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Home My WebLink About102637 XCEL ENERGY INC - INSURANCE CERTIFICATE (3)A'' 'C' Ir CERTIFICATE OF LIABILITY INSURANCE D I 10/27/27/2015 Y) 015 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 1-612-333-3323 Hays Companies 80 South 8th Street CONTACT NAME: Matt Christensen or Dawn Heinemann PHONE 612-333-3323 FAX 612-373-7270 A/C No Ext : A/C No ADDRESS: dheinemann@hayscompanies.com INSURER(S) AFFORDING COVERAGE NAIC # Suite 700 Minneapolis, MN 55402 INSURER A: OLD REPUBLIC INS CO 24147 _ INSURED Xcel Energy, Inc. INSURER B : Northern State Power Company; Public Service Company of CO INSURER C : and Southwestern Public Service Co. INSURERD: INSURERE: 414 Nicollet Mall 4th Floor Minneapolis, MN 55401 INSURERF: COVERAGES CERTIFICATE NUMBER- 45319412 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 1NDiCATED. 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 I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDNYY LIMITS A X COMMERCIAL GENERAL LIABILITY X MWZY59347 11/01/15 11/01/16 EACH OCCURRENCE $ 3, 000, 000 CLAIMS -MADE OCCUR DAMAGETZPREMISES (Ea otccur ence $ 3,000,000 X MED EXP (Any one person) $ 10,000 Subject to 2MM SIR PERSONAL & ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ N/A X POLICY PRO- JECT LOC PRODUCTS - COMP/OPAGG $ 3,000,000 $ OTHER: A AUTOMOBILE LIABILITY MWTB21406 11/01/15 11/01/16 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY MWC11718604 11 /01/15 11/01/16 X STATUTE - EERH Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? IN I N/A E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory in NH) 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. 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 ACORD 25 (2014101) ddebuhr AGO1OAIO v 1!JHH-ZU14 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD