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Home My WebLink AboutSOLARCITY CORPORATION - INSURANCE CERTIFICATE¢PS]dX13tlW3 x ACORa °05/03/2U12 CERTIFICATE OF LIABILITY INSURANCE 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: H the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate time not confer rights to the certificate holder In lieu of such endomemen s . PRODUCER 0726293 1-615-546-9300 Arthur J. Gallagher 6 Co. Ineurmce Brokers of California, Inc., License a0726293 CONTA NAME: PRONE FAX lee: AODRE MAE One Market Plasa, Spear Toser Suite 200 anc San PinnCi BCO, G 94L105 INSURE S AFFOROIMO COVERAGE NAIL/ INSURER A: ZDRICB AMER INS CO 16535 Nsumo SolarCity Corporation INSURER a: LIBBRT INS CORP 62404 INSURER C : INSURER O: 3055 Clearvlew May INSURER E: San Kateo , G 96402 INSURER F : COVERAGES CERTIFICATE NUMBER- 27029033 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, WSR TR TYPE OF INSURANCE POLICY NUMBER POLICY EFF Y POLICY EXP LIMITS A GENERAL UJdIsJY GL0967364403 09/01/1 09/01/12 EACH OCCURRENCE 6 1,000,000 Y CAMMERCIAL GENERAL LIABILITY CLAIMS -LADE lxl OCCUR PREMISE PRE IEs ay�anI* S1,000,000 MEDEXP onepen In $ 10,000 PERSONAL SADV IWURV $ 1,000,000 Y Deductible: $25,000 GENERAL AGGREGATE $ 2,000,000 GERI AGGREGATE UNIT APPLIES PER: PRODUCTS-COMP/OPAGG 32.000,000 Y POLICY M PRO- Lot JFCl / A AUTOMOBILE LMBILRY BAP982931701 COMSINEDSINGLEUMR Ea an0 11,000,000 SODILVIWURY(P«peaon) $ Y ANY AUTO ALL o"ED SCHEDULED AUTOS AUTOS BODILYIWURY(P«eNGNY) $ PROPERTY DAMAGE P,RIRo «a $ Y Y NON-0WNED HIRED AUTOS AUTOS $ B UMBRELLALUB Y O,CUR TH7661066265011 09/01/1 09/01/12 EACH CE EH OCCURREN $ 10,000,000 AGGREGATE $ 10,000,000 I EXCESS LLe9 CLAIMS -MADE OED E I RETENTION 10,000 $ I A wpRRERSCOMPENSATION AND EMPLOYERS' MINUTY YIN NC967346703 09/01/1 09/01/12 Y WCSTATII oTH- E.L. EACH ACCIDENT S 1,000,000 ANY PROPRIETOWPMTNERIEXECUTIVE OFFICERAIEMSER EXCLUDED? IN NIA E.L. DISEASE - EA EMPLOYEE S 1,000,000 (Mmid"In NM) U. a«alma ape« OESGRIPTIONOFOPERATIONSb E.L. DISEASE- POLICY LIMIT / 1,000,000 °ESCRIPTNN/OFOPEMTIONSILOCAT Sl VE11N:LFA p,acN ACORO 101, ballbnM R«neNe BcI,WUN,Nmwe epees b,pu4M) Additional Insured status and Primary wording on the General Liability in provided as required by rrittm contract. City of Port Collins in shorn as an Additional Insured(s) solely with respect to Gmaral Liability coverage as evidenced herein as required by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 good Street AUDIORIZED REPRESENTATIVE Port Collin , CO 80521 `�� l�url� USA �(/ m 1gRIL2n10 ACnRn CORPORATION All Hnhee romevad ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD kompalasf 27029033 7 z W P52.W.] 3 A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not M apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement p requires that this coverage be primary and non-contributory. F. For the coverage provided by this endorsement: 1. The following paragraph is added to Paragraph 4.a. of the Other Insurance Condition of Section IV— Commercial General Liability Conditions This insurance is primary insurance as respects our coverage to the additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and non-contributory with respect to any other policy upon which the additional insured is a Named Insured. In that event, we will not seek contribution from any other such insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2 The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV—Comnerdal General Llabilty Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. All other terms and conditions of this policy remain unchanged. L}a-117Sc Cw (07/10) Page 2 of 2 Includes copyrighted material d Insurance Services Office, Inc., with its permission. hound Cagy