HomeMy WebLinkAboutHYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE 2020-2021 (8)A�� o� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODlYYYY)
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THI5 CERTIFICA7E 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THfS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXiEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. iHIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUIIVG INSURER(S), AU7HORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HQLDER.
IMPORTANT: If the certificate holder is an ADDIT{ONAL INSURED, the policy(iea) muat have AUQI710NAL INSUFiED provisions or be eedorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the palicy, aertain policies may require an endoraement. A statement on
thia r.ertHicate daes not confe: rights to the certifieate halder in lieu ot such endoraement(s).
pRpDI1LEA NAME: Dana S�9wBR, CIC, CISR
Fload and Peterson PHONE (970) 266'7i49 (970) 506-6845
A!C Na :
PO BOx 578 wnnoccc. �SIAWeA�}IOOdpBlBT50n.COY11
INSURER AFFQR�IN6 COYERA(iE NAIC t
Greeley CO 80632 ������q p; Phaenix Insurance Company 25623
INSUREO IHSl1REF B; GhaABf Qek FIfB If1S11f811CB COrtI¢BfIY 25615
Hydro Conslruction Company Inc. iNsuReR C: Travelers Properly Casuapy Company of America 25674
77 NW Frontage Road 1NSURER 4: R���aC01 ASSUf3�C@ 41190
INSURER E :
Fort COIIInS CO 80524 �;NSUr.[R F:
COVERAGES � CERTIFICATE NUMB�R: GUAUIWCIXS x4/21 REVESION NUMBER:
THIS iS TO CERTIFY THAT THE POLICIES bF INSURANCE IISTED BELOW HAVE BEEN 155UED TO 7H@ INSURED NAMED ABQVE FOR THE POLICY PERIQD
fNDICATED. NOTWITFiSTANDiNG ANY REaUIREMENT, TERM OA COIVDITION OF ANY GONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUE� OA MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBE� HEREIN IS SU&fECT TO ALL THE TERMS,
EXCLUSIQNS AND CONDITIpNS OF SUCH PO�ICIES. LIMITS SHOWN MAY HAVE BEEN RE�UCED BY PAID CLAIMS.
L7p TYPE OF INSURANCE �N POLICY NUMBER MNVDDIYYYY MMIQ�fYY LIMITS
COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $
GlA1M$-MAUE � OGCUR PREMISES Eaoccurrence S
A
GEN'LAGGFiEGATE LIMII' APPLIES PER:
POLICY � �E a � LOC
OiH�R:
AUTOMOBILE LIABILITY
x ANY AUTO
B OWNED SCHEOULED
AUTOS ONLY AUTOS
HIRED X NON-OWNEO
Al1TOS ONLY AUTO5 OMLY
DT-CO-BG990899-PHX-20
810-91.1 Q&491-20-26-G
GUP-2J40080A-20-26
2091550
D4l01/2020 I 04/01/2021
BOUILY INJURY �Per pereon)
0410112Q20 04I0112021 BODILY INJURY �Per acddent�
04101l2D20 I p41p112021
MEo ExP �nny a,e pe�sa,)
PERSONAL 6 ADV INJURY
GENEFtAL AGGREGATE
PR06UCT5-COMPIOPAGG
UMBRELLA LIAB
C EXCESS LIAB
OEU � RETENTION
WORKERS COMPENSATION
ANO EMPLOYERS' LIABILITY
ANY PROPRIETORlPARTNEp/E
� C1FFI!".FA1�IFRARKFI KY('1 ! IY1Fh
OCCUR
CLAIMS�MA�E
10,000
Y!N
� N1A
EJ4CH OCCURRENCE
04l0112020 � 041p1I2021 � E.L. EACH ACCIDENT
DESCRfPTION OF OPERATIONS! IOCATIONSI4EHICLES {ACORU 101, AEEIlionel Remarks Sehedule, may he attacheE II moro spece Is roqulmE)
RE: #pWRF - Carbon Addition Phase 1
li-WRF-2020-2
Cehilicate holder is included as Addilional Insured as required 6y written cantract with respects to iiab9lity arising oul of work performed by the named
insured.
1.000,000
3aQ,Q�O
10.000
1,OOp,OpD
2,000,000
2,000,000
S
g 1,000,000
$
3
S
S
$ 10,000,000
c 10,000,000
1,000,000
1,000,000
1,0OO,OdO
Cily of Fort Collins
30U Laporte Ave
CO 80522
SHOULQ ANY QF THE A90VE DESGAIBEp PqLICtES BE CANCELLED BEFOAE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREU IN
ACCORDANCE WRH THE POLICY PROVISIONS.
:� !�r'�'fTi
Fort Collins
ACORD 25 (201fi103)
Al1THORIiEU REPRESENTATIYE
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The ACORD name and loga are regiai9red marks oi ACORU