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HomeMy WebLinkAbout462200 NEI ELECTRIC POWER ENGINEERING INC - INSURANCE CERTIFICATE (11)NEIELE Client#: 1082895 ACORDTM CERTIFICATE OF LIABILITY INSURANCE MIDDN 7/31 DATE (MM/DD/YYW) /2017 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 USI Colorado, LLC Prof Liab P.O. Box 7050 Englewood, CO 80155 800 873-8500 CONTACT NAME: _ PHONE g00 873-8500IFAX A/C No Et): AIC No): E-MAIL ADDRESS: - INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Travelers Indemnity Co. of Amer 25666 INSURED INSURER S:Travelers Indemnity Company 25658 NEI Electric Power Engineering, Inc. XL Specialty Insurance Company INSURER C : P tY P Y 37885 P.O. Box 1265 INSURER D: Travelers Property Cas. Co. of _ 25674 Arvada, CO 80001 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 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 TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF POLICY EXP MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X 680OH618833 8/01/2017 08/01/201 $1 000000 CLAIMS -MADE EYOCCUR pEACMMH��OEECCURRENCE PREMI H 1Ea oc:u'r n. $1,000,000 MED EXP (Any one person) _ $1 O 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JECOT- LOC GENERAL AGGREGATE s2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: D AUTOMOBILE LIABILITY X X _ BA6AO74486 8/0112017 08/01/201 id.n SINGLE LIMIT Ea aocINED 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ $ X PROPERTY DAMAGE Per. accident B X UMBRELLA LIAB X OCCUR X X CUP6A592136 8/01/2017 0810112011 EACH OCCURRENCE s5,0001000 AGGREGATE $5 00O 000 EXCESS LIAB CLAIMS -MADE DIED k RETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOWPARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUDED? � (Mandatory in NH) N/A X _ UB3944T110 8/01/2017 08/01/201 X PER OTH- E.L. EACH ACCIDENT $1 O0O O00 — $1,000,000 E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT ---- $1,000,000 C Professional _ _ DPR9916550 8/01/2017 08101/2018 $2,000,000 per claim Liability $3,000,000 anni aggr. Claims Made DESCRIPTION OF OPERATIONS I 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 (2014/01) 1 of 2 #S21226559/M21224146 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RBJZP SAGITTA 25.3 (2014/01) 2 of 2 #S21226559/M21224146