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HomeMy WebLinkAbout105347 ITRON INC - INSURANCE CERTIFICATE1
ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
08/30/2018
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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Marsh USA, Inc.
1301 5th Avenue, Suite 1900
CONTACT
NAME: _
(A/C.NN . Extt: A/c Noll:
E-MAIL
ADDRESS:
Seattle, WA 98101
Attn: Seattle.CertRequest@marsh.com / FAX 212-948-4326
INSURE%SJ AFFORDING COVERAGE
NAIC #
INSURER A: Zurich American Insurance Company
16535
CN1 02835048-STND-GAWUE-1 8- GAWU
INSURED
Itron, Inc.
Attn: Yvonne Tanak
INSURER B : XL Specialty Insurance Company
37885
INSURER C : NIA
—
N/A
INSURER D :
2111 N. Molter Road
Liberty Lake, WA 99019-9469
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER: SEA-003497536-05 REVISION NUMBER: 1
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
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
GLO 0265070-01
08/31/2018
08/31/2019
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE FxI OCCUR
DAMAGE TO RENTE
PREMISES Ea occurrence)
$ 2,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4,000,000
X PRO ❑ LOC
POLICY ❑ JECT
PRODUCTS -COMP/OP AGG
$ 4,000,000
$
OTHER
A
AUTOMOBILE LIABILITY
BAP 0265069-01
08/31/2018
08/31/2019
COMBINED SINGLE LIMIT
Ea accident
$ 2,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Comp/Coll Deductible
_ __
$ 1,500
X
UMBRELLA LIAB
X
OCCUR
US00086273LI18A
08/31/2018
08/31/2019
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
EXCESS LIAB
CLAIMS -MADE
$ 5,000,000
DED I X I RETENTION $10 000
$
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? [N]
(Mandatory in NH)
N/A
WCO265072-01 (ADS)
WC 0265077-01 (WI)
000 SIR$250,
10/01/2018
10/01/2019
10/01/2019
X PER OTH-
STATUTE I I ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Proof Of Coverage.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins Purchasing
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
RE: RFP
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
7328 Demand Response
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Peggy Boren P'-�.� _ P s-�• �-
©1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD