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HomeMy WebLinkAbout462200 NEI ELECTRIC POWER ENGINEERING INC - INSURANCE CERTIFICATE (6)Client#: 1082895 NEIELE ACORDTM CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/ODIYYYY) 7/31/2014 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 CONTACT USI Colorado, LLC Prof Liab PHONE FA% BOO 873-8500 (AltN.): 1515 Wynkoop Street E-MAIL Suite 200 ADDRESS: Denver, CO 80202 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Travelers Indemnity Co. of Amer 25666 INSURED INSURER B: Travelers Indemnity Company 25658 NEI Electric Power Engineering, Inc. INSURER c: XL Specialty Insurance Company 37885 P.O. Box INSURER D: Travelers Property Cas. Co. of 25674 Arvada, CO 80001 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. INSR LTR TYPE OF INSURANCE AODLSUBR INSR VNO POLICY NUMBER MOLIC POLICY EFF POLICY E%P MOLIC/YYYY LIMITS A GENERAL LIABILITY X X 6801C317097 8101/2014 08/01/201 EACH OCCURRENCE $1 OOO,OOO X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR pAMA RENTED PREMI ST Ea occurrence $1 DDD DDD MED EXP(Any one person) $10000 PERSONAL B ADV INJURY E1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OPAGG $2,000,000 POLICY X JECT ECT LOC $ D AUTOMOBILE LIABILITY X X BA6AO74486 8/01/2014 08/01/201 COMBINED SINGLE LIMIT Ea accdent 1,000,000 X BODILY INJURY (Per person) E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident E E B X UMBRELLA LIAB X OCCUR X X CUP6A592136 8/01/201408/01/201 EACH OCCURRENCE $5000000 AGGREGATE ES OOO OOO EXCESS LIAR CLAIMS -MADE DED I X RETENTION$10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? � NIA X UB3944T110 08/01/2014 08/01/201PE.L.DIS�SE U- OTH- ITS CIDENT $1 OOO OOO -EA EMPLOYEE $1 OOO,OOO (Mandatory In NH) If yes, resenhe under -POLICY LIMIT E1,000,OOO DESCRIPTION OF OPERATIONS below C Professional DPR9718051 8/0112014 0810112010 Per Claim Liability 0 Annl Aggr. Claims Made DESCRIPTION OF OPERATIONS / 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 Automatic Additional Insured's 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. (See Attached Descriptions) City of Ft. Collins P.O. Box 580 Fort Collins, CO 80522-0000 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 2 #S13028339/M13028310 (E) 1959.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXOBC DESCRIPTIONS (Continued from Page 1) The General Liability, Automobile Liability, Umbrella/Excess insurance applies on a primary and non contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella I Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Additional Insured: City of Ft. Collins SAGITTA 25.3 (2010105) 2 of 2 #Si3028339IM13028310