HomeMy WebLinkAbout451325 HYDRO ELECTRIC - INSURANCE CERTIFICATEACOR-Q CERTIFICATE OF LIABILITY INSURANCE 11/18/zone'
PRODUCER (970)679-7333 FAX (970)679-7377 THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION
Ewing -Leavitt Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
402S St. Cloud Dr. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 100
Loveland, CO 80538 INSURERS AFFORDING COVERAGE NAIC #
INSURED Hydro Electric LLC INSURERA; Auto Owners 18988
POB 206 INSURERB: Owners 32700
Bellevue, CO 80512 INSURERC:
INSURER D.
INSURER E:
rn\/FRA!]GC
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
D'
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A
GENERALLIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑X OCCUR
7428991808
03/23/2008
03/213/2009
EACH OCCURRENCE_
$ 11000,000
DAMAGE TO RENTED
ef.
$ 300,000
$ 10,000
MED EXP(Anyone person)
PERSONAL & ADV INJURY
$ 11000,000
GENERALAGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO
JECT LOC
PRODUCTS - COMP/OP AGO
$ 2,000,000
B
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
4628991900
10/04/2008
10/04/2009
COMBINED SINGLE LIMIT
(Ed accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
X
X
BODILY accident)
(Per accitlent)
$
X
PROPERTY DAMAGE
(Per accitlent
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, tlescribeuntler
SPECIAL PROVISIONS below
WC STATU- OTH.
E. L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPLOYEE
$
E1. DISEASE � POLICY LIMIT
$
OTHER
E CRIPTION OF 9PERAT7O S I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
D7 Operations/A�1 Locations
City of Fort Collins
Purchasing Departent - John Stephens
PO Box 580
Fort Collins, CO 80S22
ArnRngBl9nnimm
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 REPRESENTATIVE
anrnon rnonne nr,nv .moo
PDF created with FinePrint pdfFactory trial version www.Odffactory.com
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.
AUUKU 40 tzuu Iluo)
PDF created with FinePrint pdfFactory trial version www,pdffactorv.com