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Home My WebLink AboutWARD ALTERNATIVE ENERGY LLC - INSURANCE CERTIFICATEACORD M CERTIFICATE OF LIABILITY INSURANCE DATE ( Jon612012rzolzMMYY) PRODUCER Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Denver, CO 80230-7006 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Ward Alternative Energy LLC 215 W. Oak Street, Suite 1000 INSURERA: Pinnacol Assurance 41190 INSURER e: INSURER C: Fort Collins, CO 80521 INSURER D'. INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 ADDL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPE OF INSURANCE POLICYNUMBER DATEIMM/OO/YVTYI OATE(MMIpO/YTTY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED PREMISES COMMERCIAL GENERAL LIABILITY CIAIMSMADE OCCUR MEDEX An onepereonl PERSONAL S AOV INJURY GENL AGGREGATE LIMIT APPLIERS PER: GENERALAGGREGATE PRODUCTS -COMRADE AGO POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT NYAUTO (Ea AttI0en1) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per parson) BODILY INJURY HIREDAUTOS NON OWNED AUTOS (Pere«aeon PROPERTY DAMAGE (Pereawenl) GARAGE LIABILITY AUTOONLT-EAACCIOENT OTHER THAN EA ACC ANY AUTO AUrOONLY: AGO EXCESLUMBRELLA LIABILITY OCCUR CLAIMSMADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION 5 WORKERS COMPENSATION AND WC STAT4 OTHER A EMPLOYER'S LIABILRY ANY PROPRIETOPJPARTNERVEXECUTIVE 4159573 rlOI17/2012 11/01/2013 ORY LIMITS EL EACH ACCIDENT $100,000 OFFICENMEMBER EXCLUDED' EL DISEASE- EA EMPLOYEE $100,000 If yes, please Eebane under SPECIAL PROVISIONS below E.LDISEASE-POLIOYLIMIT $j00000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESMXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION City of 8 City of Fort Collins Attn: Purchasing SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE P. O. Box 580 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Fort Collins, CO 80522 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001I08) Ryan Roginson Underwriter ACORD CORPORATION 1988 DILLINGHAM INSURANCE P 0 BOX 1669 ENID, OK 73702 002464 CITY OF FORT COLLIN P.O. BOX 580 FORT COLLINS, CO 80522 h,••I�IIuILL•hhrlr�I�IhIIPId�IIPl�rIr,II,,,II,I,II,p Additional insured endorsement Name of Person or Organization CITY OF FORT COLLIN P.O. BOX 580 FORT COLLINS, CO 80522 PRWREJRMF Policy number: 01999979-0 Underwritten by: Artisan and Truckers Casualty Co Insured: WARD ALTERNATIVE ENERGY, October 16, 2012 Policy Period: Oct 12, 2012 - Oct 12, 2013 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Cleveland, OH 44101 1-800-444-4487 For customer service, 24 hours a day, 7 days a week The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 01898979-0 Issued to (Name of Insured): WARD ALTERNATIVE ENERGY, LLC Effective date of endorsement: 10/1212012 Policy expiration date: 10/12/2013 Form It98(01/04)