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Home My WebLink About462200 NEI ELECTRIC POWER ENGINEERING INC - INSURANCE CERTIFICATE (4)A6O)?H CERTIFICATE OF LIABILITY INSURANCE Ill DATE(MMIDDIYYYY) 1 7/31 /2012 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($), 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 Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 CONTACT NAME: PHONE FAX A/C No : 303-831-5295 E-MAIL ADDRESS: INSURERS) AF FORDI NO LOVERAG E IfI ,` -1� Is INSURER A:XL 5peCialty Insurance 37885 lV� V� -C INSURED INSURER a :Farmington Casualty_CO. 41453 INsuRERc:Travelers_Indemnity_Co_ INsuRERD:Travelers Property_Casualty_Co NEI Electric Power Engineering, Inc. P.O. Box 1265 Arvada CO 80001 0 5674 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 451493888 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. INSR LTR TYPE OF INSURANCE IADDL INSR UBR WVD POLICY NUMBER I POLICY EFF MMIDD POLICY EXP MMIDDIYYYY LIMITS C GENERAL LIABILITY Y Y 6801C317097 /1/2012 B11/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMA E TO RENTED PREMISES Ea occmrance 87,000,000 MED EXP(Any one person) $10,000 CLAIMS -MADE OCCUR PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY rX7 PRO- LOC $ D AUTOMOBILE LIABILITY Y Y BA6AC74486 /1/2012 8/1/2013 (Ea accident $1.000.000 X BODILY INJURY (Per person) $ ANY AUTO ALLOWNED SCHEDULED AUTOS BODILY INJURY (Par accident) $ X NON-OAUTOS HIRED AUTOS X AUTOSWNED (Per aid DAMAGE $ S C X UMBRELLA LIAB OCCUR Y Y CUP006A592136 8/1/2012 8/1/2013 EACH OCCURRENCE 55,000,000 AGGREGATE S5,000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION S 10,000 s B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y UB3944TI10 8/1/2012 8/1/2013 X WCaTATU- OTH- $ ER I E.L. EACH ACCIDENT 81,000,000 ANY PROPRIETOWPARTNER/EXECUTIVE OFPICERIMEMBER EXCLUDED? NIA E.L. DISEASE EA EMPLOYE $1,000,000 (Mandatory in NH) 12 deaedba ender DE SCRIPTION OF OPERATIONS DeIow E.L. DISEASE -POLICY LIMIT 1 $1,000,000 A Professional Liability Claims Made DPR9695688 0/2012 8/1/2013 Per Claim $1,000,000 Annual Aggregate $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, 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 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 See Attached... City of Ft. Collins P.O. Box 580 Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORREPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: A4C"R O® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Van Gilder Insurance Corp. NEI Electric Power Engineering, Inc. P.O. BOX 1265 POLICY NUMBER Arvada CO 80001 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE the General Liability, Automobile Liability and Employers Liability Excluded Officer: Pankaj K Sen Additional Insured: City of Ft. Collins ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD