HomeMy WebLinkAboutNEI ELECTRIC POWER ENGINEERING INC - INSURANCE CERTIFICATEClient#: 1082895
NEIELE
ACORM CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
7/29/2019
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 terns and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT
USI Insurance Services, LLC
PHONE FAX
Et): 800 873-8500
AMCA
P.O. Box 7050
Lo (A'C, Np):
Englewood, CO 80155
ADDRESS:
800 873-8500
INSURER(S) AFFORDING COVERAGE NAIL t
_ _
INSURER A: Travelem Indemnity Co of Amarlea 25666
INSURED
INSURER B:TravNers property eu.Co. otAmedw 25674
NEI Electric Power Engineering, Inc.
Travelers Indemnity Company 25658
P.O. Box 1265
INSURER C:
--
Arvada, CO 80001
INSURER D : XL Malty Insurance Company 37885
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER' RFVLCInN NIIMRFR•
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 CONTRACTOR 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.
LI RR
TYPE OF INSURANCE
Imp
S�
POLICY NUMBER
MWDDNYYY) (MMIDD/YYYXP
YY)
LIMITS
A
)(
COMMERCIAL GENERALUABIUTY
CLAIMS -MADE OCCUR
X
X
680OH618833
08/01/2019 08/01/2020
EACH
$-1.000000
�OCCURRENCE
PREMISES Ea occur ence
$1,000,000
MED EXP (Any one person)
$10 000
PERSONAL &ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 1XX1JECCT _ILOC
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGG
$2,000,000
$
OTHER:
B
AUTOMOBILE LIABILITY
X
X
BA6A074486
8/01/2019
08/01/2020
COMBINED SINGLE LIMIT
Ea accide
$1,000,NO
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
)( AUTO$ ONLY X AUTOS ONLY
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per aeeidont
$
$
B
)( UMBRELLA LIAB
X
OCCUR
X
X
CUP6A592136
/01/2019
08/01/2020
EACH OCCURRENCE
$5 OOO 000
AGGREGATE
$5 ODO 000
'i EXCESS UAB
CLAIMS -MADE
DED I X RETENTION $10000
I$
_
C
WORKERS COMPENSATION
AND EMPLOYERS'LIABILrTY YIN
ANY PROPRIETOR/PARTNER/EXECU71VE�
OFFICER/MEMBER EXCLUDED? N
NIA
X
UB8K111103
8/01/2019 08/01/202
)( PER OTH-i
TuTE R
E.L EACH ACCIDENT $1,000,000
E.L. DISEASE - EA EMPLOYEEI
$1 000 000
(Mandatory In NH)
If yas. describe under
DESCRIPTION OF OPERATIONS below
E.L DISEASE - POLICY LIMIT
$1 00O 000
D
Professional
X
DPR9946386
8/01/2019
08/01/202
$2,000,000 per claim
Liability
$3,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
As required by written contract or written agreement, the following provisions apply subject to the policy
terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic
Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under
Automobile Liability; and Additional Insureds under Umbrella / Excess Liability but only with respect to
liability arising out of the Named Insured work performed on behalf of the certificate holder and owner.
(See Attached Descriptions)
City of Ft. Collins
P.O. Box 580
Fort Collins, CO 80522-0000
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
ACORD 25 (2016,103) 1 of 2
#S26252698/M26249292
C 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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