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HomeMy WebLinkAbout210480 IONIX SMART SOLUTIONSBrandon Merritt Signed Master LicenseFORA COLORADO Department of Regulatory Agencies Division of Professions and Occupations Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time by visiting www.colorado.gov/dora/DPO_Print_License and following the instructions listed. If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org. Should you have questions about your credential, or need other information please contact our Customer Service Team at 303-894-7800 or dora_dpo_licensing@state.co.us. Division of Professions and Occupations Electrical Board Brandon Kent Merritt Master Electrician ME.3000105 10/01/2020 Number Issue Date Active 09/30/2023 Credential Status Expire Date Verify this credential at: dpo.colorado.gov Division of Professions and Occupations Electrical Board Brandon Kent Merritt . Master Electrician ME.3000105 10/01/2020 Number Issue Date Active 09/30/1023 Credential Status Expire Date Verify this credential at: dpo.cotorado.gov 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov PINNA COL ASSURANCE NCCI #: WC000313 Policy #: 4236788 Dixie Home Solutions LLC dba lonix Sm 4012 S River Rd Ste 5b St. George, UT 84790-3807 ENDORSEMENT: Waiver Of Subrogation 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 Pinnacol.com We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE City of Wheat Ridge 7500 W 29th Ave, 2nd Floor Wheat Ridge, CO 80033 Effective Date: May 20, 2022 Pinnacol Assurance has issued this endorsement May 20, 2022 7501 E. Lowry Blvd Denver, CO 80230-7006 Page l of 3 P office@ionixsmart.com - 05/20/2022 11:55:17 4236788 59840714 UW137 oad CERTIFICATE OF LIABILITY INSURANCE AS LOS In MWMwI lmtp�y�MIM* WAR AM, BE) cam SAMOA OF, P ARNOLD LI All AT So NALL a on N DF MAN I LREAV AND MANY TARDAY MANALLARE MEN LOLL LWARAFF AN FRANNA AM ANNE MWMwI lmtp�y�MIM* WAR AM, BE) cam SAMOA OF, P ARNOLD LI CERTIFICATE HOLDER COPY City of Wheat Ridge 7500 W 29th Ave, 2nd Floor Wheat Ridge, CO 80033 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT (CONT) AGaRU® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/20/2022 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Next First Insurance Agency, Inc. PO BOX 60787 Palo Alto, CA 94306 PHONE (855) 222-5919 FAX A/C No Ext): A/C No): E-MAIL support@nextinsurance.com ADDRESS: pp INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Next Insurance US Company 16285 INSURED INSURER B: Dixie Home Solutions DBA lonix Smart Solutions CLAIMS -MADE OCCUR 4012 S River Rd Ste 5B INSURER C: INSURER D: St George, UT 84790 INSURER E: DAMAGE TO RENTED 100,000.00 PREMISES Ea occurrence $ INSURER F: COVERAGES CERTIFICATE NUMBER: 0493435 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 SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 CLAIMS -MADE OCCUR DAMAGE TO RENTED 100,000.00 PREMISES Ea occurrence $ MED EXP (Any one person) $15,000.00 PERSONAL & ADV INJURY $1,000,000.00 A X NXTEPPSFBS-01-GL 03/26/2022 03/26/2023 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000.00 X POLICY ❑ PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $2,000,000.00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE I ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Each Occurrence: $25,000.00 A Contractors Errors and Omissions X NXTEPPSFBS-01-GL 03/26/2022 03/26/2023 Aggregate: $50,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is City of Wheat Ridge. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement. All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION City of Wheat Ridge LIVE CERTIFICATE 7500w 29th Ave, 2nd Floor Wheat Ridge, CO 80033 ❑■ ❑■ ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ' r , ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ■ Click or scan to view ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SORA COLORADO Department of Regulatory Agencies Division of Professions and Occupations Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time by visiting www.cotorado.gov/dora/DPO_Print_License and following the instructions listed. If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the Left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastore@nasba.org. Should you have questions about your credential, or need other information please contact our Customer Service Team at 303-894-7800 or dora_dpo_licensing@state.co.us. Colorado Department of Regulatory Agencies Division of Professions and Occupations Electrical Board lonix Smart Solutions Electrical Contractor EC.0102055 05/13/2021 Number Issue Date Active 09/30/2023 Credential Status Expire Date Verify this credential at: dpo.coalorado.gov �y Division Director?>Ronne Hines CrVential Holder Colorado Department of Regulatory Agencies Division of Professions and Occupations Electrical Board lonix Smart Solutions Electrical Contractor EC.0102055 05/13/2021 Number Issue Date Active 09/30/2023 Credential Status Expire Date Verify this credential at: dpo.colorago.gov Division DirectoraRonne Hines 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov ature