HomeMy WebLinkAboutPLATTE RIVER POWER - INSURANCE CERTIFICATE (2)ACORD�,
CERTIFICATE OF INSURANCE
ISSUE DATE
ISSUE
PRODUCER
This certificate is issued as a matter of information only and confers no rights
MCGRIFF, SEIBELS & WILLIAMS, INC.
P.O. Box 10265
upon the Certificate Holder. This Certificate does not amend, extend or alter the
coverage afforded by the policies below.
COMPANIES AFFORDING COVERAGE
Birmingham, AL 35202.
800-476-2211
Company Aegis Insurance Services Ltd.
INSURED, .; ., - p,
ComBpany _, _ -.. _ :. _ . _ - -
Platte River Power Authority
2000 East Hoorsetooth Road
-
Fort Collins; CO 80525-5721
ComCpany
Company
D
Company
E
This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding
any requirement, term or condition of contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by
the policies described herein issubject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims.
CO
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE
LIMITS OF LIABILITY
LT
EXPIRATION
GENERAL LIABILITY
EACH OCCURRENCE
$
❑ Commercial General Liability
❑ Claims Made ❑ Occurrence
El Owners! and Contractors' Protection
❑
FIRE DAMAGE
$
MEDICAL EXPENSE
$
PERS. AND ADVERTISING INJURY
$
GENERAL AGGREGATE
$
❑
PRODUCTS AND COMP. OPER. AGG.
$
General Aggregate Limit applies per:
❑ Policy ❑ Project ❑Location
AUTOMOBILE LIABILITY
-
COMBINED SINGLE LIMIT
$
❑ Any Automobile--
❑ All Owned Automobiles
❑ Scheduled Automobiles- -.
BODILY INJURY Perperson)
$
BODILY- INJURY -(Per accident — -
$ - -
PROPERTY DAMAGE Per accident
$
❑ Hired Automobiles
COMPREHENSIVE
❑ Non-oNned Automobiles
❑
COLLISION
WORKERS' COMPENSATION
AND EMPLOYERS' LIABILITY
WC Statutory Limit Other
EL EACH -ACCIDENT
$
EL DISEASE Each employee)
$
EL DISEASE(Policy Limit
$
A
EXCESS LIABILITY
X0252A1A08
12/31/2008
EACH OCCURRENCE
$" 400,000
❑ Occurrence ®Claims Made
Aggregate as Applicable
12/31/2009
AGGREGATE
$ 400,000
Is
Is
RE: The 1976 LaFrance pumper, VIN 801352 that Poudre Fire Authority has loaned indefinitely to Platte River. The Certificate Holder is included as an Additional
Insured as required by written contract, subject to policy terms, conditions and exclusions.
CERTIFICATE HOLDER
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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Poudre Fire Authority
Authorized Representative
Attn: Ronnie
102 Remington
Fort Collins, CO 80524
µD
�` . t sty , } s•r-`4
Page
1 of 1 Certificate ID # 181 WU6K8