HomeMy WebLinkAboutDIRECT ENERGY - INSURANCE CERTIFICATE (5)A� CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 11/2 /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, subjectto 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).
55nn17FR I CONTACT
Willis of Texas, Inc.
PHONE
FAX
877-945-7378 fin)•
888-467-2378___
c/o 26 Century Blvd.
_EXI)
(
P.O. Box 305191
E-MAIL
certificates@willis.com
Nashville, TN 37230-5191
INSURER(S)AFFORDINGOOVERAGE
NAIC #
INSURERA:ACE
American Insurance Company
22667-302
INSURED
INSURER B:
Zurich American Insurance Company
16535-305
Direct Energy and its majority owned
subsidiaries and affiliates including One Hour
INSURERC:
Heating & Air Conditioning Albracht's One Hour
Heating & Air Conditioning 487 Denver Avenue
INSURERD:
Loveland, CO 80537
INSURERE:
INSURER F:
nnvonAfICC f`007111=1r`A711= AI1111Al2C113
RFVICInN MIIMRFR-
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
TYPE OF INSURANCE
DOL
SUB
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
EACH OCCURRENCE
$ 11000,000
11�1ApW�p�F TTQQ�RREITED
PFEMfSES(taoccurence)
$ 1,000,000
X
M ED EXP (Any one person)
$ 10,000
PERSONAL RADVINJURY
$ 1,000,000
GENTAGGREGATE
LIMITAPPLIES PER:
JECT POLICY � PRO LOC
OTHER:
GENERAL AGGREGATE
$ 11000,000
PRODUCTS -COMP/OPAGG
$ 1,000,000
E
$
B
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOHIRED NON -OWNED
AUTOS ONLY kAUTOS
ONLYAUTOSONLY
BAP5953966-04
1/1/2018
1/1/2019
COMBINED SINGLE LIMIT
(EaaccidenQ
$ 1,000,000
BODILY INJURY(Per person)
$
$
BODILY INJURY(Per accident)
R PERTYDAMAGE
(Per accident)
$
UMBRELLA LIAB I
EXCESS LIAR,
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I RETENTION $
$
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE�
OFFICER/MEMBER EXCLUDED?
�Mandatory .be in NH)
Des c
ESCunder
RIPTIONOFOPERATIONS below
N/A
WC5953969-04
WC5953973-04
�1/1/2018
l/l/2018
1/1/2019
1/1/2019
OTH
X
_rR
E.L. EACH ACCIDENT
$ 11000,000
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)
flCnTICIf`ATC LJni ncD CANrFI I ATInN
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
Coll:5150680 Tpl:2178897 Cert:25818936U19881�1U1bAL;UHUL;UKFUKAIIUN.Ali rignisreservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD