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Home My WebLink About288418 COMVERGE INC - INSURANCE CERTIFICATE (4)A`" h® CERTIFICATE OF LIABILITY INSURANCE DAT2/2612014YYY) 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 t0 the certificate holder in lieu of such endorsement(s). PRODUCER Commercial Lines - (813) 639-3000 Wells Fargo Insurance Services USA, Inc. CONTACT Kris Thompson PHONE 813.639-3058 FAx 613-639-7196 No: EDDRES : kns.thompson@wellsfargo.com INSURERS AFFORDING COVERAGE NAIC 0 2502 N. Rocky Point Drive, Suite 400 INSURER A: Liberty Mutual Fire Insurance Cc 23036 Tampa, FL 33607 INSURED Comverge, Inc. 41 R" L O v INSURER B: Liberty Insurance Corporation 42404 INSURER C: First Liberty Insurance Corporation 33588 u 5390 Triangle Parkway INSURER D: Lexington Insurance Company 19437 INSURER E: Indian Harbor Insurance Company 36940 INSURER F : Norcross, GA 30092 COVERAGES CERTIFICATE NUMBER: 7336042 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 TYPE OF INSURANCE ADDL U POLICY NUMBER POLICY EFF POLICY EXP DOfYYYYI LIMITS q X COMMERCIALGENERALLIABILITY CIAIMSAIADE OCCUR X X TB2Z91462186014 2/28/2014 2/28/2015 EACH OCCURRENCE S 1,000,000 - NISI aoccRENT $ 1000000 X MED EXP one person $ 10,000 PD DIED 10,DD0 X Primary S Non-COddbubry PERSONAL S ADV INJURY $ 11000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG S 2.OD0.000 S OTHER: q AUTOMOBILE LIABILITY X X AS2Z91462186014 212WO14 2128/2015 COMBINEDSINGLELIMIT S 1,OOD,000 BODILY INJURY (Per Parson) 3 X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS INON-OWNED BODILY INJURY (Per accderd) S PROPERTY DAMAGE Per accident S X % HIRED AUTOS AUTOS S B x UMBRELLA UAB X OCCUR TH7291462186064 2/28/2014 2/28/2015 EACH OCCURRENCE $ 20,000.000 AGGREGATE $ 20,OD0,000 EXCESS LULB CLAIMS -MADE DED I X I RETENTIONS 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY -YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NN/A (Mandatary In NH) X X WC6Z91462186034 2/26/2D14 2/2B/2015 X E E.L EACH ACCIDENT 11 1.000,000 E.L DISEASE - EA EMPLOYEE S 1,000.000 R yes, dsamt,a under DESCRIPTION OF OPERATIONS Eabw E.L DISEASE - POLICY LIMIT s 1.000 000 D Professional Liability (Architects 8 Engineers 026154190 05/13/2013 05/15/2014 s2.0o0.000 EsFi, calm $3,000.OD0 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional RemaMs Schedule, may 1,e attached N more space Is malulmd) Proof Of Coverage. City of Fort Collins Purchasing RE: RFP 7328 Demand Response P 0 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 9� The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) CID:207326 SID:7336042 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) E Errors & Omissions MTP0040592 04/13/2013 05/15/2014 $2,000,000 Each O=mene $2,000,000 Aggregate Certificate of Insurance-Con't CC Ab® CERTIFICATE OF LIABILITY INSURANCE DAT2/26/20 4YY1 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. 2502 N. Rocky Point Drive, Suite 400 CONTACT Thompson Kr is Om NAME: pson PNONE . 613EaCND: 39-3058 FAX. 813-639-7196 EMAIL kris.thom on wellsfa coal ADORE S: C rgo- INSURERS AFFORDING COVERAGE NAIL $ INSURERA: Liberty Mutual Fire Insurance Co 23035 Tampa, FL 33607 INSURED Comverge, Inc. INSURER B: Liberty Insurance Corporation 42404 INSURER c : First Liberty Insurance Corporation 33588 5390 Triangle Parkway INSURER D : Lexington Insurance Company 19437 INSURER E: Indian Harbor Insurance Company 36940 Norcross, GA 30092 1 INSURER F : COVERAGES CERTIFICATE NUMBER: 7335842 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 TYPE OF INSURANCE ADDL SUER Jim POLICY NUMBER POLICY EFF & POLICY rD Y EXP LLWTS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR TB2Z91462186014 2282014 2282015 EACH OCCURRENCE $ 1•D00.000 PREMISES (Ea occurrence) $ 1,000,000 X MED EXP (Any oneperson) $ 10,000 PD DED 10,000 X Prhnary&Nw-Contribulwl' PERSONAL&ADV INJURY $ 1,000.000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY [K jECT 7 LOC PRODUCTS - COMP/OP AGG $ 2.000.000 $ OTHER: A AUTOMOBILE LIABILITY - AS2Z91462186014 2/28/2014 2/28/2015 COMBINED SINGLE LIMIT a a dent $ 1,000,000 BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS Ix BODILY INJURY (PeraaAtlaM) $ PROPERTY DAMAGE idert $ NON -OWNED HIRED AUTOS N AUTOS $ B X UMBRELLA LIAB X OCCUR TH7Z91462186064 212a12014 228/2015 EACH OCCURRENCE $ 20,000,000 AGGREGATE $ 20,000.000 EXCESS LIAR CLAIMS -MADE DEO I X I RETENTION$ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN RI ANY PROPRIETOIMPARTNER/EXECUTNE OFFICEREMBFR EXCLUDED? ❑N (Mandatory in NH) MIA WC6Z91462186034 2262014 2/28J2015 X TA . _ — _ 8 1'000'0W E.L.EACH ACCIDENT EL DISEASE - EA EMPLOYEE S 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 1,000,000 D Professional Liability (Architects & Engineers 026154190 05/132013 05t1512014 $2,ODO,ODD Each Clalm $3,OD0,ODD Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached N mom space N required) The City of Fort Collins, its officers, agents and employees shall be named as additional insureds as it relates to general and auto liability in accordance with the terms and conditions of the policies. 30 day notice of Cancellation except for non payment of 10 days. City of Fort Collins City Clerk PO 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 9/ ACORD 25 (2014/01) The ACORD name and Inan are registered marks of ACORD All riahts reserved. CID207326 SID:7335842 Certificate of Insurance (Con't) OTHER Coverage INSR TYPE OF INSURANCE ADDL WVD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMIT LTR INSR SUBR (MMIDD/YY) (MM/DD/YY) Errors & Omissions MTP0040592 04/13/2913 05/152014 $2,000,000 Each Occurrence $2,000,000 Aggregate