HomeMy WebLinkAbout472254 NAMASTE SOLAR ELECTRIC INC - INSURANCE CERTIFICATEP12M 12FA.11
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDONYYY)
10/26/2018
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 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 1-303-534-4567 ICONTACT
NAME:
IMA, Inc. - Colorado Division PHONE FAX_
1705 17th Street �DoeE aenaccounttecnsrrlmacorp.com
Suite 100 _ INSURERS AFFORDING COVERAGE NAIL i
Denver, CO 80202 INSURERA: DEPOSITORS INS CO(Allied Insurance Grow )<2587
INSURED INSURERS: NATIOWIDE NUT INS CO (Allied Ins Grout') 23787
Natsaste Solar Electric Inc. INSURER C ANCO INS CO(Allied Insurance Group) 19100
6707 Winchester Circle, Suite 700 INSURERD: ZURICH AMM INS CO(Fianacol Assurance) 16535
INSURERE: PnMACOL ASSUR 41190
Boulder, CO 80301 INSURERF: Allied world Assurance Company Ltd
r"COTICIPATC 16111ea R1=D• SAaa57rt1F; RFVICIAN NIIIIARFR•
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.
ILTR
LTR
OF INSURANCE
ADDILTYPE
IN&
SU D
POLICY NUMBER
MMIDPOLICY EFF
MMIDDY EXP
LIMITS
A
Z
COMMERCIALGENERALLUIBIUTY
ACPGLDO3018544150
01/01/18
01/01/19
EACH OCCURRENCE
$ 1,000,000
_ CLAIMS -MADE l_. ZOCCUR
REMDAMAGETO-�NTISES (Ea occurrent
i 100, 000
MED EXP (Any one person)
$ 5,000
PERSONAL 4ADVINJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENL
AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY PRO-
JECT LOC
$
OTHER:
8
AUTOMOBILE LIABILITY
ACPBA3018544150
01/01/18
01/01/19
COMBINED SINGLE LIMIT
Es accident
$ 1,000,000
BODILY INJURY (Per person)
$
Z ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
__ AUTOS AUTOS
NON -OWNED
Z HIRED AUTOS X: AUTOS
N
PROPERTY DAMAGE
Per accident
$
$
C
UMBRELLALIAB
Z
OCCUR
ACPCAA3018544150
01/01/18
01/01/19
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
f 2,000,000
JX
EXCESS LUB
CLAIMS -MADE
DED RETENTION
$
D
E
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTNE Ya
OFFICERWEMBER EXCLUDED? N
(Mandatory In NH)
N/A
0079944001 -NY,CA
4188331 -CO
01/01/18
01/01/18
01/01/19
01/01/19
Z STH
TATUTE I I OR
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
P
Professional Liability
03093580
01/01/18
01/01/19
Aggregate $1,000,000
Per Claim $1,000,000
Retro Date: 08/24/09
Deductible $25,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
City of Fort Collins, its officers, agents and employees are included as Additional Insureds on the General and
Automobile Liability Policies if required by written contract or agreement and with respect to work performed by Insure
subject to the policy terms and conditions.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO BOX 580 AUTHORIZED REPRESENTATIVE ///1 ,/
Port Collins, CO 80522 /<` �//
I USA CCCC ��//�
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
vickyl8
54445786
rn
o_
z
uJ