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Home My WebLink About127942 XCEL ENERGY - INSURANCE CERTIFICATEe. AClJRL? CERTIFICATE OF LIABILITY INSURANCE DATE MMIDDIY r10/08/201Y8YY) 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 have ADDITIONAL INSURED provisions or 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 Hays Companies CONTACT NAME: Matt Christensen or Dawn Heinemann PHONE FAX A/C No Ex : 612-333-3323 ANo: 612-373-7270 E-MAIL dheinemann@ha scorn anies.com ADDRESS: Y P 80 South Sth Street INSURERS AFFORDING COVERAGE NAIC# Suite 700 INSURERA:OLD REPUBLIC INS CO 24147 Minneapolis, MN 55402 INSURED INSURER B : Xcel Energy, Inc. Northern State Power Company; Public Service Company of CO INSURERC: and Southwestern Public Service Co. INSURERD: INSURERE: 414 Nicollet Mall, 401-4 INSURERF: Minneapolis, MN 55401 COVERAGES CERTIFICATE NUMBER: 54314552 REVISION NUMBER: 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X MWZY59347 11/01/18 11/01/19 EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence)$ 3,000,000 X MED EXP (Any one person) $ 10,000 Subject to 2MM SIR PERSONAL 8 ADV INJURY $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ N/A X POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP ASS $ 3,000,000 $ OTHER: A AUTOMOBILE LIABILITY MWTB21406 11/01/18 11/01/19 (CEO, accidentSBINEDINGLELIMIT $ 5,000,000 X BODILY INJURY (Per person) _ $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? IN I (Mandatory in NH) N / A MWC11718806 11/01/18 11/01/19 X I PER STATUTE ERH E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE. $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is additional insured as respects general liability policy where required by written contract. CERTIFICATE HOLDER CANCELLATION 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 VQt—� ACORD 25 (2016/03) ddebuhr CA I'I. C C I © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD