HomeMy WebLinkAboutALLIED POWER SERVICES INC - INSURANCE CERTIFICATE (7)A ROB CERTIFICATE OF LIABILITY INSURANCE
DAT 05/07/D/YYYY)
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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 endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
CONTACT
NAME: CLIENT CONTACT CENTER
A CNNo Ext : 888-333-4949 (A/c No): 507-446-4664
E-MAIL
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 280-750-1
INSURER B: FEDERATED SERVICE INSURANCE COMPANY
28304
ALLIED POWER SERVICES INC
INSURER C:
PO BOX 3707
INSURER D:
ENGLEWOOD, CO 80155-3707
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 6 REVISION NUMBER: 0
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
DDL
INSR
SUER
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
BUSINESS OWNER'S LIABILITY
N
N
9290369
07/01/2017
07/01/2018
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$100,000
X
MED EXP (Any one person)
GEN'L
�OTHER:
PERSONAL & ADV INJURY
$1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY ElPECOT- LOC
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGG
$2,000,000
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED AUTOS ONLY CHEDULED
ASuros
HIRED AUTOS ONLY NON -OWNED
AUTOS ONLY
N
N
9290370
07/01/2017
07/01l2018
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
9160227
07/01/2017
07/01/2018
EACH OCCURRENCE
$4,000,000
AGGREGATE
$4,000,000
DED I RETENTION
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y f N
ANY PROPRIETOR/PARTNER/EXECUTIVE E
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
N
9290371
07/01/2017
07/01/2018
X
PER STATUTE
OTH-
ER
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
$500,000
E.L DISEASE - POLICY LIMIT
$500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATEHOLDER IS AN ADDITIONAL INSURED FOR
BUSINESSOWNERS LIABILITY.
CERTIFICATE HOLDER CANCELLATION
280-750-1
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
60
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) 19RR-2015 ACORD CORPORATION All riahts reservefi
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD