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HomeMy WebLinkAboutSUNRUN INSTALLATION SERVICES INC - INSURANCE CERTIFICATEACORO0 CC CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) F9/28/2015 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 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 endorsements . PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. 1255 Battery Street #450 San Francisco CA 94111 CONTACT NAME: PHONE 415-546-9300 FAX 415-536-8499 E-MAIL ADD INSURER(S) AFFORDING COVERAGE INSURER(S) NAIC # _ INSURER A: Zurich American Insurance Company 16535 INSURED SUNRINC-01 INSURER B: INSURERC: Sunrun Installation Services Inc. and REC Solar, Inc. 775 Fiero Lane, Suite 200 -` -"-""- INSURERD: INSURERE: San Luis Obispo CA 93401 INSURER F: COVERAGES CERTIFICATE NUMBER: 128977664 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR I POLICY NUMBER MMIDDIYYYY MMIDDIYYYY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALTOS NED SCHEDULED HIRED AUTOS NON -OWNED AUTOS COMBINED 5INGLrT7MTT— Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident $ E UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED 1 RETENTION E $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE D OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC013696001 WC013696101 10/1/2015 0/1/2015 10/1/2016 10/1/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE - - $1,000,000 E.L. DISEASE - POLICY LIMIT - 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) WC013696001 - $25,000 Deductible; WC013696101 - FL, HI, MA, NJ, NY, OR, VA, WI only. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Contractor Licensing 281 N. College Avenue Fort Collins CO 80526 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ LOC #: _ a® ADDITIONAL REMARKS SCHEDULE Page Of AGENCY POLICY NUMBER CARRIER NAIC CODE NAMED INSURED EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: Named Insureds: Sunrun, Inc.; Sunrun Insta'lation Services, Inc.; Sunrun South LLC; REC Solar, Inc.; Mainstream Energy, Inc.; AEE Solar, Inc. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD