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HomeMy WebLinkAbout462200 NEI ELECTRIC POWER ENGINEERING INC - INSURANCE CERTIFICATE (7)Client#: 1082895 NEIELE ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/30/2015 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 endorsement(s). PRODUCER CONTACT NAME: USI Colorado, LLC Prof Liab T�" o E,�t ; 800 873-8500 vc, No P.O. Box 7050 E-MAIL -- Englewood, CO 80155 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# 800 873-8500 INSURER A: Travelers Indemnity CO. of Amer 25666 INSURED NEI Electric Power Engineering, Inc. P.O. Box 1265 Arvada, CO 80001 INSURER E : Travelers Indemnity Company 25658 XL Specialty Insurance Company 37885 Travelers Property Cas. Co. of 25674 COVERAGES CFRTIFICATF NI IMRFR- nov1crnu w um re 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X X 6801 C317097 8/01 /2015 08/01/2016 EACH OCCURRENCE $1 00Q 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PRVM SES RENTED I Eaoccunence $1000000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X ECO-- LOC PRODUCTS - COMP/OP AGG s2,000,000 g D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X X BA6A074486 8/01/2015 08/01/201 Ea accident) SINGLE LIMIT 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ $ X PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR X X CUP6A592136 8/01/2015 08/01/2016 EACH OCCURRENCE $5 000 000 AGGREGATE s5,000,000 1-1 EXCESS LIAB CLAIMS -MADE DED I X RETENTION $10000 $ _ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? FW (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X UB3944T110 DPR9726229 $/01 /2015 D810112015 08/O1 /201 08/0112016 XWC STATU- OTH- E.L. EACH ACCIDENT $1 O00OOO E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1 000 000 $1,000,000 per claim $3,000,000 annl aggr. C Professional Liability Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 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 Descriptiuns) 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 \C ACORD 25 (2010/05) 1 of 2 #S15912286/M15910210 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DPGZP DESCRIPTIONS (Continued from Page 1) The General Liability, Automobile Liability, Umbrella/Excess insurance applies on a primary and non contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Please note that Additional Insured status does not apply to Professional Liability or Workers' Compensation. Additional Insured: City of Ft. Collins SAGITTA 25.3 (2010/05) 2 Of 2 #S15912286/M15910210