HomeMy WebLinkAboutPLATTE RIVER POWER AUTHORITY - INSURANCE CERTIFICATE (5)`� � DATE�MMlDDIYYYY)
� CERTIFICATE OF LIABILITY INSURANCE 01/26/2024
TiiIS CERTIFICATE IS iSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO i21GHTS UPON THE CERTIFICATE HOLDER. THIS
CERTlFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EX7END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NpT CONSTITUTE A CONTRAC7 6ETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTAMT: lf the certiflcate hoider is an ADDITIONAL INSURED, tha policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subJect to the terms and condilions of the pollcy, certain poficles may require a� endorsement. A statement on
this cerliflcate does not confer rights to the certiRcate holder in Ifeu of such endorsementis).
PRODUCER
McGrrfT Insurence Services, LLC
20001nternational Park Dnve
Suite 600
Birmingham, AL 35243
INSURE�
Plane River Power Aulhority
2000 Easl Horselooth Road
ForS Collins, CO 80525-2942
COVERAGES
CERTIFICATE NUMBER:xPeT�b4F
INSURER{Sj AFFOROING COVERAGE
IN9URER A Assoc. Elec. & Gas Ins. Serv. Ltd {AEGIS) AA-3190004
INSURER B :
IN9URER C :
IN9URER D :
IN9URER E :
IN$URER F :
REVISION NUMBER:
THIS IS TO CERTIFY TFiAT THE POLICIES OF lNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIiE POLICY PERIOD
INDICATED. IVOTWiTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITii RESPECT TO WHICH TFiIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY 7HE POLICIES OESCf71BED FiEREIN IS SUBJECT 70 ALL THE TERMS,
EXCLUSIONS AND CONDITIQNS OF SUCH POf.ICfES. LIMITS SHOWfJ MAY HAVE BEEN REOUCED BY PAID CIAIMS.
��� TYPE OF INSURANCE A��I�USR� POLICY NUMBER MMIDDYIVYYY MMILDDlYYYY LIMITS
COMMERCIAL GENERAL UABIUTY EACFi OCCURRENCE E
CLAIMS-MADE � OCCUR PREMISES(Eaoaurrence S
MED EXP (Arry ona person) S
PERSONAL 8 A�M INJURY E
GENL AGGREGATF LIM1T APPLIES PER: G£N£RAL AGGREGATE S
POLICY ❑ j� a � LOC PRODUCTS - COMPlOP AGG E
0T1iER. E
AUTOMOBILE LIABILITY COMBINED SIfJGLE LIMIT
Ea actidenl
ANY AU70 BODILY INJUfiY (Per petsanY f
OWNEU SCHEDULED BODILY INJURY (Per accidenq f
AUTOS ONlY AUTOS
HIRED NON•OWNEO PROPERTY DAMAGE E
lUJTOS ONLY AUTOS ONLY F'¢r aCCidBnl
b
A UMBRELLALIAB p�CUR XL5054913P 12/31f2023 12l31l2024 �,ppQ,ppp
ggregale as Applicable EACH OCCURRENCE S
X EXCESSLlAB X CLAIMS-MADE X AGGREGATE E ���a��
DED RE7EN710N $ S
WORKERS COMPENSATION PER OTH-
AN� EMPLOh'ERS' LVIBILITY Y! M �
ANY PROPRIETORIPARTNER7E7(ECUTIVE D N!A E.L. EACH ACCIDENT $
OFFICERlMEMBER E%CLUDED7
(Mandatory In NH) £.L. DISEASE • EA EMPLOYEE S
:i yeY, tlescr:be under
DESCRlP710N OF OPER/1TIOMS beloN� £.L. DIS£ASE - POLICY LIMIT S
S
E
E
! E
DESCRIPTION OL OPERATIOHS ! LOCATIONS lYEHICLES jACORD 101, Addltlonal Remarks Schedula, may ba atlached if more epece Is requlrsd)
Certificate Holder is included as Addilfonal Insured if required Cy written contracl, subject lo poilcy terms, conditions and exclusions.
CER7IPICATE HOLDER
SHOULO ANY OFTHE ABOYE DESCRIBEO POLICIES 8E CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREO IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
Roundhouse Wind Project Tie-Line Easement
300 Laporte Avenue
Fort Collins, CO 80521
1-800-476-2211
AVTHORIZED REPRESENTATNE
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