HomeMy WebLinkAboutPLATTE RIVER POWER AUTHORITY - INSURANCE CERTIFICATE (4)/ � � UATE (MMlDDlWW)
�� � CERTIFICATE �F LIABlLITY INSURANCE o�r2sizo2a
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATfVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED HY THE POLICIES
BELOW. TkIS CERTfFICATE OF INSURANCE DOES NOT CONS7ITUTE A CONTRACT BETWEEN THE 15SUING INSURER{S}, AUTHORIZED
REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER.
IMPORTANT: If the certiflcate holder Is an ADDITIONAL IIYSURED, ihe policy(Iss} must have ADDIiIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, certafn policies may requlre an endorsement. A statement on
this certfflcate does nol confer rights to the ceKiflcate hofder In Iieu of such endorsement{s).
PRODUCER
McGrilf lnsurance Services, LLC
2000 inlemalional Paric Drive
Suite 600
Birtningham, Al 35243
1-800-476-2219
NAIC /1
INBURED
Plalte River Power Aulhonty
2000 East Horsetoolh Road
Fort Collins, CO 80525-2942
INSVRER B :
INBURER C :
F:
COVERAGES CERTlFICATE NUMBER:M9xKYUM4 REViSlON NUMBER:
TkIS IS i0 CEF271FY 7HAT THE POLtCIES OF INSURANCE LISTED �ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMEN7, TERM OR CONDITION OF ANY CONTRACT OR OTHER DpCUMENT WITH RESPECT TO WtiICH THlS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED FiEREIN IS SUBJECT TQ ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEfJ REDUCED BY PAID CLAIMS.
INSR 7ypE OF fNSURANCE A��� �U�RI POUCY NUMBER MM70DY EFF MOM�LDIC�Y EXP LIMRS
L7R
COMMERCIAL GENERAL LfABILITY EACH OCCURRENCE S
f1i�E1�REA7
CLAIMS-MADE OCCUR PREMISES Ea occunence S
MED EXP (My one persan) S
PERSOMAL R ADV INJURY S
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S
POLtCY a PR� � LOC PRODUCTS COMPlOPAGG b �
JECT
OTHER: s
AU70MOBILE LIABILITY COMBINED INGLE UMI
.�a.Bccident) --- ,� �_.____
ANY AUTO BODtLY 1NJURY (Per person) S
OWNED SCHE•OULED
AUTOS ONLY AUTOS BODtLY INJURY (Per eoddenl� S
HIRED NON-OWNED PROPERTY DAMAGE s
AUTOS ONLY AUTOS ONLY Per acciCent
S
A UMBREL�,4 uAe aCCUR xL5054913P 12I31l2023 12/31/2024 EACH OCCURRENCE S 2,000,000
ggregate as Applicable
X E%CESS LU1B X CLAIMS�MAbE AGGREGATE S 2.0�0,000
DED RETENTlONS S
WORKERS COMPENSA710N PER OTH
AND EMPLOYERS' LIABILITY Y 1 N
ANYPROPRIETOWPAR7NERIEXECUTIVE E.L EACHACCIDENT S
OFFiCEWnaEMBERExCLU0E0? NIA -
(Mandatory in NM) E.L DISEAS£ - EA EMPLOYEE 3
tl ycs,dusaibe under
OESCRIPTiON OF OPERATIONS below E L DISEA56 • POLiCY I IM1T S
S
S
S
S
DESCRIPTION OF O�ERATIONS ! LOCATIOMS I VEHICLES {ACORD 501, Addllfonal Ramsrka 8cheduls, mey b� attacMd iT more spau Ia requlred)
Genera! Liability is included in the Excess Liabiliry subject to polkcy teRns, condiUons and exclusfons.
HOLDER
SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
TNE EXPIRATION DATE 7HEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITHTHE POLtCY PROVISIONS.
The City of Fort Coll ns
281 N. College Ave
Ft. Collins, CO 80524
ACORD 25 (20t6103)
AUTHORIZED REPRESENTATIYE
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