HomeMy WebLinkAbout971792.tiffForm B (Additional Insured)
If this Certificate is no longer required
please return it to:
L. Kristi Looney
Marsh & McLennan, Inc.
1000 Louisiana, Suite 4000
Houston, Texas 77002
is furnished to the Certificate Holder named below as a matter of information only.
Neither this Certificate nor the issuance hereof modifies the policy of insurance identified below (the
"Policy") in any matter. The Policy terms are solely as stated in the Policy or in any endorsement thereto.
Any amendment, change or extension of the Policy can only be effected by a specific endorsement issued
by the Company and attached to the Policy.
Certificate Number: 56552
& GAS INSURANCE SERVICES LIMITED
Hamilton, Bermuda
THIS CERTIFICATE SUPERSEDES ANY
:ATE OF INSURANCE CERTIFICATE PREVIOUSLY ISSUED
(Excess Liability)
The undersigned hereby certifies that the Policy has been issued by Associated Electric & Gas Insurance
Services Limited (the "Company") to the Named Insured identified below for the coverage described and for
the policy period specified.
Notwithstanding any requirements, terms or conditions of any contract or other document with respect to
which this Certificate may be issued or to which it may pertain, the insurance afforded by the Policy is
subject to all of the terms of the Policy.
NAME OF INSURED: Duke Energy Corporation including PanEnergy Field Services, Inc.
PRINCIPAL ADDRESS: 422 South Church Street, Charlotte, N.C. 28242-0001
POLICY
NUMBER: X0172A1A97
RETROACTIVE DATE: 04/01/86
POLICY From: 07/01/97
PERIOD: To: 07/01/2000
DESCRIPTION Claims -First -Made Excess Liability Policy covering claims for Bodily Incdry, Property
OF COVERAGE: Damage and Personal Injury arising from the operations described below.
LIMIT OF
LIABILITY:
ADDITIONAL
INSURED:
$ 1,000,000 per occurrence and in the aggregate, where applicable.
The Certificate Holder is an additional insured under the Policy but only (i) to such
extent and for such Limits of Liability (subject always to the terms and Limits of
Liability of the Policy) as the Named Insured has agreed to provide insurance for
the Certificate Holder under the following contract:
and (ii) with respects to the following operations:
Should the Policy be cancelled, assigned or changed in a manner that is materially adverse to the Insured(s)
under the Policy, the undersigned will endeavor to give 10 days advance written notice thereof to the
Certificate Holder, but failure to give such notice will impose no obligation or liability of any kind upon the
Company, the undersigned or any agent or representative of either.
DATE: 06/30/97
ISSUED TO:
ADDRESS:
Weld County, Colorado
c/o The Board of County Commissioners
of the County of Weld
915 Tenth Street
Greely, CO 80631
BY:
("Certificate Holder")
AEGIS INSURANCE SERVICES, INC.
At Jersey City, Ni
971792
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