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HomeMy WebLinkAboutCOMVERGE INC - INSURANCE CERTIFICATE207326 A�R" CERTIFICATE OF LIABILITY INSURANCE DA2/23/2015 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 Fargo Insurance Services USA, Inc. 2502 N. Rocky Point Drive, Suite 400 Tampa, FL 33607 CONTNAME: Kris Thompson PHONE 813-639 3058 FAX 813-639-7196 IA Ball.E-kAA1L uc No): IC,Wells ADDRE s: kris.thompsonQa wellsfargo.cOm INSURE S AFFORDING COVERAGE NAIL Y INSURER A: LibertyMutual Fire Insurance Co 23035 INSURED Comverge, Inc. INSURER B : Liberty Insurance Corporation 42404 INSURER C : First Liberty Insurance Corporation 33588 5390 Triangle Parkway Indian Harbor Insurance Company parry 36940 INSURER E: Norcross, GA 30092 INSURER F: COVERAGES CERTIFICATE NUMBER: 8753648 REVISION NUMRFR• 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 LTR TYPE OF INSURANCE ADDL SUBR POLJCYNUMBER POLICY EFF IMIMIDWYYM POLICY EXP (MMIDDrfM)UWTS A X COMMERCIAL GENERAL LIABILITY X X T82Z91462186025 2/282015 228/2016 EACH OCCURRENCE $ 1.000,000 FK CLAIMS -MADE OCCUR PREMISE(Ea ocwrrence $ 1,000,000 X MEDEXP Any one person) $ 10,000 PD DED 10,000 X Primary d Non-Contnbutory PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY LKI PRO- JECT LOC PRODUCTS -COMPIOP AGG S 2,000,000 $ OTHER A AUTOMOBILE LIABILITY X X TB2Z91462186025 2/28/2015 2/28/2016 0 M B I N E D SI LE LIMIT Ea accident $ 1000 000 x BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ x HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per acctM S $ B X UMBRELLA LIAB x OCCUR TH7Z91462186065 2/28/2015 2/28/2016 EACH OCCURRENCE 6 20,000,01100 AGGREGATE $ 20,0Do,000 EXCESS LIAB CLAIMS -MADE DED I x I RETENTIONS 10.000 $ C WORKERS COMPENSATION X WC6Z91462186045 2282015 MM016 X STATUTE I I ZRH7— ANDEMPLOYERS'LIABILITY YIN E.L. EACH ACCIDENT s 1'OOD•tp0 ANY PROPRIETOR/PARTNER/EXECUTIVE X OFFICERLMEMBER EXCLUDED? ❑N NIA E.L. DISEASE - EA EMPLOYE S I•DOO•000 (Mandatory In NH) - If yes, describe under E.L. DISEASE - POLICY LIMIT I S 1'000'000 DESCRIPTION OF OPERATIONS below D Errors 8 Omissions MTPOO40592 05/15/2014 115115121115 E2,000,000 Each Occurrence $2,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof Of Coverage. CERTIFICATE HOLDER CANCELLATION 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 I he ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01)