HomeMy WebLinkAboutHYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE 2020-2021 (4)� � DATE �MRYDWYYYYj
A`OR� CERTlFICATE QF LIABILITY INSURANCE
U3l2Ql2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COIVFERS NO RIGHTS UPON THE CERT�FICATE HQLDER. THIS
CERTIFiCATE DOES NOT AFFfRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGH AFFQRDED BY THE POLICIES
BELOW. THIS CERTIF[CATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN iHE ISSUING INSURER(S), Al1THORiZEp
REPRESENTATIYE OR PROQUCER, AND THE CERTIFICA7E HOLD�H.
IMPORTANT: ii the certificata halder ia an ADDItI0NA1 INSURED, the policy(ies� must have AQQITIONAL INSURED provisiona or be endaraed.
If 5UBRQGATION IS WAIVED, subject to ihe terms and condiiiona af ihe polioy, cerlain pqliaies may require an endorsement. A statement on
this certiiicaie daes not confer rights to ihe certiftcate holder in lieu of such endorsement(s).
PROOUCER NAME: nand StBwaR, CIC, CISR
Flaod and Peterson PHONE (970) 2S6'7149 (970) 506-6845
AfC Ho :
PQ Box 57B nooRess: DStewartQlloodpeterson.com
IN$URER S AFFORDINO COVENA(�E NAIC f
Greeley CQ 80632 iNSUAeRa: PhoenixlnsuranceComparry 25623
IN8l1FED inguRER B; Charter Qak Fire Insurance Company 25615
Hydro Construction Company Inc. insuReA c; Tra�elers Property Casualty Company of America 25674
77 NW Fronlage Fload iNsuReR o:��nnacol Assura�ce 4119p
INSURER E :
Fort Collins CO 80524 I INSURER F:
COVERAGES CEfiTIFICATE NUMBER: GUAUNUC/XS x4121 REVlSION NUNIBER:
THIS IS TO CERTIFY THAT TWE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSl1ED TO THE INSURED NAME� ABOVE FOR THE POLICY PER100
IiV�ICATE6. NONIITHSTANDIlVG ANY REOUIREMENT, TERM OR CON�ITIdN OF ANY CONTRACT OR OTHEA DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED dR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE� NEREIM IS SUB.IECT TO ALL THE TERMS,
EXCLU510NS AND CpN�ITIOiVS OF SUCH POLICIES. LIMITS SHDWN MAY HAVf BEEN RE�UCED BY PAID CLAIMS.
�Tp TYPE OF INSURANCE � P6LICY NIIMBER MRVDDlYYYY MMIDDIYYYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
GLAIMS�MADE � OGCUR PREMi5E5 Eaouairtence 5
A
DT-CO-8G990899-PHX-20
�Eo ExP a,a
04I0112020 04l01/2021 pgRSONn�BADV
. AGGREGATE LIMI'f APPLIES PER:
POUCY � �E� � LOG
Al1TOMOBILE LIABILITY
x ANYAUTO
B OWMED SCHEDl1LE�
AUTOS DNLY AUTOS
X H1RH6 x NON-OWNED
AUTOS ONLY AUTOS ONLY
IIMBRELLA LIAB OCCUR
C E%CESS LIAB CLAIMS�MAOE
DED X RETENTION S ����
WOAKEAS COMPENSATION
AND EMPLOYERS' LIABILITY Y! N
ANYPROPAIETOFUPAFITNEFVEXECU7WE ❑
� OFFICERlMEMBER EXGLUAEU4 Y n r n
OF OPERATIONS below
COMPIOP AGG
81D-9L108491-2b-28-G
CUP-2J40080A-20-26
2D91550
BD�ILY {NJURY (Per person]
04101I2020 04/0112021 BODILY INJUFY (Peraeddent►
EACH OCCURRENCS
oaroir2o2o oaroirzo2� AGGAEGATE
1,00O,OOD
300,000
10,U00
1 �ODQ�000
2,OOQ,000
2,OOQ,ODO
$
S 1.��.�0
a
a
S
$
$ 10.00Q�000
� � o.000.oao
04/0112O2D 04/O1J2O21 E.L EACHACCIDENT 5 1����
E.L.OISEASE�EAEMPLOYEE S �'����
E.L. DISEASE POLI[:Y � MIT S������
DESCRIPTION OF OPERATION51 LOCA71pN5! VEHICLES (ACORD 701, Atlditlonpl Remarks Schedule, may bs sttached II moro spep is requiretl}
Project:1t17-01-459 - 2017 QWRF Digester MCC Room HVAC Improvements - H-WRF-2D17-16
Certificate holdar is included as Additional Insured as required by written coniract with respects to liability arising out of worlc performed by the named
insured.
City of Fort Copins
300 Laparte Ave
ca soszz
SHOUL� ANY OF THE ABOVE �ESCRIBE� POLICI@S BE CANCELLEU BEFURE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIYEREO IN
ACCORDANCE WITH TfiE POLICY PROVISIONS.
�!�1 �1r�+�rT,
Fort Collins
Al1THOR12ED HEPAESENTATI4E
� 1988-2015 ACORD CORPORATION. AIE rights resarved.
ACORD 25 (2d16103) The ACORD name and logo ara regiatered marks of ACOR�