HomeMy Public PortalAboutCert of InsuranceForm B (Additional Insured)
Certificate Number: No. 58462
ASSOCIATED ELECTRIC & GAS INSURANCE SERVICES LIMITED
Hamilton, Bermuda
CERTIFICATE OF INSURANCE
(Excess Liability)
This Certificate 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 manner. 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.
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: Idaho Power
Company
PRINCIPAL ADDRESS: PO Box 70, Boise ID 83707-0070
POLICY POLICY From: 07/15/97
NUMBER: X0167A1A97 PERIOD: To: 07/15/00
RETROACTIVE DATE: 07/15/86
DESCRIPTION Claims -First -Made Excess Liability Policy covering claims for Bodily Injury, Property
OF COVERAGE: Damage and Personal Injury arising from the operations described below.
LIMIT OF
LIABILITY: $ 1,000,000 per occurrence and in the aggregate, where applicable
ADDITIONAL The Certificate Holder is an additional Insured under the Policy but only (i) to such
INSURED: 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:
Regarding franchise agreement between City of McCall and Idaho Power
Company
and (ii) with respect to the following operations:
All operations performed by Idaho Power Company
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 30 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:
ISSUED TO:
ADDRESS:
October 22, 1997
City of McCall
Attn: City Clerk
216 East Park Street
McCall, Idaho 83638
This contract is issued pursuant to the Idaho Insurance
Laws by an insurer neither licensed by nor under the
jurisdiction of the Idaho Department of Insurance.
License No. 18460.
("Certificate Holder")
AEGIS INSURANCE SERVICES, INC.
At Jersey City, New Jersey
9002 (8/87)