HomeMy WebLinkAboutALLIED POWER SERVICES INC - INSURANCE CERTIFICATE (3)A�ORD CERTIFICATE OF LIABILITY INSURANCE
DAT04/29/D/VVYYI
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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 endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
CONTACT
NAME: CLIENT CONTACT CENTER
PHO
A CNNo E:1 : 888-333A949
n,c xo : 507-446-4664
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURERS) AFFORDING COVERAGE
NAIL If
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
DDL
INSR
SUER
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YVYV
POLICY EXP
MM/DDIVYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE IX1 OCCUR
DAMAGE TO RENTED
PREMISES Ea o rrence
$100,000
MED EXP (Any one perl
A
X BUSINESS OWNER'S LIABILITY
N
N
9290369
06/01/2015
07/01/2015
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
rX POLICY PRO-
JECT F LOC
AUTOMOBILE
X
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
Ea accident)
$1,000,000
BODILY INJURY (Per person)
A
ALL OWNED SCHEDULED
AUTOS AUTOS
N
N
9290370
06/01/2015
07/01/2015
BODILY INJURY (Per accident)
HIRED AUTOS NON -OWNED AUTOS
PROPERTY DAMAGE
Per acciden
X
4
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$4,000,000
A
EXCESS LAB
CLAIMS -MADE
N
N
9160227
06/01/2015
07/01/2015
AGGREGATE
$4,000,000
DED RETENTION
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
NIA
N
9290371
06/01/2015
07/01/2015
X
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
$500000
E.L. DISEASE - EA EMPLOYEE
$500 000
(Mandatory in NH)
If yes, describe under
E.L DISEASE -POLICY LIMIT
$500 000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATEHOLDER IS AN ADDITIONAL INSURED FOR
BUSINESSOWNERS LIABILITY.
MVLUCK
280-750-1
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
60
WM9Lai ;4U1111 to] 21
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 (2010/05) The ACORD name and logo are registered marks of ACORD