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105347 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