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Home My WebLink About114215 MERIT ELECTRIC INC - INSURANCE CERTIFICATE (4)ClipntS- 41061 MERE[ ACORM CERTIFICATE OF LIABILITY INSURANCE D TEMMZo1z ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 CONTACT NAME: Jennifer Winter PHONE 970 506-3206 FAl( 970 506-6846 AIC No Ext : AIC, No EMAIL Jennifer.Winter floodand eterson.com ADDRESS: P Greeley, CO 80632 970 356-0123 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Insurance Company Merit Electric, Inc. 2643 Midpoint Drive, Suite F Fort Collins, CO 80525 INSURERS: Pirmacol Assurance INSURER C INSURER O: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT R OF INSURANCE kDDTYPE SR IYVD UBR POLICY NUMBER MMIDDIYYYY Y EFF MMIDON"Y LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR XI PD Ded:5,000 4TC03532R691COF1 7/0112012 07/0112013 EACHOCCURRENCE $1,000,000 PREMISES Ea occurrence s300,000 MED EXP (Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY_X PROjECT LOC PRODUCTS - OOMPIOP AGO $2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS AUTOS Drive Other Car BA3532R69112CNS 7/01/2012 07/01/2013 jEaecdeDi'INGLEUMIT $1000000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ 1XXX PROPERTY DAMAGE (PereccidenbNON-OWNED $ $ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 4TSMCUP3532R691T 7/01/2012 07/01/201 EACH OCCURRENCE s5,000000 N AGGREGATE 55,000,000 DEDUCTIBLE RETENTION $ 10000 S X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVEY/N OFFICERIMEMBER EXCLUDED( (Mandatory In NHl (DESCRIPTION OF OPERATIONS below desonce under NIA 4D70414 7/D1I2D12 D7/D1/2D1 X WC STATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE-POLICYLIMIT $1,DDD,DDD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Fort Collins Light & Power 700 Wood Street Fort Collins, CO 80525 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2009/09) -1 of 1 #S701423/M701336 ®1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JZS