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HomeMy WebLinkAboutHYDRO ELECTRIC - INSURANCE CERTIFICATEA D-RD,M CERTIFICATE OF LIABILITY INSURANCE O oz/21zl 2'//2008) /Doos PRODUCER (970)679-7333 FAX (970)679-7377 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ewing -Leavitt Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4025 St Cloud Dr HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Loveland, CO 80538 INSURERS AFFORDING COVERAGE NAIC # INSURED Hydro Electric LLC INSURER Auto Owners 1898g PO Box 206 INSURERS Owners 32700 Bellevue, CO 80512 INSURER INSURER D INSURER E 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 NSR ILTR ADD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATIONDATE (MMInD(YYI DATE IMM/DDrM 03/23/2009 LIMITS GENERAL LIABILITY 7428991808 03/23/2008 EACHOCCURRENCE $ 1 000 DD X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES F,�­nmM $ 300 DD CLAIMS MADE F�] OCCUR MED EXP(Any one person) $ 10 DD A PERSONAL BADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2 DDD OO GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $ 2,000 DD X POLICY PECT LOC AUTOMOBILE LIABILITY 4628991800 10/04/2007 10/04/2008 COMSINED SINGLE LIMIT $ ANY AUTO (Ea awdent) 1,000 DUD ALL OWNED AUTOS X BODILY INJURY B SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per ecoldent) GARAGE LIABILITY AUTOONLY EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGO $ E%CESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE E RETENTION $ $ WORKERS COMPENSATION AND WC STATU OTH EMPLOYEFES LIABILITY E L EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMFMBER EXCLUDED?E L DISEASE EA EMPLOYEE $ If yes describe under E L DISEASE POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins PO Box 580 Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED ®ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon