HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (2)ClinMlf- 145172
17 G alrTrTaI II
ACO.M CERTIFICATE OF LIABILITY INSURANCE
09128/0 °m'
PRODUCER
IMA of Colorado, Inc.
1550 17th Street, Suite 600
Denver, CO 80202
303 534-4567
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED
Hydro Construction Company, Inc.
301 East Lincoln Avenue
Fort Collins, CO 80524
INSURER A: American Guarantee & Liab(Zurich)
INSURER B: National Union Fire Ins Co PA(AIG)
INSURER C: Pinnacol Assurance
INSURER D:
INSURER E:
COVERAGES
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.
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDDYY)
POLICY EXPIRATIONLTR
DATE IMMfODr")
LIMBS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx] OCCUR
X PD Ded:5,000
CP0343758102
09/30/06
09/30107
EACH OCCURRENCE
$1 00Q 000
FIRE DAMAGE (Any onefire)
$300000
MED EXP (Airy one person)
$10 000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIM ITAPPLIES PER:
POLICY X PRO XjECT LOC
PRODUCTS - COMPIGP AGG
$2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
Drive Other Car
CP0343758102
09/30106
09/30107
COMBINED SINGLE LIMIT
(Ea accident)
$1r000rQ00
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 CLAIMSMADE
DEDUCTIBLE
X RETENTION $10000
BE0831894
09/30106
09/30/07
EACH OCCURRENCE
$1 000 000
AGGREGATE
$1 00Q 000
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04101106
D4101107
X WC STATU- OTH-
E.L. EACH ACCIDENT
a50QOD0
E.L. DISEASE -EA EMPLOYEE
$500,000
E.L. DISEASE -POLICY LIMIT
1 $500,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT(SPECIAL PROVISIONS
RE: South West Pump Station:
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 -Utilities
Attn: Opal Dick
P.O. Box 580
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_ DAYSWRRTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURERITS AGENTS OR
REPRESENTATIVE
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