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HomeMy WebLinkAbout210427 COVENANT SOLAR TECHCOI - City of Wheat Ridge CO/ INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ,�coRo° CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIWYY) INSR LTR 05/02/2022 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 CONTACT Michael McAuliffe NAME: Sentinel Risk Advisors LLC A/CN o Ext): (919) 926-4623 FAX No : (919) 926-4664 E-MAIL mmcauliffe@sentinelra.com ADDRESS: 4700 Six Forks Road INSURER(S) AFFORDING COVERAGE NAIC # Suite 200 INSURER A: Associated Industries Insurance Co 23140 Raleigh NC 27609 INSURED INSURER B: Selective IIISUCa11C@ CO. wsuReR C: Brickstreet Insurance Co/Encova 012372 Covenant Solar Tech INSURER D 1023 S. Miami Blvd INSURER E INSURER F Durham NC 27703 COVERAGES CERTIFICATE NUMBER: CL2181212693 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. INSR LTR TYPE OF INSURANCE ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/ D/YYYY POLICY EXP MM D/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 110001000 CLAIMS -MADE OCCUR DAMAGE TO RENTED 1001000 PREMISES (Ea occurrence) $ MED EXP (Any one person) $ EXCLUDED PERSONAL&ADV INJURY $ 110001000 A AES 1209357 05/12/2021 05/12/2022 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 210001000 POLICY JECT PRO- LOC PRODUCTS - COMP/OPAGG $ 2,000,000 Employee Benefits $ 110001000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000,000 (Ea accident) BODILY INJURY (Per person) $ X ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS S2483731 05/12/2021 05/12/2022 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Medical payments $ 51000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 210001000 AGGREGATE $ 210001000 A X EXCESS LIAB CLAIMS -MADE EXA1208589 05/12/2021 05/12/2022 DED I X1 RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED N (Mandatory in NH) N / A WCP7004274 06/22/2021 06/22/2022 PER STATUTE ORH- X 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 $ 110001000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Wheat Ridge ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W. 29th Ave AUTHORIZED REPRESENTATIVE Wheat Ridge CO 80033 Com. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COLORADO �/ Department of co �T�Y Regulatory Agencies Division of Professions and Occupations Below are your electronic wallet cards to use as proof of your license. You can also print your license at any time by visiting www.colorado.gov/dora/DPO_Print_ License and following the instructions listed. If you would like a more durable wallet card option, you can order one for a fee by visiting www.nasbastore.org and selecting the "Colorado License Cards" link on the left hand side of the page. If you prefer, you can also contact NASBA by phone at 1-888-925-5237 or by email at nasbastoregnasba.org. Should you have questions about your credential, or need other information please contact our Customer Service Team at 303-894-7800 or dora_dpo_licensinggstate.co.us. Division of Professions and Electrical Board Covenant Solar Tech Electrical Contractor EC.0102244 11/12/2021 Number Issue Date Active 09/30/2023 Credential Status Expire Date Verify this credential at: dpo.colorado.gov Division of Professions and Electrical Board Covenant Solar Tech Electrical Contractor EC.0102244 11/12/2021 Number Issue Date Active 09/30/2023 Credential Status Expire Date VeSify this credential at: dpo.colorado.gov 1560 Broadway, Suite 1350, Denver, CO 80202 P 303.894.7800 F 303.894.7693 dpo.colorado.gov