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IES RIVIERA ELECTRIC - INSURANCE CERTIFICATE
ACORD. CERTIFICATE OF LIABILITY INSURANCE 1/28/2004"' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bowen, Miclette & Britt, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1111 North Loop West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston TX 77008 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Continental Casualty Co. 20443 IES/Riviera Electric, LLC INSURERB: RSUI Indemnity 22314 5001 S. Zuni St. INSURERC: Transportation Insurance Comp 20494 INSURERD: American Cas. Co. of Reading, 20427 Littleton CO 80120 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDI POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE K OCCUR GL257291163 ll/l/2003 11/l/2004 EACHOCCURRENCE $ 1,000,000 PREMISES Ea occDAMAGE TO urence $ 25Q 000 , MED EXP Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON-OWNEDAUTOS 13UA257291177 ll/1/2003 ll/1/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1 ' Q 00 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC AUTO ONLY: AGG $ $ B EXCESSIUMBRELLALIABILITY X OCCUR CLAIMS MADE RDEDUCTIBLE X RETENTION $ 10,000 NHN022763 ll/l/2003 ll/l/2004 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ $ C D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY /PART ANY PROPRIETORARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? Ityes, describe under SPECIAL PROVISIONS below [oC257291115 WC2572911320S ll/l/2003 ll/l/2003 ll/1/2004 11/l/2004 WCSTATU- OTH- X I E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1 , 0 0 0 $ 1,000,000 E.L. DISEASE -POLICY LIMIT S1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS v�va.r� l�Mn1 V CLL/i 1 IV ry City of Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 281 N. College Avenue BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE P.O. Box 580 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO Fort Collins CO 80522 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001108) AUTHORIZED REPRESENTATIVE'G •I✓atY © ACORD CORPORATION 1988