Loading...
HomeMy WebLinkAbout563480 WGL ENERGY SYSTEMS INC - INSURANCE CERTIFICATEA o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/02/2016 I 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 Aon Risk Services, Inc. of Washington, D.C. 1120 20th street NW CONTACT PHONE FAX (A/C. No. Ext): (866) 283-7122 (A/C. No.): (800) 363-0105 E-MAIL ADDRESS: Washington DC 20036 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Assoc Electric & Gas Ins Sery Ltd -AEGIS AA3190004 WGL Enerqy Systems. Inc. a Subsidiary of Washington Gas Resources 6862 Elm street, suite 300 INSURERB: The First Liberty Insurance Corporation 33588 INSURER C: INSURER D: McLean VA 22101 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570073425686 REVISION NUMBER: 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DD MM/DD LIMITS B X COMMERCIAL GENERAL LIABILITY TB 414 1 1 1 1 1 1 EACH OCCURRENCE $ 500 , 000 CLAIMS -MADE X❑ OCCUR DAMAGE RENTED PREMISES Ea occurrence $100 000 MED EXP (Any one person) $10 , 000 PERSONAL & ADV INJURY $ 500 , 000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $1,000,000 X POLICY ❑ PRO ❑ SECT LOC PRODUCTS - COMP/OP AGG $1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY ( Per person) ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident A UMBRELLA LIAB OCCUR XL5035708P 10/01/2018 10/01/2019 EACH OCCURRENCE $1,000,000 X EXCESS LIAR X CLAIMS -MADE Claims Made AGGREGATE $1,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE PERTOTH- STAUTE ER E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE -EA EMPLOYEE (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Solar Photovoltaic System, Fort Collins Job Site: 1912 LaPorte Ave, Fort Collins, CO 80521. CERTIFICATE HOLDER 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 AUTHORIZED REPRESENTATIVE Utilities Department Attn: Norm weaver 970-221-6700 PO Box 580 icai /`izi�zffc�a Fort Collins Co 80522-0580 USA cSYa�z�i c%tr rzc. cf ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD