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Home My WebLink About102624 PLATTE RIVER POWER AUTHORITY - INSURANCE CERTIFICATE (2)Client#: 14403 ACORD. CERTIFICATE OF LIABILITY INSURANCEATE 1 D01/31/2013vr) 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 8 Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 , -) CONTACT NAME: Angle Nissen PHONE FAX A/c No E? : 970 506-3228 =, No : 970 506-6850 aooAless: AN issen@floodpeterson.com PRODUCER CUSTOMER ID If INSURERS) AFFORDING COVERAGE NAIC N INSURED Platte River Power Authority 2000 E. Horsetooth Road INSURER A: The Hartford Insurance INSURER B: Fort Collins, CO 80525 INSURER C: INSURER D: 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, ILTR N$R TYPE OF INSURANCE OOL UBR POLICY NUMBER CY EFF WDDNYYY POLICY EXP MWDDNYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TORENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL $ ADV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO n TOO PRODUCTS - COMP/OP AGG S $ A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 34UENEL8815 2/01/2013 02/01/2014 COMBINED I)SINGLE LIMIT $1 000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S 1XX PROPERTY DAMAGE (Peraccidenp $ $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DE SC RIPTION OF OPERATIONS below N/A WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) City of Fort Collins PO Box 580 Ft 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. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 #S762139/M762129 The ACORD name and logo are registered marks of ACORD JZS