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HomeMy WebLinkAbout105347 ITRON INC - INSURANCE CERTIFICATE (5)ACC) CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 08129,12019 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 Marsh USA, Inc. 1301 5th Avenue, Suite 1900 Seattle, WA 98101 Attn: Seattle.CertRequest@marsh.com / FAX 212-948A326 CN102835048-STND-GAWUE-19- GAWU INSURED Itron,Inc. Attn: Yvonne Tanak 2111 N. Molter Road Liberty Lake, WA 99019-9469 B: C: D: E: FAX (AIC, No): COVERAGES CERTIFICATE NUMBER: SEA-003497536-09 REVISION NUMBER: 1 25674 25658 37885 16535 WA 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 TYPE OF INSURANCE ADDTSUBR POLICY NUNBER POLICY EFF MM/LID/YYYY POLICY EXP MM/LID/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1�1 OCCUR 660 8N1 20669-19 08/31/2019 08/31/2020 EACH OCCURRENCE $ 2,000,000 RENTEDDAWdE TO PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10.000 PERSONAL E ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ LOC X JECT OTHER GENERAL AGGREGATE $ 4,000,000 PRODUCTS -COMP/OP AGG $ 4,000,000 E $ B AUTOMO&LE LIABILITY OWNED SCHEDULED IXX ANY AUTO AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY CAP 1J668762-19 08/3112019 08/31/2020 COMBIND SINGLE LIMR Ea accident $ 2,000.000 _ $ $ - $ _ $ 1,500 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTYDAMAGE Per accident Camp/Coll Deductible X UM13RELLAUAS EXCESS LIAS X OCCUR CLAIMS -MADE US00D86273LI19A OB/3112019 08/31/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DELI I X I RETENTION$ 10.000 $ D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMB REXCLUD D?ANYPROPRIETORIPARTNERIEXECU7IVE (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA WC 0265072-01 (ADS) WC 0265077-01 (WI) 10101/2018 101011 019 10101/2019 X IPER T STATUTE I I ERA - E.L EACH ACCIDENT -- $ 1,000.000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 701, Additional Remarks Schedule, may be attached If more space Is required) Proof Of Coverage CFRTIFICATF Hot f1FR CANCELLATION City of Fort Collins Purchasing SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RE: RFP THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7328 Demand Response ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins. CO 80522 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Peggy Boren ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD