HomeMy WebLinkAboutTHE ELECTRICIFICATION COALITION FOUNDATION - INSURANCE CERTIFICATE% ' CERTIFICATE OF ;LIABILITY INSURANCE °Ao5�2o�202"0 '
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
Ifendorsed. 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 endorsements .
PRODUCER CONTACT
NAME:
CS&S/USI INSURANCE. SERVICES LLC PHONE FAX
A/C, No.. Ext : A/C, No):
PO BOX 958489 EMAIL
ADDRESS:
Lake Mary, FL.32746-8989 INSURER(S) AFFORDING COVERAGE NAIC #
1-866-748-0040 INSURER A: ty P Continental Casual Company 20443
INSURED INSURER B:
THE ELECTRICIFICATION COALITION FOUNDATION & INSURER C:
1111 19TH ST NW INSURER D:
WASHINGTON, DC 20036 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANOINGANY REQUIREMENT, TERM ORI 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 ADDL SUIRR POLICY EFF . POLICY EXP- -
LTR TYPE OF INSURANCE INSR WVD POLICY . UMBER ryjIAjDD MMIDDIYY LIMITS
A X COMMERCIAL GENERAL LIABILITY Y 6021 76904 06/30/20 06/30/21 EACH OCCURRENCE $ 'I OOO 000_
DAMAGE TO RENTED
CLAIMS -MADE I OCCUR PREMISES Eaacc mw $ 300,000
MED EXP (Any one person) $ 10,000
PERSONAL &ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
PRO- X PRODUCTS - COMP/OP AGG $ 2,000,000
.
POLICY JECT X LOC
OTHER:
A AUTOMOBILE LIABILITY 6021376904 06/30/20 06/30/21 COMBINED SINGLE LIMIT
(Ea accident) Is 1,000,000
ANY AUTO BODILY INJURY(Per person) $
OWNED AUTOS SCHEDULED BODILY INJURY(Per accident) $
ONLY I JAUTOS
XHIRED AUTOS M NONOWNED PROPERTY DAMAGE
ONLY AUTOS ONLY (Per accident) $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMSMADE AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS, LIABILITY YIN I STATUTE I ER
ANY PROPRIETORLPARTNEVEXECUTIVE
OFFICEWMEMBER EXCLUDED? El N/A E.L. EACH ACCIDENT $
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
It yes, describe under - - -
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
PER OTH-
OTHER
STATUTE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
DESCRIPnON OF OPERATIONS I LOCATIONS I VEHICLES (Acord 101, Additional Remarks Schedule, may be attached if more space is mgUmd)
City of Fort Collins is added as an additional insured as provided in the blanket additional insured endorsement as it pertainsto work
being performed by the named insured under writte contract.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, CO 80522
AUTHORVED REPRESENTATIVE
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