Loading...
HomeMy WebLinkAbout288418 COMVERGE INC - INSURANCE CERTIFICATE (2)207326 A� �® CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDYYYY) 4/18/2013 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(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 confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Commercial Lines - (813) 639-3000 CONTACT Kris Thompson NAME: p PHONE 813-639-3058 Fnx 813-639-7196 WC.NQ. Eatl; Alt No EMAIL o.co th d ks.om son wellsfar m ADDRESS: P @ 9 Wells Fargo Insurance Services USA, Inc. INSURERIS) AFFORDING COVERAGE NAIC N 2502 N. Rocky Point Drive, Suite 400 Tampa, FL 33607 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B : Travelers Property Casualty Co of America 25674 y Comverge, Inc. u D 0 INSURERC: Y rave Tlers Casualty Ins Co of America 31194 5390 Triangle Parkway INSURER D: Lexington Insurance Company 19437 INSURER E: Indian Harbor Insurance Company 36940 1 INSURER F Norcross, GA 30092 COVERAGES CERTIFICATE NUMBER: 5935696 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 DDLSUBRTYPE OF INSURANCE INSR WVQ POLICY NUM13E0. MMIODPOLICY LTR /YYYY MMIDD/YYYY LIMITS A GE N ERALLIABILITY X COMMERCIAL GENERAL LIABILITY X X 6308C216283-PHX 2I28I2013 2/26/2014 EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000.000 $ 1,000,000 CLAIMS -MADE OCCUR MED EXP(Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000000 X ID DED 10,Wl) X I Primary A Non -Contributory GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY F X PRO- F7 LOC $ B AUTOMOBILE LIABILITY X X 810IC21128313TEC 2/28/2013 2/28/2014 COMBINED SINGLE LIMIT CE.O accident 1,000.0W x BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Peraccident $ X NON -OWNED HIRED AUTOS AUTOS B X UMBRELLA LIAR X OCCUR HSMCUP8C216286TIL13 2/28/2013 2/28/2014 EACH OCCURRENCE $ 20.000,000 AGGREGATE $ 20,000,0W EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA X X HSU88C21628313 2/28/2013 2/28/2014 X WC STATU- OTH- _T413YLIAllTs E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE _ $ 1.000,000 (Mandatory In NH) II yes, crib dese untler DE SDRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ t,000,000 A Leased/Rented Eqp Instl Floater 6308C216283-PHX 2/28/2013 02/28/2014 $300.0001$5,000 ded. $250.00045,000 Ded. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is requlred) City of Fort Collins Purchasing RE: RFP 7328 Demand Response P O Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE The ACORD name and loco are registered marks of ACORD © 1988.2010 ACORD CORPORATION_ All rinhfe raearvad ACORD 25 (2010/05) II II II II II II II II it II III II1II II 'CY801A1BN00731NL113N/d'ON' CID:207326 SID: 5935696 Certificate of Insurance (Con't) OTHER Coverage INSR TYPE OF INSURANCE ADDL WVD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMIT LTR INSR SUBR (MM/DD/YY) (MM/DD/YY) D Professional Liability 032834136 05/13/2012 05/13/2013 $1,000,000 Each Occunance (Architects & Engineers $3,000,000 Aggregate E Errors & Omissions MTP0040592 04/13/2013 05/15/2014 $2.000,000 Each Occurrence $2.000,000 Aggregate ouiue IIIII II III I III III II III I II III II I IIII III IIIII II I III 'CYW1A18I000721*3A3WA)M'