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HomeMy WebLinkAboutHydro Construction - Insurance Certificate 2020 DATE(MWDDIYYYY) ACORL7® CERTIFICATE OF LIABILITY INSURANCE llla�-- 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266-7149 FAX (970)506-6845 A/C No); PO Box 578 11 ADDRESS: DStewartdfloodpeterson.com INSURERS AFFORDING COVERAGE NAIC a Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E Fort Co fins CO 80524 INSURER F COVERAGES CERTIFICATE NUMBER: GUAU/WC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDD/YY YY MWDD/YY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCC'_R PREMISES Eaoccunence $ 300'000 ME EXP oneperson) S 10,000 A DT-CO-BG990899-PHX-20 04/01%2020 04/01/2021 PERSONAL&ADV INJURY S 1,000.000 GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2'000'000 POLICY ©JECT LOG PRODUCTS-COMP/OPAGG S 2'000'000 OTHER' $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1 000 000 Eaacddem ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 810.91-108491-20-26-13 04/01/2020 04/01/2021 BODILY INJURY(Per acddenl) S AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 10,000,000 C EXCESS LIAB CLAIMS-MADE CUP-2J4008OA-20.26 04/01/2020 04/01/2021 AGGREGATE y 10,000,000 DED I X RETENTION S 10'000 S WORKERS COMPENSATION PER STATUTE ERH AND EMPLOYERS'UABIUTY YIN 1 BOOBOO D ANY PROPRIETOR/PARTNEFVEXECUTIVE a NIA 2091550 04/01/2020 04/01/2021 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $ II yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACOAD 101,Additional Remarks Schodu le,mey be attached It mare apace is required) RE:18-01.548,FCWTF T4 FLOC COATING City of Fort Collins is included as Additional Insured on the General,Automobile,and Umbrella Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 �� O 1988-2015 ACORD CORPORATION. Ail rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC[?RLJa DATE(MMIDOJYYYY) A,. CERTIFICATE OF LIABILITY INSURANCE 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dana Stewart,CIC,GISH Flood and Peterson PHONE (970)266-7149 CNo (970)506.6845 A( PO Box 578 ADDRESS: DStewarl0floodpeterson.com INSURERS AFFORDING COVERAGE NAIC a Greeley CO 80632 INSURERA: Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GLIAUIWC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE iam WVDPOLICYNUMBER MMIDD/YYYY) (MWI)DfYYYYJ LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE ®OCCUR PREMISES Ea occurrence S 300,000 MED EXP[Any oneperson) S 10,000 A DT-CO.8G990899-PHX20 04/0112020 04/01/2021 PERSONAL aADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ®JECT ❑LOC PRODUCTS-COMPIOP AGO $ 2'0 '000 OTHER: $ AUTOMOBILE LIABILITY CEOMBINED a soc+denlSINGLE LIMIT S 1,000,000 ANY AUTO BODILY INJURY,Per person) $ B OWNED SCHEDULEO 810-91-108491-20-26-G 04/01/2020 04/01/2021 BODILY IN.IuRY Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S X AUTOS ONLY AUTOS ONLY Per accident 11 $ UMBRELLA LIAR OCCUR EACH OCCL RRENCE S 10 000,000 C EXCESS LIAB CLAIMS MADE CUP-2J4008OA-20.26 04101/2020 04/01/2021 AGGREGATE S 10,000,000 DED I RETENTION S 10,000 $ WORKERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 1'000'000 D OFFICEFUM£MBEREXCLUDED? NIA 2091550 04/01/2020 04/01l2021 (Mandatory in NH) E.L DISEASE-EA EMPLOYEE S 1�'� If Yes.describe Under 1,000,000 DESCRIPTION OF OPERATIONS below E.L O:SEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remark$Schedule,may be attached if more apace is required) RE:17-01-478 WTF WTF Replacement Project-High Service Pump Station Electrical Construction-Owner's Project aSCP-WTF-HSPSCONST-091917 City of Fort Collins is included as Additional Insured on the General,Automobile,and Umbrella Liability Policies it required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521.1945 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC l " CERTIFICATE OF LIABILITY INSURANCE DATE{NMIDD/YYVY} 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NONE: Dana Stewart,CIC,GISH Flood and Paterson PHONE (970)266.7149 A!C No: (970)506-6845 PO Box 578 ADDRESS: OStewart®floodpeterson.com INSURERS AFFORDING COVERAGE NAIC Greeley CO 80632 INSURERA: Phoenix Insurance Company 25623 INSURED INSURER B, Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C, Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GL/AU/WC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTA TYPE OF INSURANCE POLICY NUMBER MWDDIYY MM10DIYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAME;l()HENTEE) 1,000,000 CLAIMS MACE ®OCCUR PREMISE Ea occurrence $ 3DO'ODO MED EXP oneperson) $ 10.000 A DT-CO-8G990899-PHX-20 0,4/01/2020 04/01/2021 PERSONAL aADVINJURY S 1,0W,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 POLICY ©PECT EILOC PRODUCTS-COMPIOPAGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea acdderx ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 810.9L108491-20-26-G 04/01/2020 04/01/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE S 10,000,000 C EXCESS LIAB CLAIMS-MADE CUP-2J4008OA-20-26 04/01/2020 04/01/2021 AGGREGATE S IG.000,000 DEO X RETENTIONS 10,000 S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER 1,000,000 D ANY PROPRIETORlPARTNEWEXECUTIVE NIA 2091550 04/01/2020 04/Ol/2021 E.L EACH ACCIDENT $ OFFICERrMEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE EAEMPLOYEE $ 1,000,000 It yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) RE:18-01-489 SOP-WTF-HydroHSPSLP-LVT WTF Replacement—HSPS Lighting Panels and Transformer City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AL ® DATE( YYYY) �+ CERTIFICATE OF LIABILITY INSURANCE 03/20120/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266.7149 (A/CFAX Not, (970)506-6845 PO Box 578 ADDRESS: DStewart0floodpeterson.com INSURERS AFFORNNOCOVERAGE NAIC e Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GL/AU/WC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTA TYPE OF INSURANCE IwVOPOLICY NUMBER MWIODNYY MWDOR'YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000,000 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $ 300'000 MED EXP(Any oneperson) $ 10,000 A Y DT-130-8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL aADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY PRO- 2.000,000 ®JECT LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT g 1,000,000 Ee accldenl ANY AUTO BODILY INJURY(Per person, S B OWNED SCHEDULED Y 810.9L108491-20.26-G 04/01/2020 04/01/2021 BODLYIN.It.RY(Per w6dent) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPEFIIY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident f UMBRELLA LIAR OCCUR EACH OCCURRENCE S 10,000,000 C EXCESS LIAB CLAIMS-MADE Y CUP-2J4W80A-20-26 04/01/2020 04/01/2021 AGGREGATE $ 10.000,000 DED IX RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORfPARTNEFVEXECUTIVE E.L.EACH ACCIDENT S I' 00'wo D OFFICER/MEMBEREXCLUDED? NIA 2091550 04l01/2020 O4/01/2021 � 000 (Mandatory In NH) E.L.DISEASE-EA EMPL--YEE S 1'0�' II yea,descdbe under 1.000.000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached it more space is required) RE:18-01-522 Project#:WTFHydmSS050218 WT Maintenance Services City of Fort Collins is included as Additional Insured on the General,Automobile,and Umbrella Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 60521 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACOR" CERTIFICATE OF LIABILITY INSURANCE I DATE(MMroLYYYYY) 1� r 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266-7149 (970)506-6845 A1C No PO Box 578 ADDRESS: DStewart®floodpeterson.com INSURERS AFFORDING COVERAGE NAIC a Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GL/AU/WC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTA TYPE OF INSURANCE IbL$k_raPOLICY NUMBER MM/DD1YY MWDDNY") LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0()0 DAMAGE TO RENTEIT_ CLAIMS-MACE ®OCCUR PREMISES JEa occurrence S 300,000 MEO EXP oneperson) $ 10,000 A Y DT-CO.8G9%899-PHX-20 04/01/2020 04/01/2021 PERSONAL BAOVINJURY $ 1,000.D00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000.000 POUCY PRO- 2,000,000 JECT 71 LOC PRODUCTS-COMPJOPAGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y 810.9L108491-20.26-G 04/01/2020 04/01/2021 BODILY INJURY(Per accWenl) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per t S UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 10,000,DDO C EXCESS LIAB CLAIMS-MADE Y CUP-2J4008OA-20.26 04/01/2020 04/011,2021 AGGREGATE S 10,000,D00 DEC RETENTION$ 10,000 S WORKERS COMPENSATION PER OTN- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER D ANY PROPRI RJPARTNEFVEXECUTIVE a NIA 2091550 04t01/2020 04JOV2021 EL F1�CHACCIDENT $ 1,000,000 OFFICER/MEMBMB ER EXCLUDED? 11,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space,s required) RE:WTF Microhydro Construction(SCP-WTF-MHConst-072318) City of Fort Collins is included as Additional Insured on the General,Automobile,and Umbrella Liability Policies if required by written Contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood St AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 0 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD A�® DATE(MM/2020 Y) CERTIFICATE OF LIABILITY INSURANCE 03/20/202D THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(a). PRODUCER CONT NAME:CT Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266.7149 FAX (970)506£845 IMP No.Extl: A/C No): PO Box 578 E-MAIL s: D Stewart 0floodpoterson.com INSURERS AFFORDING COVERAGE NAIC i Greeley CO 80632 INSURERA: Phoenix insurance Company 25623 INSURED INSURER a: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GUAU/WC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER MDDIYY MWDDIYY LIMITS MI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS•MAOF ®OCCUR PREMISES Eaoccurrerace $ 300,000 ME EXP onePerson) S 10,000 A DT-CO-8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY ECT PRO- FLOG PAODVCTS•COMPAOP AGG S 2,000,000 OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S j 000 000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 810-91-108491-20.26-G 04/01/2020 04/01/2021 BODILY INn IRY(Par accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY CAMAGE S AUTOS ONLY AUTOS ONLY Per acddenl S X UMBRELLA LIAB OCCUR EACH OCCI IRRENCE $ I0,000,000 C EXCESS LIAB CLAIMS•MAOE CUP-2J4008OA-20.26 04/01/2020 04/01/2021 AGGREGATE S 10,000,000 CEO I RETENTION S 10,000 $ WORKERS COMPENSATION ><PER OTH AND EMPLOYERS'LIABILITY v/N STATUTE ER D ANY PROPRI ARTNEFVEXECUTWE N f A 2091550 04/Ot/2020 04lOtl2021 E.L.EACH ACCIDENT $ 1,000,000 OFFICERlMEMBER MBER EXCLUDED? 11,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ II yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is requkred) RE:18-01-506 WTF Pleasant Valley Presedimentation Basin Repair City of Fort Collins is included as Additional Insured on the General,Automobile,and Umbrella Liability Policies it required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521.1945 0 1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD �1 DATE(MWOO/YYYV) ACORV CERTIFICATE OF LIABILITY INSURANCE 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). OONIAC PRODUCER NAME: Dana Stewart,CIC,C1SR PHONE (970)266.7149 A No: (970)506-6845 Flood and Peterson PO Box 578 ADDRESS: DStewarlQfloodpeterson.com INSURERS AFFORDING COVERAGE NAIC► CO 80632 Phoenix Insurance Company 25623 Greeley INSURER A INSURED INSURER B Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER c Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D Pinnacol Assurance 41190 INSURER E Fort Collins CO 80524 INSURER F GUAU/WC/XS x4l21 REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AU I POLICY NUMBER MMfOONYYY MMlDDJYYYY LIMITS LTR TYPE OF INSURANCE D 1,000,000 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S , CLAIMS MADE ®OCCUR PREMISE Ea rence $ 300,000 MEO EXP An one erson $ 10,000 DT-CO.8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL 8 ADV INJURY S 1,000,000 A 21000,000 GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 PRO- PRODUCTS-COMPIOP AGG $ POLICY ® LIx JECT $ OTHER: COMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY Ea acc4dem BODILY INJURY(Per person) $ ANY AUTO B OWNED SCHEDULED 810.9L108491.20.26-G 04/01/2020 04/01/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON-OWNED Per accident AUTOS ONLY AUTOS ONLY $ EACH OCCURRENCE S 10,000,000 X UMBRELLA LIAe OCCUR CUP-2.l40080A-20.26 04/01/2020 04/0112021 AGGREGATE $ 10.000,000 C EXCESS LIAR CLAIMS-MADE $ DED X RETENTION S 10,000 PE OTH- WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT S 1,000,000 D ANY PROPRIETORIPARTNERlEXECUTIVE a NIA 2091550 04/01/2020 04/0112021 1000000 OFFICERlMEMBER EXCLUDEDI E.L DISEASE-EA EMPLOYEE S (Mandatory in NH) 1,000.000 If yes,describe under E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more specs is required) re:N17-01-465 Project k SCP-WTF-HTDB•080517 WTF Replacement Project—High Priority Horsetooth Dissipator Electrical Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Fort Collins Utilities 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 611988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD A��® DATE(MAVDDNYYY) COO CERTIFICATE OF LIABILITY INSURANCE 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endo►sement(a). PRODUCER NAME: Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266.7149 (970)506.6845 A(C No: PO Box 578 EMAIL s: OStewan®floodpeterson.com ADDRE INSURERS AFFORDING COVERAGE NAIC Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER e: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GL/AU/WC/XS 0121 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEI INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. VTR TYPE OF INSURANCE POLICY NUMBER PAWDDIYYYY MMIDD/YYPOLICY EFF POLICY x LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TOR NIED CLAIMS-MADE ®OCCUR PREMI E Ea occurrence S 300,000 MED EXP oneperson) S 10,000 A DT-CO-BG990899-PHX-20 04/01/2020 04/01/2021 PERSONAL dADVINJURY S 1'000'000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ®ECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: I S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 000 Ea accident ANY AUTO BODILY INJURY(Per person) $ g OWNED SCHEDULED 810-9Lt08491-20-26-G 04/01/2020 04/01/2021 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S H — i UMBRELLA LIAR OCCUR EACH OCCURRENCE S 10,000,000 C EXCESS LIAR 11 CLAIMS-MADE CUP-2J4008OA-20-26 04/01/2020 04/01/2021 AGGREGATE S 10,000,000 DIED I X RETENTION S 10'000 1 1 $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY v!N STATUTE I JER D ANYETOR+PARTNEPVExECUTIVE NIA 2091550 04/0112020 04/01/2021 E-L.EACH ACCIDENT $ 1,000,000 OFFICENMECEWMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE•FA EMPLOYEE S 1'000,(XX) II yes,descdbe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES(ACORD 101,Additional Remarks Sct»dule,may be attached if more space Is required) Project N 17-01-461,Owners project number SCP-WTF-HSPSPro-080717 WTF Replacement Project—High Service Pump Station Electrical Procurement Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Fort Collins Utilities ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ,ac'"RV CERTIFICATE OF LIABILITY INSURANCE r DATE(MMlDDrI'YVY) Ii`.� 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dane Stewart,CIC,CISH Flood and Peterson PHONE (970)266.7149 FAX No: (970)506.6845 PO Box 578 EMAIL s: DStewart®floodpeterson.com ADDRE INSURERS AFFORDING COVERAGE NAIC• Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B, Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER c: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pirinacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GUAUANC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT 08 OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE I POLICY NUMBER MWOONYYY MWODNY LIMITS COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE ®OCCVR PREMISE Ea r S '000 MED EXP(Any oneperson) S 10,000 A DT-CO.8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL&ADV IWURY S 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE S 2,000,000 JECT POLICY ® PRO ❑LOC PRODUCTS-COMP/OPAGG S 2,000.OW OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ R OWNED SCHEDULED 810-9U08491-20.26-G 04/01/2020 04/01/2021 BODILY INJURY i Per accident) S AUTOS ONLY AUTOS HIRED NON OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY IF.accldonl S UMBRELLA UAB OCCUR EACH OCCURAENCE S 10,000.000 C EXCESS LIAR CLAIMS MADE CUP-2J40080A-20-26 04/01/2020 04/01/2021 AGGREGATE S 10,000.000 DED I><RETENTION S 10,000 S WORKERS COMPENSATION PER OTH Y/N OrN AND EMPLOYERS'LIABILITY STATUTE ER D ANY PROPRIETOR ER/ExEDUTIVE a N/A 2091554 04l01/2020 04101/2021 E.L EACH ACC DENT $ 1,000.000 EXCL OFFICEPJMEMBER EXCLUDEDZ (MandMoryinNH) E.L DISEASE EAEMPLOYEE S 1,000,000 it yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE P:._ICY-IM T $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more apace is required) Project#17-01-464,Owners project number SCP-WTF-0O2.080517 WTF Replacement Project—High Priority CO2 Area Electrical Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out Of work performed by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Fort Collins Utilities ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACC) " CERTIFICATE OF LIABILITY INSURANCE FDATE(MWDgryYYY) �+- 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. It SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NUUNIALel AME: Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266-7149 1 A!C No): (970)506 6845 PO Box 578 A-MAIL : DStewariOffoodpeterson.com INSURERS AFFORDING COVERAGE NAIC e Greeley CO 80632 INSURERA: Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F COVERAGES CERTIFICATE NUMBER: GUAU/WC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPE OF INSURANCE INSO WVQ POLICY NUMBER MMJOO/YY MM(DDlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS MADE ®OCCUR DAMAGE TO RENTEIT_PREMISE Ea oocunence S 300`000 MED EXP one rson 5 10,000 A DT-CO.8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL&ADV INJURY S 1,000,000 GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- JEGT LOC PRODUCTS•COMP/OP AGG $ 2,000,000 POLICY OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea aotidenl ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 810.9L108491.20-26-G 04/01/2020 04/01/2021 BODILY INJURY Par accident S AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per PEAT ntac" S S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESSLIIAR CLAIMS-MADE CUP-2J4008OA-20-26 04/01/2020 04/01/2021 AGGREGATE $ 10,000,000 DED I X RETENTION S iD,000 $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY Y/N STATUTE Eft D ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A 2091550 EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ 04/01/2020 04/01/2021 (Mandatory in NH) If yes,de$Cdbe under E.L.DISEASE EAEMP40YEE $ 1 000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $ 1.000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remark$Schedule,may be attached it more apace Is required) Project k 17-01-468,Owners project number SCP-W7F-Mezz-080517 WTF Replacement Project—High Priority Mezzanine Room Electrical Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Fort Collins Utilities ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 O 19M2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ® DATE( MYY) A CERTIFICATE OF LIABILITY INSURANCE C3/2a20202D2D THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(iesJ must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dena Stewart,CIC,C7FI Flood and Peterson PHONE (970)266-7149 aC No: (970)506-6845 PO Sox 578 ADDRESS: DStewart®floodpelerson.com INSURERS AFFORDING COVERAGE NAIC S Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: i i COVERAGES CERTIFICATE NUMBER: GUAU/WC/XS x4/21 REVISION NUMBER: TH S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE INSD WV0 POLICY NUMBER MMIDDIYY MWOONYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 C.LAIMS-MADE ®OCCUR PREMISES £a occurre S 300,000 MED EXP one rsw S 10,000 A DT-CO-8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL b ADV INJURY S 1,000,000 GEN'LAGGREGATE LIMIT ArpLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY [g Ro �LOC PRODUCTS-COMPIOP AGG $ 2,000'� OTHER: S AUTOMOBILE LIABILITY CO EaMBINED"'de.) itlem SINGLE LIMIT S 1,000,000 a ANY AUTO BODILY INJURY(Per person) S B OWNED SCHEDULED 810.91_108491.21 04,01/2020 04/01/2021 BODILY INJURY(Per accdden0 S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident) S UMBRELLA LIAR X OCCUR _ACH OCCURRENCE S 10,000,000 C EXCESS LIAB CLAIMS-MADE CUP-2J4008OA-20-26 04101,2020 04/0V2021 AGGREGATE S 10,0001000 DED IX RETENTION$ 10,000 $ WORKERS COMPENSATION PER TH AND EMPLOYERS'LIABILITY YIN TAT TE ER ANY PROPRIETOR/PARTNERJEXECUTIVE E EACHACCIDENT $ 1,000,000 D OFFICERIMEMBEREXCLUDED? a NIA 2091550 041ot/2020 04/01r2021 .L (MandatorV in NH) EL.DISEASE EA EMPLOYEE S 1,000,000 If yes,describe under 1,000.000 DESCRIPTION OF OPERATIONS below L L.DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additlonal Remarks Schedule,maybe attached if more space,s required) Project#174C 1-466.Owners project number SCP-WTFRm203.080517 WTF Replacement Project—High Priority Room 203 Electrical Certificate holder,s m:luded as Add.tional Insured as required by written contract with respects to liability arising out of work performed by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Fort Collins Utilities ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 CAS 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACo® CERTIFICATE OF LIABILITY INSURANCE FDATE(MWODNYYY) �^ 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy{les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreement(s). PRODUCER CONTACT NAME: Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266 7149 A/C No (970)506 6845 PO Box 578 EMAIL s: DStewan®floodpeterson.com INSURERS AFFORDING COVERAGE NAIC a Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E Fort Collins CO 80524 INSURER F COVERAGES CERTIFICATE NUMBER: GUAU/WC/XS x4121 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE AIJUL SUM?N POLICY NUMBER MWDINYYMWDD/YY LIMITS POLICYPOLICY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE ®OCCUR DAMAGE TO RENTET- PREMISE Ea occurrence $ 300,000 MED EXP oneperson) S 10,000 A DT-CO-8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL BADVINJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,OW,000 PRO- POUCY JECT LOC PRODUCTS-COMPIOPAGG S 2,000,000 ROTHER 3 AUTOMOBILE LIABILITY COMBINED SINGLE UMIT $ 1,000,000 E a accklern ANY AUTO BODILY INJURY'Per person) $ g OWNED SCHEDULED 810.9L108491.20-26-G 04/01/2020 04/01/2021 BODILY INJURY(Per aocid nt) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per pcoidentl $ S X UMBRELLA LIAe OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS LIAe CLAIMS MADE CUP-2J4008OA-20-26 04/01/2020 04/01/2021 AGGREGATE $ 10,000,000 DED I RETENTION 3 10,000 S WORKERS COMPENSATION PER OTH AND EMPLOYE RS'LIA BILITY Y/N STATUTE ER D ANY PROPRIETORIPARTNEFVEXECUTIVE Y N/A 2091550 E.L EACH ACC DENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? a 04/01/2020 04/01/2021 rW (Mandatary In It Yea,Qescribe under E.L DISEASE EAEMPLOYEE $ 1000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE PCI CY LIMIT $ 1,0()0,()00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Addlrional Remarks Schedule,may be"Chad it more space is required) Project fi 17.01-461,Owners project number SCP-WTF-T3T4-080517 WTF Replacement Project—High Priority T3-T4 MCC Room Electrical Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Fort Collins Utilities ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 0 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A`CORV CERTIFICATE OF LIABILITY INSURANCE DATE 120/20YYYY) 0320/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME, Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266-7149 FAX (970)506-6845 A/C No PO Box 578 ADDRESS: DStewartOtloodpelerson.Com INSURERS AFFORDING COVERAGE NAIC e Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER a: Charier Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of Amenca 25674 77 NW Frontage Road INSURER o: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GUAU/WC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MMIDD/YYYY MMlDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 EN I CLAIMS MADE ®OCCUR PREMI E Ee ccurrence S 300,000 MED EXP oneperson) S 10,000 A Y DT-CO-8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL&ADVfNJURY S 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PEP; GENERAL AGGREGATE S 2,000,000 POUCY ®Pl4coT LOC PRODUCTS-COMPIOP AGG $ 2,000.000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT g 1,000,000 Ea acddern ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y 810.91-108491-20-26-G 04/01/2020 04/0112021 BODILY INJL,RY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per aCCldenl S UMBRELLA LtAB OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS LIAR CLAIMS-MADE Y CUP-2.140080A-20-26 04/01/2020 04/01/2021 AGGREGATE $ 10,000,000 DED F><FIETENTION$ 10,000 S WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY Y!N STATUTE ER ANY PROPRIETORIPARTNERIExECUTIVE E.L.EACH ACCIDENT $ 1,000,ODO D OFFICEPJMEMBEREXCLUDED? N/A 2091550 04/01/2020 04/01/2021 (Mandetory in NH) E.L.DISEASE--EA EMPLOYEE $ 1' '� II yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIM T $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached it in"space Is required) Project#SCP-HydroWTFSWO50918 WTF Site Work—Paving 8 Grading City of Fort Collins is included as Additional Insured on the General,Automobile,and Umbrella Liability Policies if requ red by wntten contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 (D1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACO 03120l2020RV CERTIFICATE OF LIABILITY INSURANCE DATE(MIW Y) 020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(a). PRODUCER CONTACT NAME: Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266-7149 (970)506-6845 AlC No PO Box 578 F-MAIL s: DStewart'011oodpeterson.com INSURER(S AFFORDING COVERAGE NAIC s Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casuaity Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GUAU(WC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYV MWDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE ® OCCUR PREMISES Eaoccum3nce S 300'000 MED EXP(Any oneperson) S 10'000 A Y DT-CO.8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL&AOV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,OOQ000 POLICY ®JECT PRO FI LOC PRODUCTS-COMWOP AGG S 2'000'000 OTHER: $ AUTOMOBILE IJABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea acc4d. X ANY AUTO BODILY INJURY(Per person) $ g OWNED SCHEDULED Y 810-91-108491.20.26-G 04/01/2020 04/01-2021 H[IDILY INJI.Rv(Per accidenn $ AUTOS ONLY AUTOS HIRED NON-OWNED PRO OP RTY DAMA E S AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB OCCUR EAC-H OCCURRENCE S 10,000,000 C EXCESS LIAB CtAIMSMADE Y CUP-2J40080A-20.26 04/01/2020 04/01,2021 A cREGATE $ 10.000'000 LED X RETENTIONS 10'000 $ WORKERS COMPENSATION PER ':IH v t N -ON SAND EMPLOYERS'LIABILITY TAT TE ER D ANY PROPRIR/PARTNE DXECUTIVE FT] N NIA 2091550 04/01/2020 04/o 2021 L L.EACH ACCIDENT S 1,000,000 OFFICERlMEMBEMBER EXCLUDED? 1 000 000 (Merl tory in NH) E.L.DISEASI.-EA EMPLCYEL $ It yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below C.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddiUonel Remarks Schedule,may be attached if more space is required) RE:18.01-523 Project#:SCP-HydroWTF SolidsPonds050718 WTF Solids Ponds 1 and 2 Lining City of Fort Collins is included as Additional Insured on the Genera),Automobile,and Umbrella Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fart Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 (D 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AC f ® DATE(MAVDDIYYYY) CC) CERTIFICATE 4F LIABILITY INSURANCE 03/2012DO20 ik�THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in ilea of such endorsement(s). PRODUCER CONTACT NAME: Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266.7149 A (970)506.6845 IC No: PO Box 578 E-MAIL s: D Stewart 0 floodpeterson.com INSURERS AFFORDING COVERAGE HAIC 1 Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURERS: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GUAU/WC/XS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTA TYPE OF INSURANCE POLICY NUMBER MWDONY MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIAWLITY EACH OCCURRENCE S 1,000,000 DAMAGE300,000 CLAIMS-MAOE OCCUR PREMISES JEa occurren $ MED EXP(Any oneperson) $ 10'000 A OT-CO-SG990899-PHX-20 04/01/2020 04/01/2021 PERSONAL aADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000'� RPOLICY �JEa ❑LOC PRODUCTS-COMPIOP AGG S 2'000'000 OTHER: $ AUTOMOBILE LIABILITY C M81NE4 SINGLE LIMIT S 1,000,000 Ea accidern ANYAUTO BODILY INJURY(Per person) S B OWNED SCHEDULED 810.91_108491.20.26-G 04/01/2020 04/01/2021 BODILY INJI.RY(Peraccklent) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acddent S UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS UAB CLAIMS-MADE CUP-2J4008OA-20-26 04/01/2020 04/01/2021 AGGREGATE $ 10,000,000 DED I X RETENTIONS 10,000 $ WORKERS COMPENSATION PER OTH AND EMPLOYERS' YIN LIABILITY TAT TE ER ANY PROPRIETOPoPARTNER/EXECUTIVE E.1 EACH ACCIDENT $ 1' '� D OFFICEFVMEMBEREXCLUDED? N/A 2091550 04/01/2020 04/01i2021 (Mandatory in NH) E.L DISEASE-EA EMPLOYEE S 1,000,000 II Yes,descdbe under 1.000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attscNad i1 mom apace is required) RE: 19.01.572 WTF Yard Improvements City of Fort Collins is included as Additional Insured on the General,Automobile,and Umbrella Liability Policies it required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fart Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE y, /�(�2 Fort Collins CO 8052 1-1 94 5 fhtwt!`d O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(201 W03) The ACORD name and logo are registered marks of ACORD A ® DATE(MM/ Y) CERTIFICATE OF LIABILITY INSURANCE o3/2a20202D2a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement($). PRODUCER CONTACT NAME: Dana Stewart,CIC,CISR Flood and Peterson PHONE (970)266-7149 A/G No, (970)506-6845 PO Box 578 E-MAIL s: DStewart®floodpeterson.com CRE INSURERS AFFORDING COVERAGE NAIC III, Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Charter Oak Fire Insurance Company 25615 Hydro Construction Company Inc. INSURER C: Travelers Property Casualty Company of America 25674 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E: Fort Collins CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: GUAU/WCJXS x4/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER MM/OD/YYY MwoD/YV LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCU 5ToRRENCE S 1,000,000 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence S 300,000 MED EXP onePerson) S 10,000 A DT-CO-8G990899-PHX-20 04/01/2020 04/01/2021 PERSONAL BADVINJURY S 1,000'000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO. 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea accident ANY AUTO BODILY INJURY tPer person) $ B OWNED SCHEDULED 810.9L108491-20.26-G 04/01/2020 04/01/2021 BODILY INJURY tPeraccidenq $ AUTOS ONLY AUTOS HIRED V NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /'� AUTOS ONLY P r accident S UMBRELLA LIAB�OCCUR EACH OCCURRENCE S 10,000,000 C EXCESS LIAO CLAIMS-MADE CUP-2J40080A-20-26 04/01/2020 04/01/2021 AGGREGATE S 10,000,000 DED RETENTION S 10,000 s WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY SrAT Y r N TE ER ANY PROPRIETOWPARTNEFL/EXEGUTIVE EL EACH ACCIDENT S 1.000,000 D OFFICERWEMBEREXCLUDED? Y NIA 2091550 04/01l2020 04/0112021 000 (Mandnory in NH) E.L DISEASE-EA EMPLOYEE $ 1�' If yes,describe under 1 C00,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Hydro Projectul9-01.572 WTF Yard Repairs Work Order#:UWTFHydroYR020419 City of Fort Collins is included as Additional insured as required by written contract with respects to liability arising out of work pedonned by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD