Loading...
HomeMy WebLinkAbout462200 NEI ELECTRIC POWER ENGINEERING INC - INSURANCE CERTIFICATE (5)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE EIMMIDDIYYYYI 7/31/2013 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 endorsements . PRODUCER Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 CONTACT NAME: H,0.N o E,t. _ _ ac Ne1;303-831=5 295 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL% INSURER .XL pecialty Insurance Co. 37885 INSURED D INSURERa Tra-Vele Ind mni CO P5674 NEI Electric Power Engineering, Inc. INsuRER c:Travelers Property Casualty Copt A P.O. Box 1265 Arvada CO 80001 INSURER D:Traveje[s_nderpnty_Qompany J 5658 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 41220736 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 rypE OFINSURANCE ADDLSUBR POLICY EFF POUCYEXP LTR INSR WeePOLICY NUMBER MMIDD/'/1'YY MMIDDIYYYY l LIMITS B GENERAL LIABILITY Y V 380IC317097 /112013 /l/2014 EACH OCCURRENCE $1,000,000 x COMMERCIAL GENERAL LIABILITY PREMISES EndrJT. once $1,000,000 CLAIMS -MADE Ix I OCCUR MED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $1.000,000 GENERAL AGGREGATE $2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000.000 POLICY x PRO- I LOC $ C AUTOMOBILE LIABILDY Y V BAIA074416 112013 /l/2014 Eaauadem $1000000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S X P PROPERTYDAMAGE $ HIRED AUTOS x 10 O OWNEDer 1 8 B X UMBRELLA LIAB OCCUR Y Y CUP6A592136 /1/2013 /112014 EACH OCCURRENCE 11,001000 N AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS $ p WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY OFFICEREMBER/EXCLUDED'ECUTIVE FN m1 NIA y UB3944T11D /1/2013 9/1/2014 XyTAM U- OTH- EL EACH ACCIDENT $1,000,000 E.L. DISEASEEAEMPLOYE $1,000.000 (Myyandatory In NH) surbe under IDESCRs. BPTION OF OPERATIONSdelow E.L. DISEASE -POLICY LIMIT $1.000,000 A Liability DPR9707988 /1/2013 B/1/2014 Per Claim $3,000,000 Claims Claims Made Annual Aggregate $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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. AUTHORIZED aREEPyRREE/SENTATIV E 1QRR_9nln ACr1Rn Cr1RGr1RATInlel All .inMe --A ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: A� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Van Gilder Insurance Corp. NAMED INSURED NEI Electric Power Engineering, Inc. P.O. Box 1265 Arvada CO 80001 POLICY NUMBER 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. 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