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HomeMy WebLinkAboutUTILITY PARTNERS OF AMERICA LLC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 3/29/2019 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 CONTACT Assurance Agency, Ltd NAME: Adam Owens 1750 E Golf Road PaHic"r o 847 463-7834 FAX No : 847 440-9126 Suite 1100 E-MAIL ADDRESS: aowens assurances enC .com Schaumburg IL 60173 INSURrRtS1 AFFORIDING COVERAGE NAIC# INSURER A: Endurance Assurance Corporation 11551 INSURED Utility Partners of America, LLC INSURER B: Navigators Specialty Insurance 36056 7600 Pelham Road, Ste B INSURERC: Phoenix Insurance Company 25623 Greenville SC 29615-5736 INSURERD: The Travelers Indemnity Com an 25658 INSURER E: Travelers Casualty & Suret Co 31194 INSURER F COVERAGES .. �. .. ...... ... ...�__ vV� I�V111 LiLR. 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 INSURANCEINSD ADDL SUBR WVDPOLICY NUMBER MM/DD/YYYY EXP - MM DD/YYYY LIMITS C X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 66051<556461 4/1/2019 4/1/2020 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $ 1,000,000 MED EX P (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: JPRO- POLICY LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ D AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 8105K41569A 4/1/2019 4/1/2020 Ee aBcid DiSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) -DAMAGE $ PROPERTY Per accident $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UMB30000062503 4/1/2019 4/1/2020 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 DED X RETENTION $ $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A UB7K372391 4/1/2019 4/1/2020 X PER OH - STATUTE ER E.L.OFFICER/MEMBER EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Excess Auto Liability CH19EXC9257341C 4/1/2019 4/1/2020 Occurrence 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of Insurance. It is agreed that City of Fort Collins is Additional Insured, when required by written contract, on the General Liability and Automobile Liability with respect to operations performed by the Named Insured in connection with this project. City of Fort Collins 222 Laporte Ave. Fort Collins CO 80522 CL-PA 11Vry 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 U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD