HomeMy WebLinkAboutUNITED ENERGY CORPORATION - INSURANCE CERTIFICATEDATE �MM+ODNYYY)
A�RQ� CERTlFICATE �F LIABILITY INSURANCE i1412024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI4N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TiiIS
CERTIFlCAiE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORbED BY THE POLICIES
BELOW. THIS CERTEFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI2EQ
REPRESENTATtVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If tMe certificate holder Is an ADDItIONAL IIJ5URED, the policy(les) must have ADOITIONAL INSUREQ provisions or be endorsed.
If SUBROGATION IS WAIVED, subJect to the terms and conditEons of the pollcy, certaln pollcies may require an endorsement. A statement on
this certiflcate does not conter rf hts to the certlticate hoider in Ileu of such endorsement(s).
PRODUCER Np�,M� IMA 1Nchita Team
tMA, Inc. - Wichita PHONE , 316-267-9lli ac No:
PO Box 2992
WiChita KS 67201 aooR�ss: certs(c�imacorp com
INSUREb
United Energy Corporation
PO Box 837
Bismarck ND 58502
t.!cense#: PG-1210733� iNsuReRn: Ohio Securi
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AFFORDING
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15792
15911 _
C�VERAGES CERTIFICATE NUMBER: 128868b1o1 REVISION NUMBER:
THIS 1S TO CER7IFY THAT THE POLICIES OF INSURANCE LiSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLiCY PERIOD
IN�ICATEp. NOTWITHSTANDING ANY AEQUIREMENT, TERM OR CONOITION OF ANY COfJTRACT OR OTH£R DOCUMENT WiTH RESPECT TO WHICH TkIS
CERTIFICATE MAY $E iSSUED OR MAV PERTAIN, THE INSURANCE AFFOROED BY iHE POLIGlES DESCRISED HEREIN IS $UB.IECT TO AE.L THE TERMS,
EXCLUSIQNS ANp CONUITIONS OF SUCH POLiClES. LIMITS SHOWN MAY HAVE BEEN ftEDUCED BY PAID CLAIMS.
��7pry TV?EOFINSURANCE aNDDI$WYD POIICYNUMBER �A�M7uD�y1�Y I M�MrD��MI P I LIMTS
8 X COMMERCIALGENERAtLIABILI'fY Y Y USGL1512549 5f31l2023 5l31i1024
£ACHOCCURRENCE 51.000.000
' CIAIMS•MADE X OCCUR I PREMISES fEa ocairroncnJ_ 5 50 000
' MED EXP (My oee persan) 5 5,000
� � PERSONAL & ADV INJURY S 1.000.000
GEN'L AGQAEGATE LIb11T APPLIES PER GENEHAL AGGREGA7E i 2,U00,000
%� POLICV �E � LOC � l PFiODUCTS COMP.,�OP AGG S 2,000 000
OTHER � E
A AUT�IAOBILE UABIUTY Y Y $AS642D7718 11112024 1/1/2025 COMBINED SINGLE UMIT y �,p00.000
1 ANY AUiO (Ea_acadeni)
BODILY IN,IURY {Per person) $
OW�lEO X SCHEDULED BpDILY IWURY (Per acadent) S
AUTOS ONLY AUTOS
X I HIHEU x NONOWNFO PROPER7YpAMAGE $
AUTOS ONLY AUTOS ONLY {Per accident
I � Ib
UMBREU,ALIAB � �CUR EACHOCCURRENCE S
EXCESS LlAB CWM5�MAOE A(3GREGATE S
I �ED 1 I AETENTION3 I 5
C WORKERSCOMPENSATiON 1' AMWC409301 111l2024 1/1/2025 X
AND EhtPLOYERS' LIABILITY Y r N STA�UTE EpH
ANYPAOPRIE70WPQRTNEWEXECUTIVE � N� A E.i. EACH ACCI�ENT S i.000.000
OFFIC Efl�ME MB E R ERCL UDE �?
(Mandetory In NH) E.t. pISEASE � EA EMPLOYEE 5 1,000,000
!I yos. ci�sci�be under
OESCRIP710N OF OPERAiIONS bebw E.l.. DISEASE • POLICY LIMIT S 1,DOD,000
OESCAIPTION pF OPERATIONS � LOCATIONS / VEHICLES (ACORD 101. Additionel Re�rfarks Scbedule, may be etlached 11 more spete is tequked)
Certificate Holder and aq other parties tequired by the contract are included as Addihonal Insured on the General Liability and Automobile l.iability Policies, if
required by v�ntten contract or agreement, sub�ect to ttie policy terms and condiUons
A Waiver of Subrogation is provided in favor of Certificate Holder and all oSher parties required by the contract on the Generaf Liability, Automobde Liability and
Workers Compensalion Policies, if requtred by written contract or agreement, subject to the policy terms and condi4ons
CERTIFICATE
SHOULO ANY OF THE ABOVE bESCRIHEP POUCIES B E CANCELLED BEFORE
THE El(PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WFTH 7HE PULICY PROVISiONS.
C!ry of Fort Collins
PO Box 580
Fort Collins CO 80522
ACORD 25 {2Q16/03)
AU7HOR3ZE� REPRESENTATIYE
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