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