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HomeMy WebLinkAbout105347 ITRON INC - INSURANCE CERTIFICATE (6), A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 09/1812019 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 19DC Seattle, WA 98101 Attn: Seathe.CertRequest@marsh.com 1 FAX 212-948-4326 CN 102835048-sN4GAW UE-19-20 INSURED Ilion, Inc, Attn: Yvonne Tanak 2111 N. Molter Road Liberty Lace, WA 99014-9469 GAWU A: The rnVFReaFc CERTIFICATE NUMBER: SEA-003497536-13 REVISION NUMBER: 1 37885 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. (N$N L TYPE OF INSURANCE ADDL SUER POLJCYNUMBER POLICY EFF MM IDD POLICY EXP MMIDDrNYY LIMITS A X COMMERCIAL GENERAL LIABILITY n CLAIMS -MADE LK OCCUR 660 8NI20669-19 0813112019 08/31/2020 EACH OCCURRENCE $ 2,000,000 D PREMISES Eao=rrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2'113DO000 GEML AGGREGATE LIMIT APPLIES PER: X POLICY PRO O LOC JECT OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ B AUTOMOBILE LIABILITY OWNED SCHEDULED IXX ANY AUTO AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY CAP 1J668762-19 08/31/2019 08/31/2020 COMBINED SINGLE LIMIT Ea acadent $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per acdtlent) $ PROr PPEERTY AMAGE $ Camp/Coll Deductible a 1,500 X UMBRELLALIAB EXCESS UAB X OCCUR. CLAIMS -MADE US00086273LI19A 08/3112019 08/3112020 EACH OCCURRENCE $ 5, , AGGREGATE $ 5,000,000 DED I X RETENTION$ 10.000 $ D A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICERMEM ER EXCLUDED?ECUTIVE O (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below N/A UB-8N023175(ADS) UB-BN033212 (WI, MA. NE) 10101/2019 10101/2020 10101/2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMB It 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Proof Of Coverage. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Purchasing SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RE: RFP THE EXFIRATION DATE THEREOF, NOT!CE 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 uti t5� © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD