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HomeMy WebLinkAbout462200 NEI ELECTRIC POWER ENGINEERING INC - INSURANCE CERTIFICATE (10)Client#: 1082895 NEIELE DATE (MMIDD/YYYY) ACORD- CERTIFICATE OF LIABILITY INSURANCE 8/02/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: USI Colorado, LLC Prof Liab a/co"t o Ext , 800 873-8500 FAX No L -� P.O. Box 7050 E-MAIL ADDRESS: Englewood, CO 80155 INSURER(S) AFFORDING COVERAGE NAIC # 800 873-8500 25666 INSURER A: Travelers indemnity Co of America INSURED NEI Electric Power Engineering, Inc. P.O. Box 1265 Arvada, CO 80001 INSURER B : Travelers Indemnity Company 25658 INSURER C • XL Specialty Insurance Company 37885 INSURER D : Travelers Property Cas. Co. of America 25674 INSURER E : rnVFRA(]FC rFRTIFIr:ATF NI IMRFR• RFVISI()N 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. LTR LTR OF INSURANCE ADDTYPE INSR INSR WVD W D POLICY NUMBER MM/DDNYYY (_. MM/DDNYYP LIMITS A X _ COMMERCIAL GENERAL LIABILITY X X _ 680OH618833 8/01 /2018 08/01/2019 EACH OCCURRENCE $1 000 000 CLAIMS -MADE — OCCUR PREMISESOEaoccurr nce $1 OOO OOO MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I 1-I JECOT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: D AUTOMOBILE LIABILITY X X BA6AO74486 8/01 /2018 08/01 /201 (CEO,acc d. SINGLE LIMIT 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ _ xX OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X NON -OWNED AUTOS ONLY PROPERTY DAMAGE Per accident $ $ 8/01 /2018 08/01/2019 B X UMBRELLA LIAB X OCCUR X X CUP6A592136 EACH OCCURRENCE s5,000,000 AGGREGATE s5,000,000 EXCESS LIAB CLAIMS -MADE DED I k RETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? 17N (Mandatory in NH) N / A X UB8K111103 8/01/2018 08/01/201 X PERSTATUTE OTH- ER E.L. EACH ACCIDENT $1 000 000 - E.L. DISEASE - EA EMPLOYEEI $1 000 000 E.L. DISEASE, POLICY LIMIT 1 $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below _ _ _ _ DPR9929556 C Professional X 8/01/2018 08/01/2019 $2,000,000 per claim Liability $3,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S23632033/M23631629 SKUZP 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 (2016/03) 2 of 2 #S23632033/M23631629