HomeMy WebLinkAbout538084 NORESCO LLC - INSURANCE CERTIFICATE (3)ACORN® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
03/21/2018
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 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.
20 CHURCH STREET
CONTACT
NAME:
PHONE FAX
A t : A/C No):
E-MAIL
ADDRESS:
HARTFORD, CT 06103
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A:Hartford Fire Insurance Company
19682
INSURED
INSURER B :National Union Fire Insurance Company of Pittsburgh, PA
19445
NORESCOLLC
ONE RESEARCH DRIVE, STE. 400C
INSURER C :New Hampshire Insurance Company
23841
INSURER D :American Home Assurance Company
19380
WESTBOROUGH, MA 01581
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:GP9CJMTF 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.
INSRR
TYPE OF INSURANCE
yyyp
POLICY NUMBER
POLICY EFF
MMIDDIIYYYY
POLICY EXP
MM DD
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
02CSETI 0004
04/01/2018
04/01/2019
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE El OCCUR
$2,000,000 general
aggregate per location/project
$10,000,000 policy
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one person)
$ 10,000
general aggregate
PERSONAL 8 ADV INJURY
$ 1,D00,000
L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMP/OP AGG
$ 2,000,000
POLICY 0 PRO ❑ LOC
JECT
M'OTHER:
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
02CSET10000 A/O)
02CSET10019 �Hi)
Hartford Underwriters Ins
04/01/2018
04/01/2019
COMBINED SINGLE LIMIT
Ea accident
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAB
DED I I RETENTION$
$
B
C
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If ycs, de_cribe undo,
DESCRIPTION OF OPERATIONS below
N / A
CT WC(SIR 2.5MM)EX COV-
6583040
CA-015519205
FL-015519206, MA-015519212
MN-015519208, MULTI-015519204
MUI TI-015519207,MULTI-
015519211
04/01/2018
04/01/2019
X PER OTH-
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A
PROFESSIONAL LIABILITY
02CSET10045
04/01/20111
14101/2019
Per Claim
Aggregate
1,000,000
$ 1,000,000
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: PROJECT #A13082 CITY OF FORT COLLINS SUSTAINABILITY MASTER AGREEMENT
The City of Fort Collins and its officers and employees are included as additional insureds (except workers' compensation) as required by written contract.
CERTIFICATE HOLDER t�ANt.CLLAI IUN
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
THE CITY OF FORT COLLINS AUTHORIZED REPRESENTATIVE
PO BOX
FORT COLLINS,LI CO 80522
'020770/1--S O--B O--D 000828 Page 1 of 1 (0 19B8-ZO1b AGUKU GUKNUKAI lUN. Ali ngnis reserves.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD