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HomeMy WebLinkAbout102637 XCEL ENERGY INC - INSURANCE CERTIFICATE (2)Aibbk ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/10/2014 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 1-612-333-3323 CONTACT Matt Christensen or Dawn DeBuhr NAME: Hays Companies PNC No a 612-333-3323 aC No: 612-373 -7270 80 South 8th Street ADDRESS: ddebuhrWhayscompanies-com INSURER(S) AFFORDING COVERAGE '' NAICt Suite 700 INSURER A: OLD REPUBLIC INS CO 24147 Minneapolis, MN 55402 INSURED INSURER e: ENERGY INSURANCH SBRVICES Xcel Energy, Inc. Northern State Power Company; Public Service Company of CO INSURER C and Southwestern Public Service Co. INSURER D: INSURER E: 414 Nicollet Mall 4th Floor INSURER F: Minneapolis, MNr55401 COVERAGES CERTIFICATE NUMBER: 41810890 RFVISIDN MIIMRFR- 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 ADDL JUM SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYY POLICY EXP MM/DD/YYY LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS MADE T OCCUR X MWZY59347 11/01/14 11/01/15 EACH OCCURRENCE $ 3,000,000 DAMAGE TO RENTED PREMISES Ea occurrence b 3, 000, 000 X MED EXP (Any one person) $ 10,000 2MM SIR - SEE BELOW PERSONAL &ADV INJURY $ 3,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER POLICY E PRO- JECT LOC GENERAL AGGREGATE $ 20,000,000 , PRODUCTS - COMP/OP AGG $ 3,000,000 $ OTHER: A AUTOMOBILE LIABILITY MWTB21406 11/01/14 11/01/15 COMBINED SINGLE LIMIT Ea accident S 5,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) nt) f X HIRED AUTOS NON -OWNED X AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR. OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LAB CLAIMS MADE DED RETENTION $ g A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBER E%CLUOED7 a NIA MWC11718803 11/01/14 11/01/15 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE- EA EMPLOYE $ 2,000,000 (Mandatory in NH) If yes, describe under DE SCRI PTION OF OPERATIONS below I E.I_DISEASE - POLICY LIMIT S 2,000,000 B GL Self -Insured Retention P081425 11/01/14 11/Ol/15 SIR 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be allachad if more space is required) Certificate holder is additional insured as respects general liability policy where required by written contract. City of Fort Collins Risk management 215 North Mason PO Box 580 Fort Collins, CO 80522-0580 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 USA C 1988-2014 ACORD CORPORATION. All rinhtc recPru>d ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ddebuhr, a�onoon