Loading...
HomeMy WebLinkAboutXCEL ENERGY INC - INSURANCE CERTIFICATE' J ®' . ` RU CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 1a/09/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TRtS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THISCERTIFICATE 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 -- - CONTACT -Matt Christensen or Dawn Heinemann NAME: Hays Companies PHONE 612-333-3323 FAX 612-373-7270 A/C No, Ext : A/C No E-MAIL dheinemann ha sco anies. dam ADDRESS: @. Y mP 80 South 8th Street INSURERS AFFORDING COVERAGE NAIC# Suite 700 - INSURER A: OLD REPUBLIC INS CO 24147 Minneapolis, MN 55402 INSURED INSURER 8 : Xcel Energy, Inc. Northern State Power Company; Public Service Company of CO INSURERC: and Southwestern Public Service Co. INSURERD: INSURER E: 414 Nicollet Mall, 401-4 1 INSURER F: Minneapolis, MN 55401 COVERAGES CERTIFICATE NUMBER- 57539068 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 - -. POLICYNUMBER. POLICY E MMIDD FF POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIALGENERALLIABILITY X MWZY5934719 11/01/19 11/01/20 EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE O OCCUR AMAGE TO RENTED PREM SES Ea occurrence) $ 3,000,000 X MED EXP (Any one person). $ 10,000 Subject. to 2MM SIR PERSONAL B ADV INJURY $ 3,000,009 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ N/A PRO- POLICY D JECT LOC X PRODUCTS -.COMP/OPAGG $ 3,000.,000 $ OTHER: A AUTOMOBILE LIABILITY MWTB2140619 11/01/19 - 11/01/20 COMBINED SINGLE LIMIT - Ea accident $ 5,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IX BODILY INJURY (Per accident) $ !! PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ !! AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO I I RETENTION,$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N (Mandatory in NH) N/A MWC11718819 11/01/19 11/01/20 X STATUTE. EORH E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $2y.000y 000 E.L. DISEASE - POLICY LIMIT $ 2; 000, 000 If yyes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I 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. RTIFICATE HOLDER of Fort Collins isk. management. 15 North Mason O Box 580 ort 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. ACORD 25 (2016103) ddebuhr ql1 lonco USA ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD