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HomeMy WebLinkAboutSANDBOX SOLAR LLC - INSURANCE CERTIFICATEPfA'lIIII.�ell ffly, I;*i:71III III: II ,d►coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 02/22/2019 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 License # 0757776 CONTACT Ana Bello f Los Angeles, CA - Center Drive - HUB International Insurance Services Inc. PHONE Ext): (310) 568-5977 (FAX No): 6701 Center Drive West, Suite 1500 -E-MAIL - -- Los Angeles, CA 90045 ADDRESS: ana.bello@hubinternational.com INSURERS) AFFORDING COVERAGE NAIC i _ INSURERA:Gotham Insurance Company 25569 INSURED INSURER B : INSURER C : Sandbox Solar LLC INSURER D : 341 63rd Ave. Greeley, CO 80634 INSURER E : INSURER F : - — - rnVFRA[,FR rFRTIFICATF NIIMRFR• RFVISION NIIMRFRr 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 I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X I OCCUR _ X GL201900005954 02/25/2019 i 02/25/2020 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED REMISES E occurrence)_ 100,000 MED EXP (Any oneperson) 5,00.0 PERSONAL & ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1-:1PRO- LOC X POLICY JECT-- OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS -COMP/OP AGG 2,000,000 Is - — - AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY r _ COMBI ND dentSINGLE LIMIT BODILY INJURY Perperson) $ BODILY INJURY(Per accident $ PPerOadent AMAGE _ $ -__ $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE AGGREGATE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PRO RIETORMEMBER EXC UDEDE? ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N f A PTATUT ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required Fort Collins Utilitites is Additional Insured as respects to the general liability policy per attached endorsement GL 0202 0413. Fort Collins Utilitites 222 Laporte Ave. Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD