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AURIC SOLAR LLC - INSURANCE CERTIFICATE
Client#: 26398 AURICSOL DATE (MM/DD/YYYY) ACORD_ CERTIFICATE OF LIABILITY INSURANCE 02/12/2019 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 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 NAME: Jessica Wright Moreton & Company - Utah P(AIC, NExt): HONE., 801 531-1234 F 801-531-6117 (A/C, No): P.O. Box 58139 E-MAIL ADDRESS: essica moreton.com Salt Lake City, UT 84158-0139 INSURER(S) AFFORDING COVERAGE NAIC # 801 531-1234 INSURER A Homeland Insurance Co of New York 34452 INSURED Auric Solar LLC 2310 South 1300 West Salt Lake City, UT 84119-1462 INSURER B : Advantage Workers Compensation Ins Co. 40517 INSURER C • WCF Mutual Insunnm Company 10033 INSURER D • Atlantic Specialty Insurance Company 27154 INSURER E rnVFRAr GS CFRTIFICATF NIIMRFR• REVISION NUMBER: THIS IS TO CERT IFY 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 INSR SUB WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 7930068690001 9/10/2018 9/10/2018 09/10/2019 EACH OCCURRENCE $1 000 000 _ $100 000 PREMISES ERENTED nce MED EXP (Any one person) $10, 000 PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO POLICY JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 $ D AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS 7930068710001 09/10/201 COEaMBINED accidentSINGLE LIMIT 1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ cidentDAMAGE Perr CE $ A X1 UMBRELLA LIAR EXCESS LIAB CLAIMS -MADE 7930068700001 9/10/2018 2/12/2019 /12/2019 09/10/201 EACH OCCURRENCE s5,000,000 HOCCUR AGGREGATE $5 000 000 DIED RETENTION $ $ B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ NN OFFICER/MEMBER EXCL UDED7 N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A _ 3426247 3426221 02/12/202 2/12/2020 X PER OTH- E.L. EACH ACCIDENT $�000, )00 E.L. DISEASE - EA EMPLOYEE $1,000,000 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) Verification of Insurance subject to the terms and conditions of the policy. CERTIFICATE HOLDER City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 424 W Mulberry St. ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1129110/M1129099 JESWR