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HomeMy WebLinkAbout555280 ICONERGY LTD - INSURANCE CERTIFICATE (4)A� or CERTIFICATE OF LIABILITY INSURANCE DATE iMMIDD/YYYY) s/11/201 s 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 pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endorsemen s . PRODUCER NAMEA� Jon Nee Thomas McGee Group PHONE FAX P O Box 419013 c. N 816 643 4632 lee : 816 472-5016 Kansas City MO 64141-6013 ADDRESS: jnee@thomasmcgee.com Twin INSURED ICONL Iconergy, LTD 1905 Sherman St., Ste. 1040 Denver CO 80203 COVERAGES CERTIFICATE NUMBER:656494350 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 TYPE OF INSURANCE AODL SUER POUCYNUMBER POLICY EFF D POLICY FXP uMrrs A X COMMERCIAL GENERAL uABILtrY . CLAIMS -MADE 1I OCCUR 20UEGIC1642 9115/2019 911512020 EACH OCCURRENCE $1,000,000 DAMAGE TO PREMISES RENTED o $1.000,000 MED EXP (Any one pemon) $10,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY D ECT El LOC OTHER: GENERAL AGGREGATE $ 2.000,000 PRODUCTS - COMP/OP AGG $ 2.000,000 $ A AUTOMOBILE LUBILFTY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY IX 2OUEGIC1642 9/15=19 911512()2() COMBINED SINGLE LIMIT a ao i ent $1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Par accident) $ PROPERTY DAMAGE r accident $ a A X UMBRELLA LIAs EXCESS LIAR X OCCUR CLAIMS -MADE 2DUEGIC1642 9/15/2019 9115/2020 EACH OCCURRENCE $5.000,000 AGGREGATE $5,000,000 DED X RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IN ANYPROPRIETORIPARTNEWEXECUTIVE Y❑y OFFICERMIEMSER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 20WEGA86HNK 9/15/2019 9115/2020 X STAT TE OERTH' E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE $1,000.000 f E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom space Is required) Re: 8094 Building Commissioning Annual - Federal City of Fort Collins Purchasing Department is named as an Additional Insured on the above referenced liability policies with the exception of workers compensation & professional liability where required by written contract. Ongoing and Completed operations are included. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins, Attm Purchasing Department 281 N. College Fort Collins CO AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD