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HomeMy WebLinkAbout509412 WARD ALTERNATIVE ENERGY LLC - INSURANCE CERTIFICATE (2)WARDALT-01 KHAMMOCK ,n►t�oRO CERTIFICATE OF LIABILITY INSURANCE IOIMO13 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(les) 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 CONTACT E: NAM Dlilingham Insurance PHONE FAX P.O. Box 1869 Lo E.tl: (580) 233-2000 Ne): (580) 242$703 Enid. OK 73702 .-m elf... INSURED INSURER a: Artisan and Truckers Casuatty Company 10194 Ward Alternative Energy, LLC r 2f INSURERC: 215 West Oak Street, Suite 1000 Jo �'` INSURER D: Fort Collins, CO 80521 INSURER E: INSURER F : COVERAGES CERTIFICATE NLIMRFR- RFVISInN NI IMRFR- 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. W LTR TYPE OF INSURANCE sea_POLICY NUMBER N MMD YYW POLICYEXP IMMITIONVYIn LIMITS GENERAL UABILnY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X GL000894508 10/1212013 1011212014 PREMI accculrenca $ 100,00 MED EXP OM one $ Excluded PERSONAL S ADV INJURY r 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 POLICY X PRO" LOC I$ AUTOMOBILE LL#ALM COMBINED SINGLELIMIT --dent) 11000,00 X BODILY INJURY (Per perecn) S B ANY AUTO X 189b9T9-1 1WI212013 10111=014 AALLLOO1VOIED SCHEDULED OS BODILY INJURY (Per accident) S HIRED AUTOS gNON gM� PER ACCIOENTIA $ $ UMBRELLA LU1B X OCCUR EACH OCCURRENCE S 3,000,00 X AGGREGATE S 3,000,00 A EXCESSLU CLAIMS -MADE 194912 10/12/2013 1011212014 DED X RETENTIONS 10,000 S WORKERS COMPENSATION YVC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERNEMSER EXCLUDED? MIA ER EA- EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S (Ma Watmy In NH) Ityee, ae.crm wi DESCRIPTION OF OPERATIONS babe, E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Aeech ACORD 101. Additional Remarks S<Mduk, B mom apace N n Tubed) The City of Fort Collins, its officers, agents and employees are additional insureds as provided by the blanket additional insured endorsement to the general ilability policy and per endorsement added to the automobile policy. City of Fort Collins Attn: Purchasing 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 REPRESENTATIVE © 1988-2010 ACOR ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD All rights reserved.