HomeMy WebLinkAboutITRON MICHELLE SMITH - INSURANCE CERTIFICATE,� CERTIFICATE OF LIABILITY INSURANCE
ACORD
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8/25/03
PRO ,CER PHONE# • 5 0 9 - 3 5 8 - 3 9 0 0
MARSH ADVANTAGE AMERICA
A SERVICE OF SEABURY & SMITH
PO BOX 2151
SPOKANE, WA 99210
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY 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
INSURED
Itron, Inc. et al
Attn: Michelle Smith
P.O. Box 15288
Spok4ane WA 99215
INSURER A: St. Paul Fire & Marine Ins
INSURERB: Royal Insurance Co.
INSURER C:
INSURER D:
INSURER E:
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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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
M VI
POLICY EXPIRATION
DATE IMMIDONYI
LIMITS
A
GENERAL LIABILITY
TE 08400864
8/31/03
8/31/04
EACH OCCURRENCE
S 1000000
FIRE DAMAGE Any one fire)
S 250000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
MED EXP (Any one person)
$ 10000
PERSONAL & ADV INJURY
s 1000000
GENERAL AGGREGATE
s 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2000000
POLICY PRO X LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
TE 08400864
8/31/03
8/31/04
COMBINED SINGLE LIMIT
(Ea accident)
S 1000000
X
BODILY INJURY
(Per person)
S
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
1
$
AUTO ONLY: AGG
A
EXCESS LIABILITY
TE 08400864
8/31/03
8/31/04
EACH OCCURRENCE
$ 2500000
X OCCUR CLAIMS MADE
AGGREGATE
$ 25000000
S
$
X DEDUCTIBLE
$
RETENTION S 10000
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
�396762
O3Mc Cv
10/O1/02
10/01/03
X WCSTATU- OTH-
TOR Y LIMITS I ER
E.L. EACH ACCIDENT
S 1000000
E.L. DISEASE - EA EMPLOYEE
$ 1000000
E.L. DISEASE - POLICY LIMIT
1 $1 0 0 0 0 0 0
OTHER
A
ELECTRONIC
TE 08400864
8/31/03
8/31/04
$1,000,000
ERRORS & OMISSIONS
LIMIT
DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
AS RESPECTS: OPERATIONS OF THE NAMED INSURED
CITY OF FORT COLLINS
256 W. MOUNTAIN AVE
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE IXSyBYG INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25-S (7/97) 0 ACORD CORPORATION 1988
4.
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.
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