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HomeMy WebLinkAbout555280 ICONERGY LTD - INSURANCE CERTIFICATE (2)Client#: 55196 ICONERGY DATE(MMfDD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 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). ON T PRODUCER NAME: Nicole Larsen Greyling Ins. Brokerage/EPIC PHONE, Ext:770-552-4225 °% ac No : 866-550�082 3780 Mansell Rd. Suite 370 ADDRESS: Nicole.Larsen@greyling.com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAIC x INSURED Iconergy, Ltd. 1905 Sherman St. Denver, CO 80203 INSURER A: Twin City Fire Insurance Co. 29459 INSURER B : Trumbull Insurance Company 27120 INSURER C : Argonaut Insurance Company 19801 INSURER D : Hartford Accident & Indemnity Company 22357 COVERAGES CERTIFICATE NUMBER: 18-19 REVISION NUMRER- 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. LTR TYPE OF INSURANCE NSR WVO POLICY NUMBER MM/DDY� MM/DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 20SBWIR6884 9/15/2018 09/15/2019 EACH OCCURRENCE $1 000000 CLAIMS -MADE OOCCUR PREMISES Eao.'T.nce $1,000,000 MED EXP (Any one person) $1 O 000 PERSONAL &.ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 GEN'L POLICY 51 JECOT LOC PRODUCTS-COMP/OPAGG $2,000,000 $ OTHER: D AUTOMOBILE LIABILITY 20UEGIC1642 9/15/2018 09/15/201(CEO, cBINESINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) ccident $ HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY A X UMBRELLA UAB X OCCUR 20.SBWIR6884 9/15/2018 09/15/201 EACH OCCURRENCE s5,000,000 AGGREGATE s5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RIETOR/PARTNER/EXECUTIVE �Y N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) N / A 20WEGAB6HNK 9/15/2018 09/15/2019 OTH- X IsPTEARTuTE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional AE0001738 0911512018 09/1512019 Per Claim $2,000,000 Liability Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 8668 Building Energy Modeling Services City of Fort Collins 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. (See Attached Descriptions) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 North Mason Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1199563/M1195642 NLAR1