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HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (2)AMRD.e CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIVV) 03127107 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED INSURER A American Guarantee & Liab(Zuric_h) Hydro Construction Company, Inc. 301 East Lincoln Avenue INSURERS National Umon Fire Ins Co PA(AIG) - _-- INSURER C. Pinnacol Assurance Fort Collins, CO 80524 _ - — — — 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 RESFECT 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 i �OLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (M MID0NY) I DATE IMMIDD/YYI LIMITS A GE CPO3437581 D2 '09/30/06 09/301D7 'EACH OCCURRENCE $1 0 NCOMMERg IAIL GENERAL LIAR ILITY X 1.. ICI -- FIRE DAMAGE (Any one /ire) $3M000 CLAIMS MADE. X OCCUR MED EXP (Any one person) I $1J000 X PDDed:5OOO PERSONAL S ADV INJURY $1r000-000 I GENERAL AGGREGATE $2,000,000 __ GEN LAGGREGATELIMITAPPLIESPER'. PRODUCTS -COMP/OP AGG $2,000,000 POLICY X PRO- JECT X LOC j -- A I AUTOMOBILE LIABILITY CP0343758102 09/30/06 09 ONT, r --- I X , COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ANY AUTO — JALL OWNED AU --OS BODILY INJURY SCHEDJLED AUTOS (Per person) $ X HIREDAU105 BODILY INJURY X�NONOWNEDAUTOS (Per $ Per acc PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY. AUTO ONLYEAACCIDENT I$ ANY AUTO — — OTHER THAN EA ACC $ AUTO ONLY'. AGO $ B EXG ESS BE0831894 O /07 EACH OCCURRENCE $1000OOOLIABILITY X1 CLAIMS MADE -_ - AGGREGATE $,0y $000 $ DEDUCEIBLE — $ X RETENTION _ $10000 $ C WORKERS COMPENSATION AND 2091550 04/01/07 I04/01108 WC STATU o X ER EMPLOYERS' LIABILITY I`L�A _I CH ACCIDENT I$1,000,000 �E L. DISEASE -EA EMPLOYEE $1 000, 000 E.L. DISEASE-POLICVLIMIT I $1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Pollution Control Lab Remodel. 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 _DAYS WRITTEN NOTICE TO TH E CERTIFICATE HOLDER NAM ED TO TH E LEFT, BUT FAILURE TO D O SO SH ALL IM POSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON TH E INSURERHTS AGENTS OR REPRESENTATIVE ^� (.r.r I I Or Z 81VI.J.94UUZ SAM1 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AcorcDzss(7197)2 oY_ 2 #M334092 ACORD,, CERTIFICATE OF LIABILITY INSURANCE 03/2710 °'" PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 INSURERS AFFORDING COVERAGE INSURERA: American Guarantee & Liab(Zurich) INSURER B: National Union Fire Ins Co PA(AIG) INSURER Q Pinnacol Assurance INSURER D'. INSURER E i.v v THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FDR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPE_T TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A'-L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r INSR I POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDWYV DATE MMIOD/YYI A GENERAL LIABILITY 'CP0343758102 09/30/06 109/30/07 I EACH OCCURRENCE $1,000,000- X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fin:) s3OO OOO CLAIMSMADEX OCCUR MED EXP (Any one person) $1� 000 X IPD Ded:S 000 PERSONAL & ADV INJURY $1,000,000 '. GENERAL AGGREGATE $2,000r000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS -COMP/OP AGO $2,000,000 - - POLICY I X I PRO- X TOO A AUTOMOBILE LIABILITY CP0343758102 09/30/06 - 09/30707 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X� ANY AUTO ALL OWNED AUTOS BODILY INJURY $ - (Par person) AUTOS X1SCHEDULED HIRED AUTOS BODILY INJURY $ X NONOWNEDAUTOS - - PROPEidenl) RTV DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT I $ j GARAGE LIABILITY _ _I_. __ AN AUTO AN ACC, OTHER THAN $ [$ - AUTO ONLY: AGG B EXCESS LIABILITY BE0831894 09130106 09/30/07 EACH OCCURRENCE $1,000,000 OCCUR CLAIMS MADE AGGREGATE $1,000,000 _ -X $- DEDUCTIBLE - - $ - X1 RETENTION $10000 $ C WORKERS COMPENSATION AND I2091550 04101/07 04/01/08 X WC STATU OTH- - 'TORY LIMITS 1 ER EMPLOYERS' LIABILITY E L EACH ACCIDENT 000,000 __4$1 FL DISEASE-EAEMPLOYEC $1 000,000 _ I L DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 if required) by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. n IIr IUAl t City of Fort Collins 300 West LaPorte Avenue Fort Collins, CO 80522 SHOULD ANYOFTHEABOVE DESCRIEED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30— _DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIAB ILITY OF ANY KIND UPON THE INSURE RJTS AGENTS OR REPRESENTATIVE ACORD 25-S (7/97)1 Of 2 #M334092 SAMI V AI VRV I.VRr VRM I IVIY I"D IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not :onstitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate: holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD25-S(7l97)2 of 2 #M334092 ACORD,,, CERTIFICATE OF LIABILITY INSURANCE 03127/07D"Y) 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED INSURER American Guarantee & Liab Zurich Hydro Construction Company, Inc. _ A. - ( - --� INSURER B: National Union Fire Ins Co PA(AIG) 301 East Lincoln Avenue - —ur - -- INSURER PinnacolAssurance Fort Collins, CO 80524 INSURER D: INSURER E. rnvoo nr_oc 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 A'_L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDDIYYI I LIMITS /li I LIABILITY CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1,00D, 00_0 _GENERAL _ X iCOMM EF'.CIAL GENERAL LIABILITY FIRE DAMAGE 0 (Any one lre) $30000 0 CLAIMS MADE XJ OCCUR MEu EXP (Any one person) $10,000 X PD Ded;5,000 PERSONAL B ADV INJURY $1,000,000 _ GENERAL AGGREGATE $2,000,000 GE N'L AGGREGATE L IM IT APPLIES PER: PRODUCTS _COMP/OPAGG $2,000,000 + _ POLIGY X PRO- '', X LOC E'T -- — A AUTOMOBILE LIABILITY CP0343758102 09/30/06 09/30/07 COMBINED SINGLE LIMIT $1,000,000 i X ANY AUTO (Ea accideN) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED ALTOS I (Per Person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AU10g (Per accitlenp PROPERTY DAMAGE $ (Per accident) _[GAAUTO AGE LIABILITY'( ONLY - EA ACCIDENT $ OTHER THAN EA ACC ANY AUTO $ ,AUTO ONLY: AGO $ B EXCESS LIABILITY BEDB31894 09/30/06 09/30/07 EACH OCCURRENCE $1,000,000 X OCCUR CLAIMS MADE AGGREGATE $1 00O O_0o $ DEDUCTIBLE '�._._ — - $ X RETENTION $10000 $ C (WORKERS COMPENSATION AND WCS- 2091550 �. 04/01/07 04/01/06 X TORV LITATUMITS _is_ER I EMPLOYERS' LIABILITY '. '. EL EACH ACCIDENT _$1,000,000 f IEL DISEASE- EA EMPLOYED $1,000,000 E.L.DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONSlLOCATION$fVEI HICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Backwash Pumpstation. GCK I IFIGA I C NULUCK ADD ITIONAL INSURED; INSURER LETTER: UAINU,MLLAIIUIN SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30—_ DAYSWRITTEN 300 W. LaPorte Ave. NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURE TODOSOSHALL Fort Collins. CO 80522 IMPOSE NO 08 LIGATIONOR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE ACUKU 25-5 (119/)1 of 2 #M334092 SAM1 O ACUKD GUKYUKAI LIN 1988 If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu cf such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not :onstitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforclE+d by the policies listed thereon. ACORD 25-S (7/97)2 of 2 #M334092 ACORo,M CERTIFICATE OF LIABILITY INSURANCE 03127/07 DATE YY) 07 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 I, INSURERS AFFORDING COVERAGE INSURED INSURER A: American Guarantee & Liab(Zurich) — Hydro Construction Company, Inc. INSURER B National Union Fire Ins Co PA(AIG) 301 East Lincoln Avenue INSURER Pinnacol Assurance Fort Collins, CO 80524 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 RESPE,-T TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO k-L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE !POLICY EXPIRATIONIDD/YY) LTR� TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/VV DATE MM/DD/YY LIMITS A GENERAL LIABILITY I CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE �1 000 000 X COMMERCIAL GENERAL LIABILITY ! FIRE DAMAGE(An y ono(in) $300000 ' CLAIMSMADE X I OCCUR (Any once rsoe) $10,000 �MEDEXP �'I .PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE -. $2,000,000 I GENAGGREGATE LIM IT APPLIES PER 'L I PRODUCTS -COMP/OP AGG $2,DOO,DOD O- PRLOC ,~ POLICY X JECT X A LIABILITY CP0343758102 09/30/06 09/30/07 AUTOMOBILE COMBINED SINGLE LIMIT Ea accitlenl ) $1,D�Q,ODO X ANY AUTO ` — ' JI ALL OWNED AU- CIS j BODILY INJURY $ SCHEDULED Per person) - ....III X HIRED AUTOS BODILY INJURY $ X I NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY j AUTO ONLY - EA ACCIDENT $ ANY AUTO ''. OTHER THAN EA ACC $ AUTO ONLY: AGO $ B EXCESS LIABILITY BE0831894 09/30/06 !. 09/30/07 EACH OCCURRENCE $1,000,000 X] OCCUR _. CLAIMS MADE AGGREGATE $1,000,000- _ _ _ — DEDUCTIBLE I-__ $ - _.- — X RETENTION $10000 $ C WORKERS COMPENSATION AND i2091550 04/01/07 04/01/018 - WC S OTH-, X TORV L_IMI_ MIT ER_, _ EMPLOYERS' LIABILITY E L. EACH ACCIDENT $1,000,000 EL. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER — DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS 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 if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. I.CK I IrILA I C PIVLUMK I I ADD NHONAL INSURED: INSURER LETTER: UAINULLLA I ILIN SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 _ DAYS WRITTEN 300 W. LaPorte Ave. NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TODOSO SHALL Fort Collins, CO 80522 IM POSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON TH E INSURER,ITS AGENTS OR ACUKU ZOS (//9/11 of 2 #M334092 SAM1 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu o'such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute: a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7197) 2 Of 2 #M334092 ACORi CERTIFICATE OF LIABILITY INSURANCE OATS(MMUD /07 0312707 D/VY) 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 OVERAGES INSURERS AFFORDING COVERAGE INSURERA: American Guarantee & Liab(Zurich) INSURER B: National Union Fire Ins Co PA(AIG) INSURERC: 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 AI-L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR� EFFECTIVE RATION I LTR TYPE OF INSURANC E POLICY NUMBER PDATE MMIDDNY) PDATE MM/DDIYY) LIMITS A GENERAL LIABILITY ICP0343758102 ' 09/30/06 09/30/07 EACH OCCURRENCE — $1,000,000 �X COMMERCIALGENERA_LIABILITY FIREDAMAGE(Anyonefire) �$3Q0,000 CLAIMS MADE X.l OCCUR I1 11 EXP (Any one person) $1 O 000 — r X PD Ded:5,000 IX I PERSONAL 8 ADV INJURY - i $1LQ0OO _ GENERAL AGGREGATE $2,000L000 GEN'L AGGREGATE LIM ITAPPL IESPER' . PRODUCTS-COMPIOP AGG I$2,000,00.0 — POLICY 1 X I PE X LOC A AUTOMOBILE LIABILITY I CP0343758102 09/30/06 09130/07 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ -X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT - $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG I$ B EXCESS LIABILITY BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1,000,000-- - I, OCCUR CLAIMS MADE �(' ,. AGGREGATE i$1,000,000 _ $ DeoucnELE I I $ X RETENTION $10000 $ C WORKERS COMPENSATION AND 209I550 I O4/O1/O7 04/01/08 WC STATU- GTH- X TORV LIMITS EMPLOYERS' LIABILITY E.L. EACH ACCIDENT — — $1 000,000 — III F. DISEASE - EA °MPL OVEE $1,000,000 E.L. DISEASE -POLICY LIME.L. DISEASE POLICY LIM IT�$1,000,QOO OTHER ll DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS 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 is required) by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. City of Fort Collins 300 W.LaPorte Avenue 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 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TODOSO SHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E IN SURE R,ITS AGENTS OR AGLIKU Zb-5 (11!i of 2 #M334092 SAM1 0 AGORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu cf such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not .onstitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGORD25-5(7/97)2 of 2 ##M334092 3/27/ ACORD,M CERTIFICATE OF LIABILITY INSURANCE M/DDIVY) 03I27107 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURED_. - Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 INSURERS AFFORDING COVERAGE NSURERA: American Guarantee & Liab(Zurich) - - NB,RER B: National Union Fire Ins Co PA(AIG) INSURERC: 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 An-L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS✓ POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIVV DATE MM/DD/VV A GENERAL LIABILITY CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE i $1 000000 X COMMERCIAL GENERA LIABILITY FIRE DAMAGE (Any one fire) �.$300000 ' .. CLAIMS MADE X OCCUR$22,000,000 $10,000 X PD Ded:S000 ERSONALA&ADV INJURY!$1,000,000 �GENERALAGGREGATE GEN'L AGGRE GATE LIM IT APPLIES PE R. PRODUCTS -COMP/OP AEG _ __ �2,000,000 —.. - PRO- - I I POLICY X JEI'T X-1 LOG A ,AUTOMOBILE LIABILITY CP0343758102 09I30I06 09I30I07 INED SINGLE LIMIT $1,000,000 t(Ea X IANYAUTO citlent) ALL OWNED AUTOS BODILY INJURY $ -'. (Per person) SCHEDULED AUTOS I I-. X HIRED AUTOS BODILY INJURY I $ (Per accident) X NON -OWNED AIJT OS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ �. ANY AUTO OTHER THAN EA ACC i AUTO ONLY: AGO $ B EXCESS LIABILITY', BEO831894 09I30I06 O9I3OIO7 1,EACH .00CURRENCE $1,000,000 _ X, OCCUR CLAIMS MADE '., AGGREGATE _ � $1,000,000 $ _- — -._. DEDUCTIBLE- X RETENTION $10000 $ C WORKERS COMPENSATION AND 2091550 04101/07 04I01I08 _ TORVLIMITS f_TH X WCSTATU 'OER EMPLOYERS' LIABILIT Y r: EACH ACCIDENT _ $1,000,000 E.L. DISEASE - EA EMPLOYEE $1 ,000,000 j E.L. DISEASE - POLICY LIMIT I $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATION SAIEH IC LES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. VCK I I P-RA 1 E, KULUCK ADDRIONALINSU RED; INJUKLKLi, I ILK: 11a1• SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30— DAVSWRITTEN 300 W. LaPorte Ave. NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL Fort Collins, CO 80522 IMPOSENOOBLIGATIONORLIABILITYOFANYKINDUPONTHEINSURER,ITSAGENTSOR REPRESENTATIVE ACORD 25-S (7/97)1 of 2 #M334092 SAM1 u AGIJKLI ULIKrVKA I IUN 11100 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute: a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(7/97)2 of 2 #M334092 ACORD,M CERTIFICATE OF LIABILITY INSURANCE 03127/o,D,YY, 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: American Guaranttee & Liab(Zurich) INSURER B: National Union Fire Ins Co PA(AIG) 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 A_L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD YV DATE MMlDDNY LIMITS A GENERAL LIABILITY ICP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1r000�000 X :COMMERCIAL GENERAL �— FIRE DAMAGE one fire) —1$300,000 CLAIMS'MADE I X OCCUR MEDEXP(Anyone person)__I$10, 000 X PD Ded:S 000 -. _- PERSONAL 8 ADV INJURY 1 $1 U0O 000 GENERAL AGGREGATE $2L000,000 [GEN'L AGGREGATE LIh11T APPL IES PER'. I PRODUCTS-COMPIOP AGG s2 00O 000 I r___ r -. . JPRO POLICY X X LUC - - A AUTOMOBILE LIABILITY CP0343758102 09130/06 0913OW COMBINED SINGLE LIMIT $1,000,000 X ANY AUTD (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS X S BOD I LV $ 1 (Per acciINJURY dent) X NON -OWNED AUTOS I _ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT'I$ ANY AUTO OTHER THAN EA ACC $ - AUTO ONLY. AGO $ B EXCESS LIABILITY BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1,000,000-_ _ _ I X'. OCCUR f CLAIMS MADE AGGREGATE $1,000,000 -.-- _-- DEDUCTIBLE $ X I RETENTION J10000 $ C WORKERS COMPENSATION AND 12091550 04/01/07 04/01/08 X NC STATD- OTH- TDRYLIMITS : ER_ EMPLOYERS' LIABILITY E.L.EACH ACCIDENT $1,000,000 I ;EL DISEASE -EA EMPLOYEE $1,000,000 $1,000,000 _ IIE.L DISEASE -POLICY LIMIT OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Poudre Pipeline Blackstock Valve Replacement. City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. RLETTER: City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANVOF TH E ABOVE_ DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 311_. DAYS WRITTEN NOTICE TO TH E CERTIFICATE HOLDER NAMED TO TH E LEFT, BUT FAILURE TO D O SO SH ALL IM POSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON TH E INSURE RJTS AGENTS OR REPRESENTATIVE A(;UKU Zb•S 1119/)1 of 2 #M334092 SAM1 © AGORU CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu cf such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not ;onstitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(7197)2 Of 2 #M334092 DATE (M ACORD,, CERTIFICATE OF LIABILITY INSURANCE 03127/07DIVY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 3035344567 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 "OVERAGES INSURERS AFFORDING COVERAGE INSURERA. American Guarantee 8: Liab(Zurich) INSURER B National Union Fire Ins Co PA(AIG) INSURERC 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 A:-L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE POLICY NUMBER LTR POLICYEFFD DIYYITIVE DATE MM/OD/VV POLICY EXPIRATION DATE MM/ODIYYI LIMITS A GENERAL LIABILITY ICP0343758102 109/30/06 09/30107 EACH OCCURRENCE _ $1,000 000. X COMMERCIAL GENERAL ABI'_ITY FIRE DAMAGE Anyone fir) $300,000 — ._� - CLAIMS MADE I Xj OC�UR �X I EXP (Any o e pe on) _ =10n000 IPDDed:5,000 PERSONAL BADVINJURY k$1n000,000 G ENERALAGGREGATE I$2,00�0000 GENT AGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OPAGG $2,000,000 I POLICY X I JEO X LOC - - A AUTOMOBILE LIABILITY CP0343758102 09/30/06' 09/30107 COMBINED SINGLE LIMIT $1,000,000 �X T' ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED ALTOS - X HIRED AUTOS BODILY INJURY _- $ X NON -OWNED ALL OS (Per accident) PROPERTY DAMAGE $ '. . (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S I; ANY AUTO 11 OTHER THAN EA ACC $ AUTO ONLY: AGO $ B EXCESS LIABILITY BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1,000 00O — ' AGGREGATE _- - X OCCUR - _'. CViIMS MADE $1,000,000 DEDUCTIBLE 1- --_-- --_ _- $ - - ---- X RETENTION $10000 $ C I WORKERS COMPENSATION AND 2O91SSO 04101107 04/01/08 WC STATUS KITH X—TORN LIMITS I ER EMPLOYERS' LIABILTY I El, EACH ACCIDENT $1,000,000 EL DISEASE -EA EMPLOYEE a1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: DWRF Odor Control Covers Procurement. LETTER: 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 NO OBLIGATION OR LIABILrTYOF ANYKIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE ACORD 25-S (7/97)1 of 2 #M334092 SAM1 u AL,Ui 1.,UKi I Iti lVi IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) mast be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Auumu 40-a trrortL OI= 2 #MS-i4U`>-1 ACORD,M CERTIFICATE OF LIABILITY INSURANCE 0DATE 3/27/07 (MMIDDIYY) 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 ALTER THE COVERAGE ,AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 AGES INSURERS AFFORDING COVERAGE INSURER A. American Guarantee & Liab(Zurich) INSURER B. National Union Fire Ins Co PA(AIG) INSURER CPinnacol 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 A_L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIR - IPOLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YV DATE MMIDD/VV LIMITS A GENERAL LIABILITY CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE 000,000 �X �COMMERCIAL 1$$1 _ GENERAL LIABILITY FIREDAMAGE(Any one fire) I$300�00 CLAIMS MAEE X J OCCUR IPD MED EXP (Any one person i $10,000 _ X Ded:5,000 PERSONAL &ADV INJURY $1,000 BOO GENERAL AGGREGATE $2,0001000 - GEN'LAGG REGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 :POLICY X PRO- JECT X A AUTOMOBILE LIABILITY ICP0343758102 09130/06 09/30/07 COMBINED SINGLE LIMIT $1,000,000 X ANv nuTo Ea accident)� - --_ ALL OWNED AUTOS BODILY INJURY _ - Per erson l p ) $ SCHEDULED AUTOS X I HIRED AJTOS DLY INJURY BODILY $ X NON -OWNED AUTOS accident) Per PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGO $ B EXCESS LIABILITY BE0831894 09/30106 09130107 EACH OCCURRENCE _ _ $1 000,000 i AGGREGATE X J OCCUR - CLAIMS MADE I $1,000,000 - $ _1 DEDUCTIBLE $ X' RETENTION $10000 $ (.WORKERS COMPENSATION AND 2091550 04101107 04101108 IX AD OTH ORYL MTSyLER_ EMPLOYERS' LIABILITY _ i E.L. EACH ACCIDENT 81,000,000 ---- , EL DISEASE -EA EMPL OVEE . E E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATION SILOCATION SN HIC LESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: General System Improvements. ADD City of Port Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 LETTER: SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_.— DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DOSOSHALL IMPOSE NO OB LIGATION OR LIABILI'rVOF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE ACORD zs-S 1119711 of 2 #M334092 SAM1 0 AULIKU GUKF'UKA I IUN 19615 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGORD 25.5 (7197)2 of 2 #M334092 (MMI ACORDna CERTIFICATE OF LIABILITY INSURANCE DATE 0312707 /07 D/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED INSURERA American Guarantee & Liab(Zunch) Hydro Construction Company, Inc. INSURER B: National Union Fire Ins Co PA(AIG) 301 East Lincoln Avenue INSURER : Pi nnacol Assurance _ Fort Collins, CO 80524 INSER D: UR INSURER E. VVYCRMVLJ 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 AI_L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRT I POLICY EFFECTIVE !POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DDIYY A GENERAL LIABILITY 'CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE _ $1,000,000_ _ FIRE DAMAGE (Any one fire)- I$300000 XLCOMMERCIALGENERAL LIABILITY I CLAIMS MADE XOCCUR DE%P(Any oneperscnj $10,000 X PD Ded:5,000 PERSONAL& ADV INJURY $1,000,000 GENERALAGGREGATE $2,000 000 GENTAGGREGATE LIMITAPPLIES PER: PRODUCTS -COMP/OP AGG. $2,000,000 �- �- I POLICY X JRO X LOG A AUTOMOBILE LIABILITY ICP0343758102 09/30/06 09130/07. COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ Per person) - SCHEDULED AUTOS --- - -� -- -- - X i HIRED AUTOS BODILY INJURY ! $ )Per accident) X NON -OWNED AU'"OS - -- l PROPERTY DAMAGE !$ -__-- _-- ----- (Per accident) accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT I $ ANY AUTO OTHER THAN EA ACC $ _-- _-- - III AUTO ONLY. AGO I $ B EXCESS LIABILITY BE0831894 09/30/06 09130/07 EACH OCCURRENCE $1i00,000 - _ X OCCUR CLAIMS MADE , AGGREGATE _ 81,O o 000 _- DEDUCTIBLE $ X RETENTION $ _$10000 C WORKERS COMPENSATION AND 2091550 04/0110 l08 X WC 9TATU- OTH- i TORY LIMITS - L ER_� _-. EMPLOYERS' LIABILITY E L EACH ACCIDENT $1,000,000 E DISEASE-EAEMPLOYE $1,000,000 EL DISEASE -POL ICY LIMIT 1,000,000 OTHER liI, DESCRIPTION OF OPERATIONSILOCATIONS[VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: DWRF Replacement Program 2006 System Improvements Phase 4. City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. 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 - DAYS WRITTEN NOTICE TOTHE CERTIFICATE H OLDER NAM ED TO THE LEFT, BUT FAILURE TO DO SO SH ALL IMPOSE NO OB LIGATION OR LIAB ILITY OF ANY KIND UPON THE IN SU RER,ITS AGE N TS OR REPRESENTATIVE ACORD 25S (7/97)1 of 2 #M334092 SAM1 0 AULIKU GUKHUKA I IVN 11100