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HomeMy WebLinkAbout563480 WGL ENERGY SYSTEMS INC - INSURANCE CERTIFICATE (3),acoRo® CERTIFICATE OF PROPERTY INSURANCE 7OT2 1312 01/Y717 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. PRODUCER CONTACT NAME: Aon Risk Services, Inc. of Washington, D.C. PHONE FAX 800-363-010 (866) 283-7122 5 1120 20th street NW (A/C. No. EXt): avC. No) Washington DC 20036 USA E-MAIL AnnpFSF INSURED WGL Energy Systems, Inc. a Subsidiary of Washington Gas Resources 6862 Elm Street, Suite 300 McLean VA 22101 USA STOMER ID# 10568397 INSURER(S) AFFORDING COVERAGE INSURER A: AXIS Specialty Europe SE INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: rnvI=oAnI=0 r•CDTIl=H-Air- LII IIIAQCD• 5700h',441 ilu) 0FVICIr1A1 tiI INIC2FR- NAIC # ,1784 LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: Solar Photovoltaic System, Fort Collins job Site: 1912 LaPorte Ave, Fort Collins, CO 80521. 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) COVERED PROPERTY LIMITS A X PROPERT\ OF LOSS DEDUCTIBLES 776 5 117EN 01/31/2017 01/31/2018 BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PIERS PROP BLANKET BLDG & PP Solar Newly Acquired Prop FFlood - per Occurren CAUSES BASIC BUILDING BROAD X SPECIAL CONTENTS EARTHQUAKE x WIND X FLOOD X $15.000,000 X Included INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY CAUSES POLICY NUMBER CRIME TYPE OF POLICY BOILER & MACHINERY / EQUIPMENT BREAKDOWN SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins K I IFIGAI t HULULK City Of Fort Collins Utilities Department Attn: Norm Weaver 970-221-6700 PO Box 580 Fort Collins CO 80522-0580 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 ,�' a�/11 ✓Zc Jeaz rcG. Jztc. 9( l,�ic iuza raa vJ L^. © 1995-2015 ACORD CORPORATION. All rights reserved. ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD t� 'J u ti AGENCY CUSTOMER ID: 10568397 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services, Inc. of Washington, D.C. WGL Energy Systems, Inc. POLICY NUMBER see certificate Number: 570065491529 CARRIER NAIC CODE See certificate Number: 570065491529 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 24 FORM TITLE: Certificate of Property Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER If a policy below does not include limit information, refer to the corresponding policy on the ACORD ADDITIONAL POLICIES certificate form for policy limits. INSR LTR TN PE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) COVERED PROPERTY LIMITS PROPERTY A X lood ded 3% 3776650117EN 01/31/2017 01/31/2018 Ded S50,000 X ind ded 3% Flood - Aggregate included ind/Hail Limit Included ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD