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HomeMy WebLinkAboutALLIED POWER SERVICES INC - INSURANCE CERTIFICATE (3)A�ORD CERTIFICATE OF LIABILITY INSURANCE DAT04/29/D/VVYYI oarzsrzols 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