HomeMy WebLinkAboutPLATTE RIVER POWER AUTHORITY - INSURANCE CERTIFICATE 2024-2025__--t .A(:()RI)-
1212012024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO 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 OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER.
IMPORTANT: lf the certiticate holder is an ADOITIONAL lNSl,rRED, the policy(ies) must have A0DITIONAL INSUREO provisions or be sndorsed.
It SUBROGATION lS WAIVEO, subject to the terms and conditions of the policy, c6.tain policies may require an endorsement. A statsmsnt on
this c€rtiflcat6 does not conter righls to lhe certificate holder in lieu oI such 6ndo6ement(s).
Mccritf a Malsh & McLennan Agency LLC Company
2000 lnternalronal Par* Orive
Su[e 600
Birmingham AL 35243
INSURE AFFORDING COVERAGE
TNSURERA:Assoc E'ec. & Gas lns. Seru Ltd (AEGIS)AA-3190004
INSURED
Platie River Power Authodty
2000 Easl Horselooh Road
Fort Collns. CO 80525-2942
INSURER B
CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE NUMBER: R63Ll"rJcPCOVERAGES REVISION NUI!!BER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAI4ED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWTHSTANDING ANY REOUIRET,4ENI TERM OR CONDIIION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROEO BY THE POLICIES DESCRIBEO HEREIN IS SUEJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCEO AY PAIO CLAIMS,
I MEO €xP (any oie peBon)
PERSONAL&ADV INJURY
s
COMMERCIAL GENERAL LIABILITY
PROOIJCTS -COMP/OP AGG
GENLAGGREGAIE LIM I APPLIES PER
Loc
GENERAL AGGREGATE
JECT
5
5
OWNED
AUTOS ONLY
HIREO
AUTOS ONLY
SQI]EOL,]LED
AUTOS
NON€V\NEO
AUTOS ONLY
AUTOMOBILE LIAAILITY
5
BODILY INJURY (Perperson)
BOOIlY IN.JURY rPer a..de.rr
X X
x15054914P
Aggregaie as Applcable
12t31t2424 12 312025
EXCESS LAA X
XDEO
OCCUR
CLAIMS-MADE
1000 000
r 000 000s
5
EACH OCCURRENCE
AGGFEGATE
U,oRKERS COtrtPENSAIOii
AND EMPLOYERS' LIAEILITY
ANY PROPRIETOR PAR]NER EXECUTIVE
OFFICER'MEMBER EXCLUOEO'
DEECPIPTION OF OPERATIONS hele :-:::r::.:a a. .'- s
OESCR|PiON OF OPERATION S / IOCAT]ON S / VEHICLES IACORO I Ol, Addltlon.l Rorort. Schodlh, m.y bo .tt ched if morc .p..e i. ,equied)
Certrficate Holder is rncllded as Addilronal lnsured f required by written contracl. subjecl lo policy lerms condrtrons and exclusrons
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE OESCRIBEO POLICIES AE CANCELLED BEFORE
THE EXPIRATION OATE THEREOF. NOTICE WILL BE OELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
Roundhouse Wnd Projecl Tie-Lrne Easement
300 Laporte Avenue
Forr Collins CO 80521
AUTHORIzEO REPRESENTA'IVE
Pase 1 of 1 @ 1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are .egistered marks of ACORDACORD 25 (2016/03)
1-800-176-22'11
1
TYPE OF INSURANCE
s
s
s
A,<'C)RLf
12t2012024
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 AMENO, EXTEI.IO OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER.
IMPORTANT: It the certiicate holder is an ADOITIONAL INSURED, the policy(i6s) must h.vo ADDITIONAL INSUREO provisions or b€ endorsed.
lf SUBROGATION lS WAIVED, subiect to lhe terms and conditions ol the policy, certaln policies may require an endoIsemEnt. A statemont on
this certificate does not conrer rights to the certificate holder in lieu ot such ondolsement(s).
PROOUCER
McGriff. a Ma.sh & McLennan Agoncy LtC Company
2000 Intee.ailonal Park Drlv€
sune 600
Birmrngham AL 35243
1-EOO476-2211
INSIJRER(S AFFOROING COVERAGE
TNSURERA:Assoc Elec. & Gas lns. Serv. Ltd (AEGIS) AA-3190004
lttsuREo
Plale River Power Authonty
2000 Easr Horseloolh Road
Fod Collins. CO 80525-2942
CERTIFICATE OF LIABIL]TY INSURANCE
CERTIFICATE NUMBER:53osKXN5COVERAGES REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO
INDICATED NOTWTHSTANOING ANY REOUIREMENT. TERI\I OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESP:CT TO WHICII THIS
CERTIFICATE I\,IAY 3E ISSUEO OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIIVlITS SHOIT/N MAY HAVE BEEN REDUCED 8Y PAID CLAIMS.
LIMITS
5
$r4lsq9 Ge 9gs,r!E!qe
OIHER
COIIMERCIAL GENERAL LIAgILITY
.LAIMS MADE cccLlR
MIO EXF LA.y o.e pereo.)
GEN L AGGREGATE LIMIT APPL E5 PER
-ca
PERSCNAL A ADV NJ1JRY
JECT
-t
s
o!!NEO
AUTOS ONLY
BTREO
AU]OS ONLY
BCDILY INJURY rFrer pe.son)
BoolLY INJURY (P6ra@den0 ] $
lc
ls
AUTOMOBILE LIABILITY
SCHEDULED
AUIOS
NON-Or4NE0
AI]TOS ONLY
X X
X
12i31t2A24 1231 2425 EACH OCCIJRRENCEgregate as Applicable
REiINT|ON $2 000 000
E
2 000 000
2 000 000EXCESS LlAA
occuR
i
OTHIVORXERS COTIPENSANON
ANO EMPIOYERS' LIABIUW
ANY PFOFRIETOFleARTNER/EIECUTIVE
qiFICEF.I!'EIYTEEN DiCi i]JE'7
EL D SEASE. POL]CY LIMIT
E L D SEASI. EA EIIFLOYEE
E.L EACH ACCIDENT
DESCPIPTION OF OPERATIONS beltu
DESCRTPIION OF OPERATIOIIS / LOCATIONS /VEHTCLES IACORo 101, Additlon.l Rem..k. S6h6duL, my b. atrch.d ir norc sp.ce is requlod)
General Lrabilily is included in lhe Excess L ability subtect to policy terms. conditions and exclusions.
CERTIFICATE HOLDER CANCELLATION
The Cily of Fort Collins
281 N. College Ave
Ft Collins CO 80524
SHOIJLO ANY OFTHE ABOVE OESCRIBED POLICIES AE CANCELLEO SEFORETHE EXPIRATION OATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCOROAI'ICE wlTH THT POLICY PROVISIONS,
AI'THORIZEO REPFESENTAT'VE
ACORD 25 (2016/03)
Pase l orl O,!988-2015ACO
The ACORD name and logo are registered ma.ks ofACORD
RD CORPORATION. All rights reserved.
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GENERAL AGGREGATE
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Y/N1t.,,^t_l '
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$
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