HomeMy WebLinkAbout564261 ENERGY OUTREACH COLORADO - INSURANCE CERTIFICATE (2)DATE (MDDIYYYY)
AFRO® M/CERTIFICATE OF LIABILITY INSURANCE 6/4/2018
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. It 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
NAME: Bethany Haight
AssuredPartners Colorado, LLC PHONE FAX
4582 S Ulster Street Suite 600 A/c No.
o Exc : 303-863-7788 AC, No): 303-861-7502
E-MAIL bhai ht assured trco.com
Denver CO 80237 �eEss: g @ P
INSURED
Energy Outreach Colorado
Energy Outreach Colorado Efficiency, LLC
225 E 16th Ave Ste 200
Denver CO 80203
CKNr1:I:1LTe3:9
CERTIFICATE NUMBER: 136180511
A: PINNACOL ASSURANCE 41190
B: Gemini Insurance Company 12118
c : Westchester Surplus Lines Ins 10172
D : Travelers Commercial Insurance
E:TRAVELERS 11025
F: I
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
LTA
TYPE OF INSURANCE
LI
POLICY NUMBER
POLICY EFF
MIuVDD YYYY
POLICY EXP
MWVDD/YYYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
Y
VCGP023819
5/1/2018
6,1/2019
EACH OCCURRENCE
$1.000,000
CLAIMS -MADE OCCUR
DAMAGE TO
PREMISES Ea occurrence)
$ 50_000
VIED EXP (Any oneperson)
$ 5,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2.000,000
POLICY PRO ❑ LOG
JECT
PRODUCTS - COMPrOP AGG
$ 2,000,000
$
OTHER:
B
AUTOMOBILE
LIABILITY
VCGP023819
6/1/2018
/50/2019
COMBINED SINGLE LIMIT
E..S..d.nll
$1 00
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accdent)
$
X
PerOaccidentDAMAGE
$
NON-ORTY
HIRED AUTOS X AUTOSVJNED
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
N
4144812
1l1/2018
1i1/2019
X PER OTH-
STATUTE ER
ANY PROPRIETOFVPARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
N 1 A
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
C
Contractors Pollution Liability
G27480287004
6!1l2018
6/1/2019
Each Poll Condition $2,000,000
D
Cyber Liability
105862051
6/112018
6/1,2019
Limit $1,000,000
E
Crime/Employee Theft
105923321
6/1/2017
6/1/2019
Limit $1,000,000
DESCRIPTION OF OPERATIONS ; LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins is included as Additional Insured with regard to General Liability at required by written contract. Named Insured has no owned autos,
hired/non-owned coverage only.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Purchasing
PO Box 580 AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522
U
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ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD