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HomeMy WebLinkAbout105347 ITRON INC - INSURANCE CERTIFICATE (2)1LITY INSURANCE
DATE (YYYY)
09/26/2018/2018
4ND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
:XTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
licy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
policy, certain policies may require an endorsement. A statement on
h endorsement(s).
:ONTACT
IAME:
_
-HONE FAX
!VC -No Ext1: A/C No):
-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
usURER A: Zurich American Insurance Company
16535
VSURER B : XL Specialty Insurance Company
37885
4SURER c : N/A
N/A
VSURER D :
VSURER E :
VSURERF:
SEA-003497536-08 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
SUBRT
POLICY NUMBER
POLICY EFF
MM/DO/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F-vl OCCUR
GLO 0265070-01
08/31/2018
08/31/2019
EACH OCCURRENCE
$ 2,000,000
DAMAGE TRENTED
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:
POLICY ❑ PEC LOC
OTHER:
GENERAL AGGREGATE
$ 4,000,000
X
PRODUCTS - COMP/OP AGG
$ 4,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BAP 0265069-01
08/31/2018
08/31/2019
COMBINED SINGLE LIMIT
Ea accident)_
$ 2,000,000
X
BODILY INJURY (Per person)
$
td P BODILY INJURY (Per accident)
)
$
X
PROPERTY DAMAGE
Per accident
$
Comp/Coll Deductible
$ 1,500
X
UMBRELLA LIAB i
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
US00086273LI18A
08/31/2018
08/31/2019
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
DED I X I RETENTION $1O 000
$
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED? �
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
WCO265072-01 (AOS)
WC 0265077-U1 (WI)
10/O1I2018
10101I2019
10I01/2019
X PER OTH-
STATUTE ER
_
E.L. EACH ACCIDENT
$ 1,000,000
EL. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -_POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Proof Of Coverage.
tJCK I IrIt.A I t MULUtK UANL;tLLA I IUN
City of Fort Collins Purchasing
RE:RFP
7328 Demand Response
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.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Peggy Boren P—
© 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD