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HomeMy WebLinkAbout288418 COMVERGE INC - INSURANCE CERTIFICATE (3)207326 T® CERTIFICATE OF LIABILITY INSURANCE DATE 5/15/2DIVVVY) 5/15/2013 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 endorsement(s). PRODUCER Commercial Lines - (813) 639-3000 Wells Fargo Insurance Services USA, Inc. CONTACT om Kris Thompson NAME: p PHONE 813-639-3058 FAX 813-639-7196 -INC.. No,. Ext): INC Not: E-MAIL ADDRESS: kris.thomp @ son//l'�wellsfar9 o.com INSURERS) AFFORDING COVERAGE NAIL 0 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 Comverge, Inc. y INSURER c: Travelers Casualty Ins Cc Of America 31194 5390 Triangle Parkway INSURER D: Lexington Insurance Company 19437 INSURER E: Indian Harbor Insurance Company 36940 INSURER F Norcross, GA 30092 1 COVERAGES CERTIFICATE NUMBER: 6047655 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, PERM 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 BY CLAIMS. REDUCED PAID ILTR TYPE OF INSURANCE INSR "aISUBRI MM/DDIYYVY MMIDDIYYYY LIMITS POLICY NUMBER A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ZOCCUR X X 6308C216283-PHX 2/28/2013 2/28I2014 EACH OCCURRENCE1 DAMAGE TO RENTED PREMISES {Ea occurrencet_ NED EXP(Any one person) $ 1000000 $ 1 000,000 $ 10.000 PERSONAL 8 ADV INJURY $ 1,000,000 X PD DED 10,000 X I PdmaryB Nor -Contributory GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2.000,000 POLICY X PRO LOG $ B AUTOMOBILE LIABILITY X X 8108C21628313TEC 2/28/2013 2/28/2014 COMBINED SINGLE LIMIT Ea accidem) $ 1,000,000 _X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X ANON- DOWNED PROPERTY DAMAGE (Per accident) $ $ B XII UMBRELLA LIAB X OCCUR HSMCUP8C216286TIL13 2/28/2013 2/28/2014 EACH OCCURRENCE $ 20,000,000 AGGREGATE $ 20.000,000 EXCESS LIAB CLAIMS -MADE DEO T X T RETENTION$ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECOTIVE OFFICERIMEMBER EXCLUDED? NIA X X HSUB8C21628313 2/28/2013 2/28/2014 X WC STATU- OTH- —. TORYLIMITS €R_ E.L. EACH ACCIDENT _ $ 1000,000 E.L. DISEASE -EA EMPLOYE 1000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT _$ $ 1,000,000 A Leased/Rented Eqp Instl Floater 6308C216283-PHX 2/28/2013 02/28/2014 $3Do 0001$5.000 ded. $250,0001$5,000 Ded. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) 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 97 The ACORD name and logo are reeistered marks of ACORD © 1988.2010 ACORD CORPORATION_ All rinhts raearvad ACORD 25 (2010/05) II II III I II I II II III II III III II I I II I I II 'CYBptP15ICm600N2N3gNitlA' CID:207326 SID: 6047655 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 026154190 05/13/2013 05/15/2014 $2p0o,000 Each Claim $3,000,000 Aggregate E Errors & Omissions MTP0040592 04/13/2013 05/15/2014 $2,000,000 Each Occurrence $2,000,000 Aggregate M91 UI14Olw VI