HomeMy WebLinkAboutICE ENERGY INC - INSURANCE CERTIFICATEOP ID
AC®RD CERTIFICATE ®F LIABILITY INSURANCE ICEEN-1
DATE (MMIDD/YYYY) .
01/14/09
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION -
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group'
1100 Haxton Drive Suite 10.0 GC1 " �D
Fort Collins CO 80525 E G Q
Phone : 970-223-1804 n OJ
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED C.
:�,
INSURER A: St Paul Travelers Insurance A+
INSURER B:
Ice Energy Inc t' �?, /
INSURER C:
INSURER D:
9351 Eastman Park Dr, Ste B
Windsor CO 80550
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.
LTR
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDIYY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
S 1,000,000
PREMISEs(Eaoccurence)
s300,000
A
X COMMERCIAL GENERAL LIABILITY
Y6606652B97ATIL09
01/23/09
01/23/10
CLAIMS MADE FX ] OCCUR
MED EXP (Any one person)
$ 5 , 000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
X POLICY PRO LOC
JECT
X
AUTOMOBILE
LIABILITY
ANY AUTO
Y8106652B97ATIL09
01/23/09
01/23/10
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
X
X
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
S
ANY AUTO
S
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
53,000,000
A
X OCCUR CLAIMSMADE
YFSEX6652B97ATIL09
01/23/09
01/23/10
AGGREGATE
$
$
$
DEDUCTIBLE
$
X RETENTION $ 10 , 000
WORKERS COMPENSATION AND
TH-
TCRY LIMITS ER
EMPLOYERS' LIABILITY
ANY' PROPRiETOFtIPARTNER(EXECUTiVE
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Property
Y6606652B97ATIL09
01/23/09
01/23/10
In Transi $100,000
A
Inland Marine
Y6606652B97ATIL09
01/23/09
01/23/10
EDP $125,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE:Mario Rodriguez
CERTIFICATE HOLDER CANCELLATION
CITY OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
970-224-6134 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
.Doreen IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO Box 580
Fort Collins CO 80521 REPRESENTATIVES.
ACORD 25 2001108 CORPORATION 1988