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HomeMy WebLinkAbout462200 NEI ELECTRIC POWER ENGINEERING INC - INSURANCE CERTIFICATE (2)® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 8 3 2010 PRODUCER Phone: 303-837-8500 Fax: 303-831-5295 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1515 Wynkoop, Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80202 INSURERS AFFORDING COVERAGE I NAIC # INSURED INSURER A: NEI Electric Power Engineering, Inc. INSURER B: P.O. Box 1265 Arvada CO 80001 INSURER C: INSURER D: CnVFRAGFS 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 LTR ADDI SRINSURANCE I IPOLICY NUMBER POLICY EFFECTIVE DATE M /DD POLICY EXPIRATION DATE MMIDD/YYYY LIMITS B GENERAL LIABILITY 34SBWRV7611 8/1/2010 18/1/2011 EACH OCCURRENCE $ 1 000 000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1 00 0 0 0 0 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX_1 OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1 0 0 0 0 0 0 GENERAL AGGREGATE $ 2 0 0 0 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 0 0 0 000 POLICY X PRO- LOC B AUTOMOBILE LIABILITY ANY AUTO �34SBWRV7611 8/1/2010 8/1/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1, 0 0 0, 000 BODILY INJURY (Per person) $ - ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS I UMBRELLA LIABILITY 3 4 SBWRV 7 611 8/1/2010 8/1/2011 EACH OCCURRENCE $ 1 000,000 AGGREGATE $ 11000,0 O 0 X I OCCUR CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $ 10 0 0 0 B WORKERS COMPENSATION YIN 134WEGRE7277 AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 8/1/.2010 8/1/2011 X WC LIMIT oTH- E.L. EACH ACCIDENT $ 1 000,000 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1 0 0 Q 0 0 0 A OTHER (DPR9683342 Professional Liability Claims Made 8/1/2010 8/1/2011 Per Claim $1,000,000 Annual Aggregate $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS If required by written contract or written agreement, the following provisions apply subject to the policy terms, onditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory See Attached... City of Ft. Collins P.O. Box 580 Fort Collins CO 80522 UANULLLA I IUN 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. 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. AUTHORIZED REPRESENTATIVE A _ _ -e i _ AI:UFtU Z5 (ZUU9/Ul) U 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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 This Certificate of Insurance 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. HI.VKU LO (LUUU/Ul) DESCRIPTIONS Continued. basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers' Compensation. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Additional Insured: City of Ft. Collins