HomeMy WebLinkAboutDIRECT ENERGY - INSURANCE CERTIFICATE (4)A �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1FDA1TE
28/2017
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 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
CONTNAME .ACT
Willis of Texas, Inc.
c/o 26 Century Blvd.
P.O. Box 305191
PHONE FAX
877-945-7378 888-467-2378
E-MAIL certificatesQwillis.com
Nashville, TN 37230-5191
INSURER(S)AFFORDINGOOVERAGE
NAIC #
INSURERA:ACE American Insurance Company
22667-302
INSURED
Direct Energy and its majority owned
INSURER B: Zurich American Insurance Company
16535-305
subsidiaries and affiliates including
INSURERC:
One Hour Heating & Air Conditioning
487 Denver Avenue
INSURERD:
INSURERE:
Loveland, CO 80537
INSURER F:
COVERAGES CERTIFICATE NUMBER: 25818085 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.
I T R
TYPE OF INSURANCE
DDL
SU8
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
SIR• $25, 000
XSLG27341226
1/1/2018
1/1/2019
EACHOCCURRENCE
$ 11000,000
PpApW�Ipf� FF TTQ��ENTED
PREMISES(ta.ccurence)
$ 1,000,000
X
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 11000,000
GENI
AGGREGATE LIMIT APPLIES PER:
POLICY PRO JECT ❑ LOC
OTHER:
GENERALAGGREGATE
$ 1,000,000
PRODUCTS-COMP/OPAGG
$ 1,000,000
$
B
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BAP5953966-04
l/l/2018
1/1/2019
COMBINEDSINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY(Perperson)
$
BODILY INJURY(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
DED I RETENTION $
$
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROP RIETOR/PARTNER/EXECUTIVEAl
OFFICER/MEMBER EXCLUDED?
4Mandatory inNH)
fyes ,describeunder
DESCRIPTION OF OPERATIONS below
N/A
WC5953969-04
WC5953973-04
1/1/2018
1/1/2018
1/1/2019
1/1/2019
X
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Additional Insured in favor of Certificate Holder on General Liability as required by written
contract to the extent of the specific risks and liabilities assumed under written contract by the
Named Insured.
CERTIFICATE HOLDER UANL;1=LLA I IUN
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
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522
r 11.sisnran 117.,1.2174n71 cart-,2SR1RORS O1988%t2015ACORD CORPORATION. All riahtsreserved
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD