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HomeMy WebLinkAboutBELLA ENERGY INC - INSURANCE CERTIFICATE3/11/2010 10:44 AM FROM: Fax Welsh Insurance TO: 221-6782 PAGE: 001 OF 001 ® ACdRr� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YY) 03/11/10 PRODUCER Welsh Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4033 Boardwalk Drive, Suite #200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fort Collins, CO 80525 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Phone (970)206-1810 Fax (970)206-1808 INSURED Bella Energy, Inc. INSURER A: Auto Owners Insurance Co. INSURER B: 500 S. Arthur Ave., Suite 400 INSURER C: Louisville, CO 80027 INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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 LTR LTR ADD'LNSIRD INSRD TYPE OF INSURANCE POLICY NUMBER POLICY DATE (MMFDD/YY) ( ) EXPIRATION DATECTIVE E YMM/DD/YY) ( ) LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 Q COMMERCIAL GENERAL LIABILITY 7472426510 03/15/10 03/15/11 DAMAGE TO RENTED PREMISES Ea occurence 300,000 MED EXP (Any one person) 10,000 ❑❑ CLAIMS MADE ❑� OCCUR A 0 ❑ PERSONAL & ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG 2,000,000 ❑ POLICY 0 PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO 4687884300 07/20/09 07/20/10 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per person) A ❑ ❑ ALL OWNED AUTOS SCHEDULED AUTOS 0 HIRED AUTOS 0 NON OWNED AUTOS BODILY INJURY (Per accident) ❑ PROPERTY DAMAGE El (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ❑ ❑ ANYAUTO OTHER THAN EA ACC ❑ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY 0 OCCUR ❑ CLAIMS MADE 4672426500 03/15/10 03/15/.11 EACH OCCURRENCE 1,000,000 AGGREGATE 1,000,000 A ❑ ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 74005327 07/20/09 07/20/10 W WC STATU- ❑ OTH- TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 500,000 OFFICER / MEMBER EXCLUDED? NO If yes, describe under E.L. DISEASE - EA EMPLOYEE 500,000 E.L. DISEASE - POLICY LIMIT 500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS SOLAR ENERGY CONTRACTOR CITY OF FORT COLLINS IS LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS PO BOX 440 FORT COLLINS, CO 80522-0439 FAX 221-6782 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. AUTHORIZED REPRESENTATIVE HcUrcu [a (ZUU11Ut5) wt- © ACORD CORPORATION 1988