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HomeMy WebLinkAboutHYDRO ELECTIC LLC - INSURANCE CERTIFICATEACORD„ CERTIFICATE OF LIABILITY INSURANCE 0ATE MM/DDNYYY 9/11/2009) PRODUCER (970)679-7333 FAX (866)456-4265 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 INSURERA' Auto Owners 18988 PO Box 206 INSURERS: Owners 32700 Bellevue, CO 80S12 INSURERC UUVEKAUEJ 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. II T R qR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CIAIMS MADE O OCCUR 7428991809 03/23/2009 03/23/2010 EACHOCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISFSjF, ne e„ncn,„any„ $ 300,000 $ 10,000 MED EXP (Any one person) PERSONAL & ADV INJURY S 1 � 000 � DOD GENERAL AGGREGATE $ 2 , 600, DOD GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO JECT OC PRODUC IS - COMP/OP AEG S 2,000,000 B AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONAWNED AUTOS 4628991800 10/04/2009 10/04/2010 COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 BODILY URY (Per person) $ X X BODILY INJURY (Per accident) S X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHEEAACC AUTO ON THAN AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC STATU- OTH- EL. EACI'I ACCIDENT S E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OTHER D"CRIPTI NOFOPERATI NSf LOCATIONSIVEHICLESIEXCLU I,ON§ADD B�ENDORSE ENT/ SPECIALPROVISIONS Tty o Fort Co lTns Ts named as add�itionaIf YENDOR as respects general liability. City of Fort Collins Purchasing & Risk Management 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 AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) 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