Loading...
HomeMy WebLinkAbout572096 GRID ALTERNATIVES - INSURANCE CERTIFICATEAC^��� l✓ CERTIFICATE OF LIABILITY INSURANCE 11%.� I DATE (MM/DDIYYYY) 03/28/2019 r 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 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX A/C No), E-MAIL DenAccountTechs@imacorp.com rp•com 1705 17th Street INSURER(S) AFFORDING COVERAGE NAIC N Suite 100 _ _ INSURERA:CRUM & FORSTER SPECIALTY INS CO(RISX 44520 Denver, CO 80202 INSURED INSURER 6:ZURICH AMER INS CO 16535 GRID Alternatives Colorado, Inc. INSURER C _ INSURER D: 1120 w 12th Ave INSURER E : 1 INSURERF: Denver, CO 80204 COVERAGES CERTIFICATE NUMBER: 55780349 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 OF INSURANCE ADDLTYPE INSD DSUBRI W POLICY NUMBER Y EFF MM/DD MM DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EPK126331 04/01/19 04/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE SRENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY t_l PRO LOC JECT PRODUCTS-COMP/OPAGG $ 2,000,000 _ -_ $ OTHER: B AUTOMOBILE LIABILITY BAP673781806 04/01/19 04/01/20 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA UUIB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY--- ANYPROPRIETOR/PARTNER/EXECUTIVE � OFFICERIMEMBEREXCLUDED? (Mandatory in NH) NIA WC574677106 04/01/19 04/01/20 X I PER STATUTE ERH 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 i it DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is requiredl Fort Collins Utilities is included as Additional insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fort Collins Utilities THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 222 Laport Ave. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521 /�& USA ACORD 25 (2016/03) 2018spm60 55780349 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD