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HomeMy WebLinkAbout505338 SOLAR CITY CORP - INSURANCE CERTIFICATEYylnxRdu4 A� " CERTIFICATE OF LIABILITY INSURANCE °AT/16/2012 oenb/cola 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 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 does not confer rights to the certificate holder In lieu of such andorsement(s). PRODUCER 0726293 1-415-546-9300 Arthur J. Gallagher 6 Co. Insrance Brokers of California, Inc., License #0726293 u One Market Plaza, spear Tower Suite CONTACT NAME: Brendan Quinlan �1 PHONE FAX 415-536-4020 IL 1101, EMAIL brendaa_ inlanpajg.Com ADDRESS: W Ban Francisco, G 94105 INSURERS) AFFORDING COVERAGE HAlte INSURER A: ZURICM AMER INS CO 16535 INSURED SolarClty Corporation IN6U0.E0. B: LIBERTY INS CORP 62404 INSURERC: INSURER D: 3055 Clearvlew May INSURER E: San Mateo , G 91402 INSURER F : COVERAGES CERTIFICATE NUMBER: 28723658 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 ADOL BR POLICY Err POLICY UP TYPE Of INSURANCE LIMITS Lm POLICY NUMBER MMIUDIYYYY MMRI A GENERAL LIABILITY OL0967366404 09/03/1 09/01/13 EACH OCCURRENCE $ 1,000,000 Y COMMERCIAL GENERAL LIABILITY IIAMAGETO RENTED PREMISES Ea oOamence S 1,000,000 CLAIMS,MAOE EXI OCCUR MEDEXP(A,ryon ,.) S 10,000 Y Deductible: $25,000 PERSONAL S ADV INJURY S 1,000,000 GENERA -AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2,000,000 X POLICY PHI LOC f A AUTOMOOLLE LUUULITY BAP901931701 COMBINED SINGLE LIMIT Ea amdenl f 1,000,000 BODILY INJURY(P. persm) S Y ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per amdenl) f (Pr�derf)DAMAGE $ Y Y HIREIAUTOS AUTOSWNED f B Y UMBRELLALUIO Y OCCUR M7661066265012 09/01/1 09/01/13 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EzOESS LIAR CLAIMS MADE DED E RETENTION 10,000 f A WORRERSCOMPENSATION WC967346704 09/01/1 09/01/13 X WCSTATU- OTH- — TOHY ANDEMPLOYERS' UABILnY YIN E.L. EACH, CCIDENT $ 1.000,000 ANY PROPRIETORIPARTNERIE)ECUTIVE OFFICEMEMBER EXCLUDED? NIA EL DISEASE -EA EMPLOYE $ 1,000,000 (Mandi"In NMI Ifyyees'de to ur4w DESCRIPTIONOFOPERANI TNSb E.L. DISEASE -POLICY LIMIT S 1, 000, 000 DESCRIPTOR OF OPERATIONS 1 LOCATIONS I VEHICLES (AUAch ACORD 101. MdRional Relnrdw SchoduN, It man sPFu Is rpuirid) Additional Insured statue and Primary wording on the General Liability is provided as required by written contract. City of Port Collins is show as an Additional Insured(.) solely with respect to General Liability coverage as evidenced herein as required by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Wood Street AUTHORUED REPRESENTATIVE ColliI as , CO 80521 f� �� UMto ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010I05) The ACORD name and logo are registered marks of ACORD goksan 28723658 Y�f1aN,1Nxi1 t 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 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 — Cortmercial General Liability Conditions This insurance is primary insurance as respects our coverage to the additional insured person or organization, w 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 —Con meroial General Liability 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. Includes copyrighted malerial of Insurance Services Office, Inc., with its permission. UGL-117SC CW (07I 10) Page 2 of 2 in..d Cap,