HomeMy WebLinkAbout399052 ENERGYLOGIC INC - INSURANCE CERTIFICATE (2)ACO
CERTIFICATE OF LIABILITY INSURANCE
°A'E09/06612011
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 pollcy(ies) must 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-
'confec;rights to the certificate holder in lieu of such endorsement(s).
PRODUCER"
Lockton Risk Services
P.O. BOX 410679
Kansas City, MO 64141-0679
FHE
NoCkt):800-806-0263
Ax
ACC, Nol:
ILESS:
INSURER(S) AFFORDING COVERAGE
NAIL
NSURER-A:
Hartford Casualty Insurance Company
29424
INSURED
EnergyLogic, Inc.
PO Box N
525 E Cty Rd (Hwy 56)
Berthoud, CO 80513
NSURER-B:I
NSURER-C:�
NSURER-D:
NSURER-E:
NSURER-F:
COVERAGES CERTIFICATE NUMBER: I 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 BV 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.
IN
SR
LT
R
TYPE OF INSURANCE
ADDL
INSR
us
we
POLICY NUMBER
POLICY EFF
MMIDDIYYYY)
POLICY EXP
MMIDDIVYVV)
LIMITS
A
GENERAL LIABILITY
X OMMERCIAL GENERAL LIABILITY
LAIMS MADE- X OCCUR .' -.'
X
37SBAAR6056-05
_
?`I '--^-
10/20/2011
_
10/20/2012
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$300,000'
MEN EXP (Any oneperson)
$10,000
PERSONAL&ADV INJURY
$1,000,000-
GENERAL AGGREGATE
$2,000,000: -
E N'L AGGREGATE LIMIT APPLIES PER ,
PRO
X OLIG JECT LOC
PRODUCTS - COMP/OP AGG
$2,000,000
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
IIIOWNEDPROPERTY
(RED AUTOS AUTOS
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY Per Person
$
BODILY INJURY Per accident
$
DAMAGE
Par accident
$
UMBRELLA LIAB
%CESS LIAB
OCCUR
CLAIMS MADE
NIA
EACH OCCURRENCE
$
AGGREGATE
$
ED RETENTIONS
ORKERS COMPENSATION
mO EMPLOYERS' LIABILITY
' PROPRIETOR/PARTNER/EXECUTIVE YIN
X
CSTATU-
ORV LIMITS
TH-
R
OFFICER/MEMBER E%CLUDED?
E.L. EACH ACCIDENT
$
MANDATORY IN NH)
If yes, describe under
EL DISEASE - EA EMPLOYEE
$
DESCRIPTION OF OPERATIONS below
EL.DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS/LOCIT-O'2S/VEHICLES tALtached ACCORD 101, Addi Lonal Rea.rts Schei,l�ule, if r,ore space i' :egci retll
Certificate Holder is listed as Additional Insured to the General Liability as respects to Work Performed by Named Insured per Hartford Policy Form SS 00 08 04 05. ••'30 Day Notice of Cancellation
with 10 Day Notice for Non -Payment of Premium —
City of Fort Collins
215 N Mason Street
PO Box 580
Fort Collins, CO 80522
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS
name and logo are registered marks of ACORD