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HomeMy WebLinkAboutHYDRO ELECTRIC - INSURANCE CERTIFICATE (4)A__C_OMq, CERTIFICATE OF LIABILITY INSURANCE oz�zo%zoo91 PRODUCER (970)679-7333 FAX (866)456-4265 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Hydro Electric LLC PO Box 206 Bellevue, CO 80512 INSURERA'. Auto Owners 18988 INSURERB: Owners 32700 INSLARERG'. INSURER D 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 EiDDT TYPE OF IN SURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 7428991809 03/23/2009 03/23/2010 LACHOCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGETORENTED PRIFMIqFP S 306,000 CLAIMS MADE a OCCUR MED EXP (Anyone person) S 10,000 A PERSONAL A ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCES- COMPIOP AGO $ 2,000,000 X POLICY JET LOC AUTOMOBILE LIABILITY ANY AUTO 4628991800 10/04/2008 10/04/2009 COMBINED SINGLE LIMIT (La accident) S 1,000,000 B ALL OWNED ACT OS SCHEDUL(OAMOS HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per person) S X X X BODILY INJURY Deraccident) S PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S ANY AUTO $ AUTOONLY: AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S 5 $ DEDUCTIBLE S RETENTION S WORKERS COMPENSATION AND CR STATU. OTI'IY Idylls EMPLOYERS' LIABILITY ANY PROPRJEIORIPARTNERICECUTIVC: E.L. EACH ACCIDENT S Et. DISEASE. F.A LMFLOYLE 5 OFFICE PIMB MBF. R nXCLUDIPD? It yes desentee under SPECIAL PROVISIONS ELM., E1. DISEASE -POLICY LIMIT 5 OTHER DESCRIPTI NOF OPERATIONS/ LOCATIONS I VEHICLES I EXCLU IONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS it, of Fort Collins is named as ade itional insured as respects general liability. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Fort Collins 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Purchasing & Risk Management BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO BOX 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 8OS22 AUTHORIZED REPRESENTATIVE - ACORD 2512001/08) PDF created with FinePrint pdfFactory trial version www.pdffactory.com ©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. ACORD 25 (2001108) PDF created with FinePrint pdfFactory trial version www.pdffactory.com