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Home My WebLink AboutTESLA INC - INSURANCE CERTIFICATE (2)H YYYY, A� CERTIFICATE OF LIABILITY INSURANCE 1 04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL If SUBROGATION IS WAIVED, subject to the tennis and this certificate does not confer rights to the certificate holder INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. conditions of the policy, certain policies may require an endorsement. A statement on in lieu of such endomement(s).. . PRODUCER MARSH RISK & INSURANCE SERVICES 345CALIFORNIASTREET,SUITE'1300 CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO, CA 94104 CONTACT NAME: PHONE I FAX A/c No): E-MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAICs INSURER A: NIA NIA CN104275251-TESLA-GAWUL-19- INSURED Testa, Inc. 4MM Fremont Blvd INSURER 8 : Zurich American Insurance Company 16535 INSURER C : NIA WA INSURER D : Fremont, CA 94538 INSURER E : INSURER F w�wvw ^=nT0V^AT ILUMAGGO•WFVINKJN NIIMtlCK_ 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR _ .. TYPE OF INSURANCE ODLSUBR IPOCYIiUYBFR. U POLICY EFF MMroDIYYYYI POLICY EXP (MMIDD0YYYY1 LIMITS B X COMMERCIAL GENERAL I 1ABI1 TY GLO107456&-02 10131/2019 10/31/2020 EACH OCCURRENCE. $ 2,560,000 CLAIMS -MADE FX I OCCUR SIR $750,000 Includes Host Liquor Liability DAMAGE TO RENTED PREMISES Ea ac mence $ 2,500,000 X MED EXP (Any oneperson) $ 5,000 X Tort Contra: Llab, No XCU Exd PERSONAL & ADV INJURY $ 2,500,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 20,000,000 PRODUCTS _COMPIOPAGG $ 6,000,000 X POLICY PRO ❑ LOC JECT -- $ X OTHER: 56M - d Loc AUTOMOBILE LIABILITY - EG eEee°tSINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ S UMBRELLA LUIB OCCUR I EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ - WORKERSCOMPENSATION AND EM?LOYERS• LJAsn rry ANYPROPRIETOR/PARTNERIEXECUTIVE Y❑ —__ STATUTE 0ERTH_ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? (Mandamry In NH) NIA E.L. DISEASE - POLICY LIMIT $ - H yr , de ibe under DESCRIPTION OF OPERATIONS below __ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Addflf6al Remarks Schedule, may be attached U more apace Is rogWred) Re: Participant and Installer Cerlitication for system size is between 10kW or more. City of Fort Collins Utilities is included as Additional Insured on the General Liability policy as required by written contract, but only with respect to liability arising out of the Named Insured's operations. w�e,r,r,w.T "^ hen I CANCR 1 AIKIM City d Fort Collin Utilities SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 117 N MasonSheet THE EXPIRATION DATE THEREOF, NOTICE. WILL BE DELIVERED IN Fort Collins, CO 80524 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE --- of Marsh Risk & Insurance Services Stephanie Guaiumi .t e4-&4"""' IN 7trOO�AV 10 Aa.VKv VvrtrvlVl I rvr�.. eln nyum ,cam mow. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD