HomeMy WebLinkAbout569302 VERMONT ENERGY INVESTMENT CORPORATION - INSURANCE CERTIFICATET
R� CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNYYY)
09/OS/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
CONT
NAME: Clr Amber Brown
The Richards Group
PHONE (802)254-6016 FAX(802)254-7110
o Ext : A/C, No):
A/C No.
48 Harris Place
AIL
ADDRESS: abrown@therichardsgrp.com
INSURER(S) AFFORDING COVERAGE
NAIC #
PO BOX 820
Brattleboro VT 05302
INSURER A : Charter Oak Fire Insurance Co
25615
INSURED
INSURER B: Travelers Property Casualty Co of America
25674
Vermont Energy Investment Corporation
INSURER C : The Standard Fire Insurance Co
19070
128 Lakeside Avenue, Suite 401
INSURER D :
INSURER E :
INSURER F :
Burlington VT 05401
COVERAGES CERTIFICATE NUMBER: 17118 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.
ILTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
(MM/DD/YYYY
MM/DD/YYYY)
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE FX1 OCCUR
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
A
P-630-2G760033-COF-16
09/01/2017
09/01/2018
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X POLICY ❑ PRO ❑ LOC
JECT
PRODUCTS -COMP/OPAGG
$ 2,000,000
OTHER:
Employee Benefits
$ 1,000,000
AUTOMOBILE LIABILITY
COMBINEDSINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
P-810-2G920179-TIL-16
09/01/2017
09/01/2018
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Underinsured motorist
$ 1,000,000
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 15,000,000
B
EXCESS LIAB
CLAIMS -MADE
PSM-CUP-3G284549-TIL-16
09/01/2017
09/01/2018
AGGREGATE
$ 15,000,000
DED I X RETENTION $ 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/ N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
PCUB-2G98741-7-16
09/01/2017
09/01I2018
SPER OTH-
TATLITE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
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)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522 f l%
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