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