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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