HomeMy WebLinkAbout564261 ENERGY OUTREACH COLORADO - INSURANCE CERTIFICATEAC R ® 76/5/2019
(MWDD�YYYY)
OC CERTIFICATE OF LIABILITY INSURANCE
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 CONTACT
Bef118n�IHa�11t_
AssuredPartners Colorado, LLC -NAME..'_ __ "PHON —
4582 S Ulster Street Suite 600 - 303-863-7788 FAX No): 303-861-7502
Denver CO 80237 EMAIL , bethan .hai ht assured partners.com
INSURED
Energy Outreach Colorado
Energy Outreach Colorado Efficiency, LLC
225 E 16th Ave Ste 200
Denver CO 80203
INSURERS) AFFORDING COVERAGE NAIC A
INSURER A: Pinnacol Assurance 41190
INSURERB: Gemini Insurance Company 12118
INSURER c_ Westchester Surplus Lines Ins - -- L 10172
INSURER D : Travelers Commercial Insurance
INSURER E: TRAVELERS
11025
lV1VG0AnPQ f`GRTIFICATG NI IMRGR• 11R4nReRR7 RFVICIf1N 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,
EXCLU_SI.ONS AND CONDITIONS OF F SUCH POLICIES. LIMIT_ S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTHv TYPE OF INSURANCE ADDZ�$f713 _ POLICY NUMBER MW D/YYYY MFF M DD/YYYY LIMITS
LTR
B
X COMMERCIAL GENERAL LIABILITY
Y
VCGP024664
6/1/2019
6/1/2020
EACH OCCURRENCE
$1,000,000
OCCUR
i
PR�M1S�$�@E Qau encQ
$ 50,000,
--,'CLAIMS-MADE
MED EXPjAnX one persons
$ 5,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2.000,000
—�' ' ' PRO- i-7
POLICY . J JECT i', LOC
PRODUCTS_ COMP/OP AGG
— _ ..----
$ 2 000,000
--_-
$
OTHER:
B
AUTOMOBILE LIABILITY
VCGPO24664
B/1l204B
6/1/2020
COMBINED SINGLE LIMIT
$
BODILY INJURY (Per person)
$
ANY AUTO
ALLOWNED I SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS AUTOS
$
X X NON -OWNED
PROPERTY DAMAGE
r
HIRED AUTOS AUTOS
��--
----
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
AGGREGATE
$ --- _.
EXCESS LIAB L CLAIMS -MADE
DED RETENTION $
$
A
WORKERS COMPENSATION
4144812
1/1/2019
1/1/2020
AND EMPLOYERS' LIABILITY y / N
—RH
-----
'ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBER EXCLUDED? ❑
N J A
'(Mandatory in NH)
E.L. DISEASE -
I
.__..__.,�—._...._...__.-_....___.._.
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
C Contractors Pollution Liability
G27480287005 6/112019 6/1/2020 Each Poll Condition $2,000.000
0 . Cyber Liability
105862051 6/1/2019 6/1/2020 Limit Si 000,000
E Cnme/EmployeeTheft
1,05923321 6/1/2019 , 6/1/2022 Limit $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
City of Fort Collins is included as Additional Insured with regard to General Liability at required by written contract. Named Insured has no owned autos,
hired/non-owned coverage only.
RFRTIFIrATF wni r1FR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Purchasing
AUTHORIZED REPRESENTATIVE
PO Box 580
Fort Collins CO 80522
(91988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
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