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HomeMy WebLinkAbout472254 NAMASTE SOLOAR ELECTRIC INC - INSURANCE CERTIFICATEP5260028002 AC4DRDr CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 01/02/2019 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 1-303-534-4567 IRA, Inc. - Colorado Division CONTACT NAME: PHONE FAX IC No : 'C. E-MAIL ADDRESS: denaccounttechs@imacorp.com 1705 17th Street INSURERS AFFORDING COVERAGE NAICI Suite 100 INSURER A: DEPOSITORS INS CO(Allied Insurance Grou )d2587 Denver, CO 80202 _ INSURED INSURERB: NATIONWIDE MDT INS CO (Allied IIIs Group) 23787 Namaste Solar Electric Inc. INSURERC:ARCO INS CO(Allied Insurance Group) 19100 INSURERD: PINNACOL ASSUR 41190 6707 Winchester Circle, Suite 700 INSURERE: ZURICH AMER INS CO(Pinnacol Assurance) 16535 INSURERF: Allied world Assurance Company Ltd Boulder, CO 80301 COVERAGES CERTIFICATE NUMBER: 55028767 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. INSR LTR TYPE OF INSURANCE ADD SUER POLICY NUMBER MMIDDY EFF POLICY EXP MM DD LIMITS A X COMMERCIAL GENERAL LIABILITY ACPGLD03028544150 01/01/19 01/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE TO R PREMISES Ea NTE-ence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 JEST LOC POLICY [OTHER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ACPBA3028544150 01/01/19 CEa accident)OMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO �01,01/20 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B HIRED E NON -OWNED AUTOS ONLY AUTOS ONLY $ C B UMBRELLA LIAB X OCCUR ACPCAA3028544150 01/01/19 01/01/20 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUE (Mandatory in NH) NIA 4188331 -CO 0079944002 -NY,CA 01/01/19 01/01/19 01/01/20 01/01/20 PER OT X STATUTE I ERA E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 F Professional Liability 03093580 01/01/19 01/01/20 Aggregate 1,000,000 Per Claim 1,000,000 Retro Date: 08/24/09 1 1 1 Deductible ;25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / 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. GANGtLLAI IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 / Z& USA l ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD michael.sheinberg 55028767 ViEm .- ii O r� z W