HomeMy WebLinkAboutSUNRUN SOUTH LLC - INSURANCE CERTIFICATEDATE (MM/DD/YYYY)
AC o)R" CERTIFICATE OF LIABILITY INSURANCEF9/12/2018
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 CON
NTNCr—
AME:
Arthur J. Gallagher & CO. PHONE FAX
Insurance Brokers of CA. Inc. License #0726293 c No Ext: 415-546-9300 A/c No:415-536-8499
1255 Battery Street #450 ADDRESS:
San Francisco CA 94111 INSURERS AFFORDING COVERAGE NAIC11
INSURER A: Zurich American Insurance Com an 16535
INSURED SUNRINC-01 INSURER a: Navigators Specialty Insurance Company 36056
Sunrun South, LLC INSURER C : Indian Harbor Insurance Company 36940
595 Market Street, 29th Floor
San Francisco, CA 94105 INSURER D :
INSURER E:
CnVFRAnPq r'-t=RTIFICATF NIIMRFP-77AQR'tsta'% RFVIRION NIIMRFR-
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
R
TYPE OF INSURANCE
D L
SUER.
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
M D/YYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F-XI OCCUR
$50,000Retention
LA18CGL2303211C
10/V2018
10/1/2019
EACH OCCURRENCE
$1,000,000
$ 1.000,000
- -RENTED
rO
pREM SES Ea occurrence
X
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY � JECOT- LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
Total Policy Limit
$10,000,000
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BAP915542505
10/1/2018
10/1/2019
COMBINED SINGLE LIMIT
Ea accident
$2,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
C
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
SXSOD52657
10/1/2018
1D/1/2019
EACH OCCURRENCE
$5,000,000
X
AGGREGATE
$ 5,000.000
DED RETENTION
$
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y / N
j ANYPROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICE R/MEMBE R EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
WC013696004
WC013696104
10/1/2018
lo/12o18
10/1/2018
10/12019
X STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE- EA EMPLOYEE
$1,D00,000
E.L. DISEASE - POLICY LIMIT
$ 1.000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
WC013696004 - $25'000 Deductible; WC013696104- FL, HI, MA, NJ, NY, OR, VA, Wf only. Named Insureds: Sunrun Inc., Sunrun Installation Services Inc.,
Sunrun South LLC, AEE Solar, Inc., Clean Energy Experts LLC, Sunrun Solar Electrical Corporation
Proof of General Liability and Workers Compensation Coverage for the City of Fort Collins (Certificate Holder) for Colorado Municipal Permit.
rtFRTIFICATF Hnl nFR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
Contractor Licensing 281 N. College Avenue
Fort Collins CO 80526
AUTHORIZED REPRESENTATIVE
V 1Vtitl-1U15 ACUHU GUKPUNAI IUN. An rlgniS reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD