HomeMy WebLinkAbout564261 ENERGY OUTREACH COLORADO - INSURANCE CERTIFICATE (4)I DATE (MMIDD/YYYY)
AC"R O CERTIFICATE OF LIABILITY INSURANCE
11 /9/2017
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 .
CONTPRODUCER NAME: Bethany Haight
AssuredPartners Colorado, LLC PHONE -
4582 SUlster Street Suite 600 n(r alA cm 303 863 7788 FA Noll, AX 303 861 7502
Denver CO 80237 nDDRESS• bhaight@assuredptrco.com
INSURED
Energy Outreach Colorado
Energy Outreach Colorado Efficiency, LLC
225 E 16th Ave Ste 200
Denver CO 80203
INSURER A : PI NNACOL ASSURANCE
41190
INSURER B: Gemini Insurance Company
12118
INSURERc:Westchestej Surplus Lines Ins
10172
INSURERD:Travelers Commercial Insurance
INSURERE:TRAVELERS _
11025
rr» 1r1-ATr wu IRAMo M. 27S2FR2GS7 DC\/ICInkli IUI IRARFD-
vTHIS 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 15 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
INSD
WVD I
POLICY NUMBER
POLICY EFF
MWDDIYY
POLICY EXP
MWDD/YYYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X❑ OCCUR
Y
VCGP023082
6/1/2017
6/1/2018
EACH OCCURRENCE
$1,000,000
PREMISES Ea occurrence
$50,000
MED EXP (Anyone person)
PERSONAL & ADV INJURY
E5,000
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY F ] E T 17 LOC
F1 OTHER:
GENERAL AGGREGATE
E2,000,000
PRODUCTS - COMP/OP AGG
$2,000,000
$
B
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
X HIRED AUTOS X AUTOS NON -OWNED
VCGP023082
6!1l2017
6/1/2018
Ea accident
E1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
Per accident
E
E
UMBRELLA LIAB
EXCESS LIAB_
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
E
AGGREGATE
$
DED I I RETENTION E
$
A WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
: ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
IF yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
4144812
1/1/2017
1/1/2018
H
X STATUTE ER
$1,000,000
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE
E1,000,000
$1,000,000
E.L. DISEASE - POLICY LIMIT
C
D
E
Contractors Pollution Liability
Cyber Liability
Crime/Employee Theft
G27480287003 6/1/2017
105862051 6/1/2017
105923321 6/1/2017
6/1/2018
6/1/2018
6/1/2019
Each Poll Condition $2,000,000
Limit $1,000,000
Limit $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I 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.
C:tK I IFIUA I t HULUtK UMMIC1-1-f1I KAM
City of Fort Collins
Attn: Purchasing
PO Box 580
Fort Collins CO 80522
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
1988-ZU14 AGUKU GtJKF'LJKA I RJIM. AU ngnts reserveu
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD