Loading...
HomeMy WebLinkAbout288418 COMVERGE INC - INSURANCE CERTIFICATE207326 A`C �® CERTIFICATE OF LIABILITY INSURANCE DAT2/27/2DIYYYY) 2 27/2013 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(les) 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 confer rights to the certificate holder In Had of such endorsement(s). PRODUCER Commercial Lines - (813) 639-3000 CONTACT Kris Thompson NAME: P PHONE g13-639-3058 FAX 813-639-7196 -(AIC„NA. Est); (A/c, No): Wells Fargo Insurance Services USA, Inc. E-MAIL @ ADDRESS: son kris.thomP wellsfar9 o.com INSURER(S) AFFORDING COVERAGE NAIC 0 2502 N. Rocky Point Drive, Suite 400 INSURER A: Phoenix Insurance Company 25623 Tampa, FL 33607 INSURED •�p p.' I I (7j INSURER B: Travelers Property Casualty Co of America 25674 Comverge, Inc. 00 0 `-1' b INSURER C: Travelers Casualty Ins Co of America 31194 5390 Triangle Parkway _ INSURER D: Lexington Insurance Company 19437 INSURER E: National Union Fire Ins. Co. of Pittsburgh, PA 19445 INSURER F : Norcross, GA 30092 COVERAGES CERTIFICATE NUMBER: 5663619 REVISION NUMBER: See below 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 rypE OF INSURANCE LTR AGOL SUBR POLICY NUMBER MM DDNYYY M• MMIDOYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY X X 6308C216283-PHX 2/28/2013 2/28/2014 EACH OCCURRENCE - PREMIDAMAGES(RENTED1,000, _PREMISEs(Ea occurrenceJ_ $ 1000,000 000 8CLAIMS-MADE MED E%P (Any one person) $ 10,000 51OCCUR J—XX PERSONAL B ADV INJURY $ 1,000,000 PD DED 10,000 Primary&Non-Conaihuloly GENERAL AGGREGATE S 2000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 POLICY X PHI- LOC JECT $ B AUTOMOBILE _ LIABILITY X X 8108C21628313TEC 2/2B/2013 2/2B/2014 COMBINED SINGLE LIMIT (Eaepcident $ to0o,000 x BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident $ % PROPERTY DAMAGE aodden0 $ NON -OWNED MIRED AUTOS % AUTOS -(Per $ B % UMBRELLA LIAR % OCCUR HSMCUP8C216286TIL13 2/28/2013 2/28/2014 EACH OCCURRENCE $ 20,000,000 AGGREGATE $ 20,000,000 EXCESS LIAR CLAIMS - MADE DED x RETENTION$ 10, 000 g C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N NIA X X HSU88C21628313 2/28/2013 2/28/2014 x WC STATU- OTM- — TORY LIMEYS- ER - E. L. EACH ACCIDENT g 1000,000 E, L. DISEASE - EA EMPLOYEE $ 1.0DO,000 (Mandatory In NH) uy descrioe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ 1,000,000 A Leased/Rented Eqp Insll Floater 6308C216283-PHX 2/28/2013 02/28/2014 g300 aool$5,000 ded. $2M,0001$5,000 ❑ad. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more span Is mqulmd) "' Coverages Continued "' Insurer: Great American Insurance Company; NAIC #16691; Type of Insurance: Excess Liability; Policy Number: SBE020297002; Effective Date: 04/13/2012; Expiration Dale: 04/13/2013 Limits: $10,000,000 / $10,000,000 GPI R`193 City of Fort Collins Purchasing I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RE: RFP 7328 Demand Response THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P O Box 580 1 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE The ACORD nam001142 e and logo are registered marks of ACORD © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 111111111111111111111111111111111111II111111111111111111111111111111111111111111111111111111111111111 -creoaAznoo nsarozro3rorololo• CID:207326 SID:5663619 Certificate of Insurance (Con't) OTHER Coverage INSR TYPE OF INSURANCE LTR ADDL WVD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE INSR SUBR (MM/DD/YY) (MM/DD/YY) LIMIT D Professional Liability (Architects $ Engineers 032834136 05/13/2012 05/13/2013 $1,000,000 Each Occurrence $3,000,000 Aggregate E Errors & Omissions 018175086 04/13/2012 04/13/2013 $1,0D0,000 Each occurrence $1,WO "Aggregate wet m iiw on maul mow