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HomeMy WebLinkAbout555280 ICONERGY LTD - INSURANCE CERTIFICATEClient#: 55196 ICONERGY ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/05/2018 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Greyling Ins. Brokerage/EPIC 3780 Mansell Rd. Suite 370 Alpharetta, GA 30022 NAME: Nicole Larsen PHONE — FAX AIC No Ext : 770-552-4225 A/c No): 866-550-4082 E-MAIL Nicole. ADDRESS: Larsen @greIln y g•com INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Twin City Fire Insurance Co. 29459 _ INSURED IconINSURER 1905 Sherman St. gy, Ltd. 905 Denver, CO 80203 B : Trumbull Insurance Company 27120 INSURER C : Argonaut Insurance Company 19801 INSURERD: Hartford Accident & Indemnity Company 22357 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 18-19 REVISION NUMBER: 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. LTRR TYPE OF INSURANCE INSRL WVD POLICY NUMBER MMIDDSUBRI Y/YYYY MMIDDIYYYY LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE � OCCUR 20SBWIR6884 9/15/2018 09115/2019 EACH OCCURRENCE $1 000000 PREMISES Ea occurrrence $1,000,000 GEN'L MED EXP (Any one person) $1 O 000 PERSONAL INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY � JECOT 7 LOC OTHER: _&ADV GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000,000 $ D AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 20UEGIC1642 9/15/2018 09/15/2019 Ea accident) SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A B �( UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 20SBWIR6884 20WEGAB6HNK 9l15/2018 09/15/201 EACH OCCURRENCE $SOOOOOO AGGREGATE s5,000,000 DED X RETENTION $10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 9/15/2018 09/15/201 PER X OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 C Professional Liability AE0001738 9/15/2018 09/15/2019 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Re: 8094 Building Commissioning Annual - Federal City of Fort Collins Purchasing Department is named as an Additional Insured on the above referenced liability policies with the exception of workers compensation & professional liability where required by written contract. Ongoing and Completed operations are included. City of Fort Collins Attn: Purchasing Department 281 N. College Fort Collins, CO 80521 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 ACORD 25 (2016/03) 1 of 1 #S1199583/M1195642 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NLAR1