HomeMy WebLinkAboutALLIED POWER SERVICES - INSURANCE CERTIFICATE (2)'4 b® CERTIFICATE OF LIABILITY INSURANCE
oATE(MM�YYn
0425/2014
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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms
and conditions of the policy, certain polities may require an endorsement. A statement on this certificate does not confer rights to the certificate holder
In lieu of such endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
NOANTACT CLIENTR
n/cNNo Ex : 888-333-4949 A c No): 507-446-4664
ADDARESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 280-750-1
INSURER B:
ALLIED POWER SERVICES INC
PO BOX 3707
INSURER C:
INSURER D:
ENGLEWOOD, CO 80155-3307
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 6 REVISION NUMBER: 0
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
LTR
TYPE OF INSURANCE
DL
INS
SUER
POLICY NUMBER
POLICY EFF
/ D/VVYY
POUCY EXP
I
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE
$1,000,000
COMMERCIAL GENERAL LIABILITY
DAMAOESTo RIE,ENT.Dn«REMs.
$100,000
CLAIMS -MADE N OCCUR
MED EXP (My one person)
A
X
BUSINESS OWNER'S UABIUTY
N
N
9290369
06/01/2014
06/01/2015
PERSONAL& ADV INJURY
$1.000,000
GENERAL AGOREGATE
$2,000,000
OEN'L
AGGREGATE
LIMIT APPLIES
PER:
PRODUCTS - COMPIOP ADD
$2,000,000
X
POLICY
JECTT
LOC
LIABILITY
MyAUTOBODILY
COMBINED SINGLE LIMIT
CC.aC Ift
$1,000,000
INJURY (Per person)
AAUTOS
rAOLIVIOBILE
AUTOS SCHEDULED
N
N
9290370
06/01/2014
06/01/2015
BODILY INJURY IPor weidentl
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
er a.6
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$4,000,000
A
EXCESS LIAB
CLAIMS -MADE
N
N
9160227
06/01/2014
06/01/2015
AGGREGATE
S4,000,000
DED I I RETENTION
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y J N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
NIA
N
9290371
06/01/2014
06/01/2015
X I
WC STATU-
TORV LIMITS
OTH-
ER
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
$500,000
(Manchlom in NH)
It yea, descries wser
DESCRIPTION OF OPERATIONS Eelew
El DISEASE -POLICY LIMIT
$500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ame1 ACORD 101, Additional Remarks Ssledule, it more space Is mulred)
CERTIFICATEHOLDER IS AN ADDITIONAL INSURED FOR
BUSINESSONNERS LIABILITY.
280-750-1
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
60
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
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD