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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATEACORD.M CERTIFICATE OF LIABILITY INSURANCE DATE(MMmDIYY) 09128►06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 VVvc"UrA INSURER A: American Guarantee & Lia INSURERB: National Union Fire Ins Co INSURER C: Plnnacol Assurance INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE NY POLICY EXPIRATION DATE IMWDDNYILIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR X PD Ded:5,000 CP0343758102 09/30106 09/30►07 EACH OCCURRENCE $1 DDO 00D FIRE DAMAGE (Any onefre) $300000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2000,000 GENT AGGREGATE LIMITAPPLIES PER: POLICY X PROJECT X LOC PRODUCTS - COMPIOP AGG s2000000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 NOCIUMID) C - TY 01" FOR 2006 COLLINS COMBINED SINGLE LIMIT Ea accident) $1,000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident)$ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 0OO 0OO a $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC STATI% OTH- E.L. EACH ACCIDENT $500DD0 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONSILGCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Work Order #H-WRF. 2004-1 Daft Odor Control. City of Fort Collins Attn: P.O. Box 580 300 West LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL gO_ DAYSINRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE r\V V . .v t"u, I I OT L 911111314366 AMP1 0 ACORD CORPORATION 1988 ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONY) 09/28/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 VVvcIW CJ INSURER A: American Guarantee & Lia INSURER B. National Union Fire Ins Co INSURER C: Pinnacol Assurance INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TTB TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE WD POLICY EXPIRATION DATE LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx—] OCCUR X PDDed:5,000 CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1 OOO OOO FIRE DAMAGE (Anyone fire) _ $300000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE $2 OOOw, OOO GEN'L AGGREGATE LIMITAPPLIES PER: POLICY X PRO X LOC PRODUCTS-COMP/OPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 ��'S1 ,-Y�cv `L,Nfl�M'- Mac CITY 09/30/06 r ,'� .-, ^006 L - 09/30/07 ��.���••��/// � COMBINED SINGLE LIMIT (Ea accident) $1,000 ,OOO X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident)) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO RISK M N�G�/�L'N V GI Y AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30106 09/30/07 EACH OCCURRENCE $1 000,000 AGGREGATE $1 000 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC ST MIT OTH- S EEL E.L. EACH ACCIDENT $SOO,000 E.L. DISEASE -EA EMPLOYEE s500,000 E.L. DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONSILOCATONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Work Order #H-WRF-2006-5, Replacement Program 2006. City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 300 West LaPorte Avenue Fort Collins, CO 80522 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITFEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURERJTS AGENTS OR �..w %"., II or z FMJ14300 AMP1 0 ACORD CORPORATION 1988 ACD . CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY) 09/28/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 INSURER A: American Guarantee & INSURERS: National Union Fire Ins INSURERC: Pinnacol Assurance INSURER D: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE DNY) POLICY EXPIRATION DATE (MMIDDIYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1000000 FIRE DAMAGE (Any oi,e fire) $300000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRO X LOC POLICY X]JECT PRODUCTS-COMP/OPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 - CITY RISKMANAGEMENT I I 200 OF FOR"/ COLLINS ID COMBINED SINGLE LIMIT (Ea accident) $1 ,000 ,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLEX RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATEROYEE$500,000 00 C WORKERS COMPENSATION AND 2091550 04/01/06 04/01/07 X WC STATU-EMPLOYERS'LIABILMY E.L. EACH ACCIDE0E.L. DISEASE -EA E.L. DISEASE -PO0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECULL PROVISIONS RE: Work Order Number: H-WRF-2004-3, Work Order Title: DWRF Digester Gas Piping. City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYSWRTrrEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ^��^� �w I".,)I OT z iFIM3T4366 AMP1 0 ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY) 09/28/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 GUVCKAUtb INSURER A: American Guarantee & Lla INSURER B: National Union Fire Ins Co INSURER : Pinnacol Assurance INSURER D: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS A GENERAL LIABILITY X COMMERC!AL GENERAL LIABILITY CLAIMS MADE FxJ OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1 00D 000 I FIRE DAMAGE (Any one fire) $30D,000 MED EXP (Any one person) $10 000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE $2 DDD 000 GE N'L AGGREGATE L IM ITAPPL IES PER: POLICY X PRO X LOC PRODUCTS -COMP/OPAGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 .. 09/30/06 i'I IL xf ryf I� D9/30/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY Per arson X X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LABILITY ANY AUTO _ CITY RISK �, LCOL,����S AN AGENIF T AUTO ONLY - EA ACCIDENT $ AUTO ONL EA ACC AUTO ONLY: qGG $ § B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09130/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 00D 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LUIBILITY 2091550 04/01/06 04/01/07 X WC DRYSTATIU LIM jS I OTH- E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Backwash Pumpstation. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR .. wmu coo v1>rl1 of Y ifM314366 AMP1 0 ACORD CORPORATION 1988 cl:n..Hf• �uG�� YY) A CERTIFICATE OF LIABILITY INSURANCE oDATE s/26/9/28/M/DD eiM. os PRODUCER IMA of Colorado, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 Denver, CO 80202 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 60524 INSURER A: American Guarantee & Llab(Zurich) INSURER B: National Union Fire Ins Co PA(AIG) NsuRERc: Pinnacol Assurance INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE M D POLICY EXPIRATION ATE (MMMDIYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx-1 OCCUR X PD Ded:5,000 CP0343758102 I 09/30/06 a 09/30/07 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any onefire) $300000 MED EXP (Any one person) $10 000 PERSONAL B ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PROjECT X LOC PRODUCTS-COMPIOPAGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 (` 12!)l)[1 , u}' )'U RISK MANA 09 30/07 n c T�i COLLINS EMENT COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X (Perr accideODILY nt) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 TH- X WC STATU- OPR E.L. EACH ACCIDENT s500,000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: General System Improvements. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURERJTS AGENTS OR I9VVRY cov V ���I1 OT z VM314366 AMP7 0 ACORD CORPORATION 1988 ACORDw CERTIFICATE OF LIABILITY INSURANCE DATE(M Dm) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 l wvcR "Co INSURER A: American Guarantee & Lia INSURER B: National Union Fire Ins Co INSURERC: Pinnacol Assurance INSURER D: E. 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE I MfDDfYY1 POLICY EXPIRATION DATE (MMIDDfYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_] OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09130/07 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one Person) $10 000 PERSONAL & ADV INJURY $1 000 OQO GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIM ITAPPLIES PER: 17 POLICY X PRO X LOC PRODUCTS -COMP/OP AGG s2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS' Drive Other Car CP0343758102 CITY OF 09/30/06 �d q QQ C `� =' 2OOp j'0il'1" COL 09/30/07 NS COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 a $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC STATU- OTH- E.L. EACH ACCIDENT $500 000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONSILOCATONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECUIL PROVISIONS Re: Pollution Control Lab Remodel. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITYOF ANYKIND UPON THE INSURERJTS AGENTS OR OT z IFM314355 AMP1 o ACORD CORPORATION 1988 ACORD.M CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY) 09/28/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 4, V V CKA"= INSURER A: American Guarantee & Lia INSURER B: National Union Fire Ins Co INSURER C: Pinnacol Assurance INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE IYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09130/07 EACH OCCURRENCE $1 00Q 000 FIRE DAMAGE (Anyone fire) $3000QQ MED EXP (Anyone person) $10 000 PERSONAL&ADV INJURY $1 00Q 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PRO- X LOC JECT PRODUCTS-COMPIOPAGG $2 0QQ 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS Drive Other Car CP0343758102 CITY RISK �) 1.� OF FORT MANAGEMENT cc 000 COLLINS COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE E1 0Q0 00Q S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC STATU- OTH- ty E.L. EACH ACCIDENT $500 000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT 050111111100 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Poudre 24" Concrete Pipeline Air Vac R. City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NOOSLIGATION OR LIABILITYOF ANY KIND UPON THE INSURER,ITS AGENTS OR M+ Wm" zuu tr»r)1 OT 2 OM314365 AMP1 0 ACORD CORPORATION 1988 ACDM,. CERTIFICATE OF LIABILITY INSURANCE 0928/06D"") PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 I,UV CKAU1zb INSURER A: American Guarantee & Lia INSURER B: National Union Fire Ins Co INSURER C: Pinnacol Assurance INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSSR LTRDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE M LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALLIABILITY CLAIMS MADE � OCCUR X PD Ded:5,000 CP0343758102 09130/06 09/30/07 EACH OCCURRENCE $1 00Q 000 FIRE DAMAGE (Any one fire) $3000OQ MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 00Q 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PRO- X LOC PRODUCTS -COMP/OPAGG $2 000 00-0 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 / ( CITY OF RISK M 6 ` \ 200(� V ORT COLLI 09/30/07 S COMBINED SINGLE LIMIT (Ea accident) $, ,000 1 00Q X BODILY INJURY (Per person) $ X BODILYINJUaccident)RY E X X PROPERTY DAMAGE PROP cid Y $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X1 OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 00Q 000 AGGREGATE $1 000 000 a $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC STATJUCRY LIM 77S I OTH- FR E.L. EACH ACCIDENT E500,000 E.L. DISEASE -EA EMPLOYEE E500,000 E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERAnONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Poudre Pipeline Blackstock Valve Replacement. City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR REPRESENTATIVE h�Wmw cav (Irof11 Of 2 OM314366 AMP1 0 ACORD CORPORATION 1988 ACO . CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) 09/28/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 %1 V V rrcvwueo INSURER A: American Guarantee & Lie INSURERS: National Union Fire Ins Co INSURER Pinnacol Assurance INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY MM ECTIVE POLITY EXPIRATION LIMITS A GENERAL LIABILITY X COMM ERCLALGENERALLIABILITY CLAIMS MADE FXI OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1 00Q 000 FIRE DAMAGE(Any one fire) $300D00 MED EXP (Anyone person) $1 D 000 PERSONAL & ADV INJURY $1 00D 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY FX7 PRO X LOC JECT PRODUCTS-COMP/OPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 ���ryl(\/� ,15�.],LS� \Y L5 09/30/06 �� ��\\t\]/�{I,�� yy V +-�+ 2006 09/30/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILYINJURY r ICson $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO CITY OF FORT RISK MANAGEMENT COLLIN AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC STATII- OTH- FIR E.L. EACH ACCIDENT $500 000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Work Order Number: H-WRF-2005-1, Work Order Title: DWRF Storage Building. City of Fort Collins Is Included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 300 W. LaPorte Avenue Fort Collins, CO 80522 SH OULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30DAYSWRrITEN NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUTFAILURE TODD SOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVE w�.vlcv cD.� �t/a/17 of 2 #M314366 AMP1 0 ACORD CORPORATION 1988