HomeMy WebLinkAbout564261 ENERGY OUTREACH COLORADO - INSURANCE CERTIFICATE (3)DATE (MM/DDIYYYY)
AC"R " CERTIFICATE OF LIABILITY INSURANCE
Fil/13/2017
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 CONTAC
NAME: Bethany Haight _ __
AssuredPartners Colorado, LLC PHONE 303 863 7788 FAXWC. 303-861-7502
4582 S Ulster Street Suite 600E-MAIL-n.
Denver CO 80237 E- ADDRESS.
. bhaight@assuredptrco.com
INSURED
Energy Outreach Colorado
Energy Outreach Colorado Efficiency, LLC
225 E 16th Ave Ste 200
Denver CO 80203
INSURER(S) AFFORDING COVERAGE NAIC •
A:PINNACOL ASSURANCE_ 41190
B:Gemini Insurance Company 12118
c:Westchester Surplus Lines Ins 10172
D:Travelers Commercial Insurance
E :TRAVELERS 11025
rn11CDA(SFC rFDTIFIrATF MIIMRFD- 1837667455 RFVISION NIIMRFR-
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 ADM SUBIZF TYPE OF INSURANCE 1 POLICY EFF POLICY EXP LIMITS
LTR p POLICY NUMBER MM/DD/YYYY MODIYYYY
B
X
COMMERCIAL GENERAL LIABILITY
Y
VCGP023082
6/1/2017
6/1/2018
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE �X OCCUR
$50,000
PREMISEESOE occrr
MED EXP (Anyone person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
_
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE
$2,000,000
POLICY PRO- LOC
PRODUCTS - COMPIOP AGG
$2,000,000
$
OTHER:
B
AUTOMOBILE LIABILITY
VCGP023082
6/1/2017
6/1/2018
Ea accident
$1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
AUTOWNED SCHEDULED
X NON -OWNED
HIRED AUTOS X AUTOS
BODILY INJURY (Per accident)
$
AMAGE
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑
4144812
1/1/2017
1/1/2018
X STATUTE ERH
E.L. EACH ACCIDENT
$1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
C
D
E
Contractors Pollution Liability
Cyber Liability
Crime/Employee Theft
G27480287003
105862051
105923321
6/1/2017
6/1/2017
6/1/2017
6/1/2018
611/2018
6/1/2019
Each Poll Condition $2,000,000
Limit $1,000,000
Limit $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / 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.
rFDTIFIrATF Wr)l r197D r.ANr.FI I ATIr1N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
Attn: Purchasing
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins CO 80522
AUTHORIZED REPRESENTATIVE
u 1988-ZU14 AGUKU GUHPUHAI IUN. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD