HomeMy WebLinkAboutHYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE 2020-2021 (5)A►�� o� CERTIFICATE OF LIABILITY INSURANCE �ATE(MMJpWYYYY)
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THIS CERTIFICATE IS 15SUED AS A MATTER OF INFORMATION ONLY AN� CONFERS NO RIGHTS UPON ikE CERTIFICATE HOLDER. 7HI5
CERTIFICATE DdES NOT AFFIRMAiIYELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFdRdEO BY TFiE POLICIES
BELOW. THIS CERTIFICATE QF INSURANCE DOES NOT CBNSTITUTE A CONTRACT BETWEEIJ THE ISSUING INSUFIER(5), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If kha eertificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions ar ba endorsed.
If SUBROGATION IS WAIVED, subject to the terma and conditiona of the policy, cerlain policies may require an endoreement. A statement on
this certificate doea not sonfer rights io the certificate holder in Eieu oi such endorsement{s).
pAO�UCER NAME: Def18 S[6Wert, CIC, CISR
Flopd and Pelerson PHONE (970) 2FiG-7149 FA� No :(970) 5UFi-6845
PO Box 578 en�neecc• DStewart��lo0dpelBrSon.cpm
Greeley
tNSURED
Hydro Construction Company Inc.
77 NW Fronlage Road
CO 80832 iNsuRER a: Phoenix Insurance Company 25823
�NsuAeR s: Charter Oak Fire Insurance Company 25615
iNsuAeR c: Travelers Property Casualry Company of America 25674
,..e,,.,�., „. Pinnacol Assurance 41190
Fort Collins CQ 80524 I INSUREH F:
COVERAGES CERTIFICATE NUMBER: GUAUIWCIXS x4121 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED SELOW HAVE BEEM ISSIIED TO THE INSURED MAMED ABOVE FOR THE POLICY PERIOC
INOICATEO. NOTWI�FiSTANQING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMEIVT WITH RESPECTTO WHICH TFiIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 6Y THE POLiCIES DESCRIBED HEREIlV IS SUB.IECT TO ALL THE TERMS,
EXCLU510NS AND CONpITIONS OF SUCH POkICIES. I.IMl7S SHQWN MAY HAVE BE�N REDUCEO BY PAIp CI.AIMS.
�Tq TYP@ OF INSl1RANCE IN U WYO POUCY NUMBEH MMIGOA'YYY MMfOUlYY LIMITS
X COMMERCIAL GENEHAL LIABILITY EACH OCCi1RRENCE S
GLAIMS-MAOE � OCCUF PREMISES Ea oxurrence S
MED EXP one rson S
A DT-CO-BG990899-PHX-20 04I01/2020 04101l2021 p�q�NpL3p0YINJURY s
GEN'LAGGREGATE LIMITAPPUES PEF: GENERRLAGGREGATE S
POLICY � EC � ��
PRODUCi5 � COIriPlOPAGG S
AUTOM061LE lIABILITY
x ANY AUTO
� OWNED SCHE�ULED
AUTOS ONLY AL1T05
x HIRED NON-0WNEU
AUFOS ONLY AUTOS OiJLY
UMBRELLA LlAB p�GUR
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oEo X pE7ENT[ON S 10��
WOAKERS COMPENSATION
ANO @MPLOYERS' LIABILITY Y! N
ANY PROPRIETORlPARTNERlEXECUT{VE ❑
� OFFICERlMEMBEREXCLUOED7 Y N!A
(MendMory In NH)
II ves. describe urWer
S
COMBlNE� SINGLE LIMIT $
Ea accident
9p614YINJUF�Y�PerpeBon) S
$10-9L108491•20•26•G 04/01/2020 04l4112021 BODILYINJItRY{Peraccitlem) S
PROPERN DAMAGE $
Peracddem
$
EAGH OGCl1RRENCE 3
CUP•2J40080A-20•26
2091550
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44I01/2020 � 04101l2021 ���L. EnGH ACCIDENT I S 1
OESCRIPTION OF OPERA710NS! LOCA710N8! YEHiCLES (ACORD 101, AddiNonei Remaks &haduis, mpy bs anachad it mvra spacs is requirad�
Re: 18-01-497 DWFtF- Dewatering Project Demolition
H-W RF- 2D18-01
Certificate holder is incWded as Additional Insured as required by wrinen cantract wilh respects to liabiliry arising oul oi wark performed by the namad
insured.
Fort Collins
ACORD 25 (2a16l03)
Ciry of ForE Cvllins
300 Laporte A�e
CO 80522
5HOULD ANY OF THE A90VE �ESCRIBED POLlC1ES BE CANCELLED BEFORE
THE EXPIRATION QATE THEREOF, NOTICE WILL BE DELIYERED IN
ACCORDANCE WITH THE POLICY PROYISIONS.
AUTFSORIZEp REpRESENTpT1YE
�'�7 ��f ��
� 1988-2015 ACORD CORPORATION. All rights reaerved.
The ACORU name and lago are registered marka of ACORD