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HomeMy WebLinkAbout399052 ENERGYLOGIC INC - INSURANCE CERTIFICATE (3)A� oe CERTIFICATE OF LIABILITY INSURANCE 09/18/20114" 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 POLICIE 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 endorsements . PRODUCER CONTACT Lockton Affinity, LLC NAME: PHONE 800-806-0263 FAX913-652-7599 Lockton Affinity, LLC E-MAIL ADDRESS: P.O. Box 410679 INSURERS AFFORDING COVERAGE NAIL Kansas City, NO 64141-0679 INSURER A: Hartford Casualty Insurance Company 29424 INSURED EnergyLogic, Inc. INSURER B PO Box N INSURER C INSURER D: 525 E Cty Rd (Hwy 56) Berthoud, CO 80513 INSURER E INSURER F K"Olvi 9:11TO yob Id rkl l dbP\Ed JI I I,,,, l rl dr 9yT/L9 felJ�J1IIF� c - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO 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 TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMID LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY � CLAIMS -MADE 11 1 OCCUR x 37SBAAR6056-08 10/20/2014 10/20/2015 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES PREMI a occurrence $ 000 MED EXP (Any oneperson) S 10,000 PERSONAL& ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES X PRO JECT PER LOC PRODUCTS - COMPIOP AGO $ 4,000,000 $ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULEL AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS CEa accidOMBINEDent SINGLE LIMIT BODILY INJURY (Per person) S BODILY INJURY (PerawitlenB $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ LED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTI OFFICER/MEMBER EXCLUDED' (Mentlstory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA TWOSTATU- OTH- LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOY E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anech ACORD 101, Additional Remarks Schedule, If more apace Is required) Certificate Holder is listed as Additional Insured to the General Liability as respects to work par£orsad by Named Insured per Hartford Policy Form SS 00 08 04 05. City of Fort Collins 215 N Mason Street 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. ACORD CORPORATION. All ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 14713585 990567