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HomeMy WebLinkAbout127942 XCEL ENERGY - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/05/2017 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 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 NAME: Matt Christensen or Dawn Heinemann Hays Companies PHONE FAX rnrr ra,, c '. 612-333-3323 rerr u.a. 612-373-7270 80 South 8th Street ADDRESS: aneinemanneiiinayscompanles.com Suite 700 INSURER(S) AFFORDING COVERAGE NAIC# Minneapolis, MN 55402 INSURER A: OLD REPUBLIC INS CO 24147 INSURED INSURER B Xcel Energy, Inc. Northern State Power Company; Public Service Company of CO INSURERC: and Southwestern Public Service Co. INSURERD: 414 Nicollet Mall 4th Floor INSURER E: Minneapolis, MN 55401 INSURER F: COVERAGES CERTIFICATE NUMBER: 51082910 REVISION Nl1MBFR- 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 POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYY LIMITS A X COMMERCIAL GENERAL LIABILITY X MWZY59347 11/01/17 11/01/18 EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE � OCCUR DAMAGERENTED PREMISESS(Ea occurrence $ 3,000,000 X MED EXP (Any one person) $ 10,000 Subject to 2MM SIR PERSONAL & ADV INJURY $ 3,000,000 GENE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ N/A X POLICY ❑ PRO JECT ❑ LOC PRODUCTS - COMP/OPAGG $ 3,000,000 $ OTHER: A AUTOMOBILELIABIL11 Y MWTB21406 11/01/17 11/01/18 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 _ X BODILY INJURY (Per person) ANY AUTO $ OWNED SCHEDULED AUTOS ONLY AUTOS $ BODILY INJURY (Per accident) X PROPERTY DAMAGE Per accident HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY _ $ - _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N /A MWC11718806 11/01/17 11/01/18 X PER STATUTE EERH E.L. EACH ACCIDENT - $ 2,000,000 - $ 2,000,000 E.L. DISEASE - EA EMPLOYEE If yes, describe under DYSCRIPTiON OF OPERATIONS below $ 2, 000, 000 E.L. DISEASE - POLICY LIMIT 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. CERTIFICATE HOLDER CANCELLATION 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 (2016/03) ddebuhr �nonoin © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD