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Home My WebLink About102624 PLATTE RIVER POWER AUTHORITY - INSURANCE CERTIFICATE (3)rrPnt*-144ns PLARI ACORD,, CERTIFICATE OF LIABILITY INSURANCE TE D1/30/2IDD/VYYY) I30/2014 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. 0. Box 578 Greeley, CO 80632 NAME: Angie Nissen FAX AICC, No, E:t:970 356-0123 Arc No: 970 506-6850 E-MAIL anissen@fiood flood peterson.com ADDRESS: @ P INSURER(S)AFFORDING COVERAGE NAK: If 970 356-0123 INSURER A: The Hartford Insurance INSURED Platte River Power Authority Q 26 (�' 2000 E. Horsetooth Road f INSURER B : INSURER C Fort Collins, CO 80525 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 CONTRACTOR 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. LTR TYPE OF INSURANCE '�NSRIWVD POLICY NUMBER MM/DDY/YYYY MMfD�� LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMISES Ea occurtence $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOSX X AUTOS NON -OWNED HIRED AUTOS AUTOS 34UENEL8815 2/0112014 03/01/201 SINGLELIMIT EaacciUennt 110001000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB CWMS-MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ DED RETENTION f $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPMETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? 71 (Mandatory In NH) 11 yes, describe under DESCRIPTION OF OPERATIONS below NIA WC STATULIMI- I OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S _ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If 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 ACORD 25 (2010105) 1 of 1 #S860843/M860838 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Wi This page has been left blank intentionally.