Ext: (720)403-9450 AIX No): (720)403-9451 <br /> 2679 W Main St. E-MAIL kkiddie@landmarkinsgroup.com <br /> ADDRESS: <br /> Suite 300 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Littleton CO 80120 INSURERA: Crum&Forster Specialty Insurance Company <br /> INSURED INSURER B: Hartford Insurance <br /> Fulcrum Resources,Inc. INSURER C: Technology Insurance Company,Inc. 42376 <br /> 415 Chestnut Ave INSURER D: <br /> INSURER E: <br /> Monrovia CA 91016 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL2011307022 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCEADDLSUBR POLICY EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE FX OCCUR PREM SES Ea oNcE ante $ 50,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A EPK-132887 11/01/2020 11/01/2021 PERSONAL&ADV INJURY $ 2,000,000 <br /> MOTHER <br /> LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> JECT: Contractor Pollution $ 2,000,000 <br /> AUTOMOBILE LIABILITY G®M91NED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> X ANYAUTO BODILY INJURY(Per person) $ <br /> B OWNED SCHEDULED 34UECZG3786 10/29/2020 10/29/2021 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> Hired Auto Liab $ 1,000,000 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> C OFFICER/MEMBER EXCLUDED? NIA TWC3916469 11/15/2020 11/15/2021 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Occurance $2,000,000 <br /> A Professional Liability(claims made)Contractor Pollution Liability(Occur) EPK-132887 11/01/2020 11/01/2021 Aggregate $2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Blanket Additional Insured applies to the General Liability and Contractor Pollution Liability on a primary and non-contributory basis when required by <br /> contract or agreement with the insured. Blanket Waiver of Subrogation applies to the General Liability,Contractor Pollution Liability,and Workers <br /> Compensation Employer Liability where required by contract or agreement. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> For Informational Purposes ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />