HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (5)rilan4!!• IQQ79
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYY)
JCOR
03/27/07
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 80524
INSURERA: American Guarantee & Liab(Zurich)
INSURER B: National Union Fire Ins Co PA(AIG)
INSURER C: Pinnacol Assurance
INSURER D:
INSURER E:
:UvtK
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 IMMIDD/YYI
POLICY EXPIRATION
DATE IMMn)DrYYI
09/30/07
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FxI OCCUR
X PD Ded:5,000
CP0343758102
09/30/06
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one Person)
$1 D 000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
s 2, 0- 0- Or 000
GEN'L AGGREGATE LIMITAPPLIES PER:
17 POLICY X PRO- X LOC
JECT
PRODUCTS-COMP/OPAGG
s2009000
A
AUTOMOBILE
LIABILITY
ANVAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESSUABIUTY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE0831894
09/30/06
09/30/07
EACH OCCURRENCE
$1 00D 000
AGGREGATE
$1,000,000
s
a
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/07
04/01/08
X WC STATILIM U O7H-
ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSWEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: General WTF 2005 System Improvements, Reconstruction of various water treatment systems.
City of Fort Collins
700 wood Street
Fort Collins, CO 80521
SHOULD ANYOFTHE ABOVE DESCRIBED POLICESBE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NOOBLIGATION OR LIASILITYOF ANYKIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
--^— ---v •-• r 1 UI c yiM41WU`JL 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.
ACORD25-s(7197)2 of 2 #M334092
Client@- 19972
1' VA 11 r7e7elII
ACOR CERTIFICATE OF LIABILITY
INSURANCE
DAniroIDDl"`)
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
Hydro Construction Company, Inc.
301 East Lincoln Avenue
INSURER A: American Guarantee & Liab(Zurich)
INSURER B: National Union 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 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
POLICY EXPIRATION
LIMBS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE NIOCCUR
X PD Ded:5,000
CP0343758102
09/30/06
09/30/07
EACH OCCURRENCE
$1 00O 000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
s10000
PERSONAL & ADV INJURY
$1 DOD 0OO
GENERAL AGGREGATE
S2 OOO OOO
GEN'L AGGREGATE LIMITAPPLIES PER:
POLICY X JECTPRo- X LOC
PRODUCTS-COMP/OPAGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per Person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESS UABIUTY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE0831894
09/30/06
09/30/07
EACH OCCURRENCE
$1 000 000
AGGREGATE
$1 000 000
s
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/07
04/01/08
TH-
X we srLIMSnrIf OER
E.L. EACH ACCIDENT
0,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000 000
E.L. DISEASE -POLICY LIMIT
S1.000.000
OTHER
DESCRIPTION OF OPERATIONWLOCATK)NSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: Work Order #H-WTF-2006-5, General WTF 2006 System Improvements.
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
700 Wood St.
Fort Collins, CO 80521
I
ACORD 25S (7197)1 of 2 #M33A092
SHOULD ANYOFTHEAROVE DESCRIBED POLICES BECANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTH E LEFT, BUT FAILURE TO DOSO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE IN SURERJTS AGENTS OR
RAI I1 ® ACORD CORPORATION 198E
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.
ACORD25-S(7/97)2 of 2 #M334092
T_Iianlif• 10079
AOBQ,a CERTIFICATE OF LIABILITY
INSURANCE
MIDDIYY)
31271
03/27/07
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
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
INSURER A: American Guarantee 8t Llab(Zurlch)
INSURER B: National Union Fire Ins Co PA(AIG)
INSURERC: 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 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
rypE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMtDDfM
POLICY EXPIRATIONim
DATE (MMMDNY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx_] OCCUR
X PD Ded:5,000
CP0343758102
09130/06
09/30/07
EACH OCCURRENCE
E1 00O 000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
E1 O 000
PERSONAL & ADV INJURY
E1 00O 000
GENERAL AGGREGATE
E2 000 000
GEN'L AGGREGATE LIM RAPPLIES PER:
POLICY X PRO- XJECT LOC
PRODUCTS-COMPIOP AGG
s2,000.000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per Penton)
E
X
BODILY INJURY
(Per accident)
E
X
PROPERTY DAMAGE
(Per accident)
E
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
E
OTHER THAN EA ACC
AUTO ONLY: AGG
E
E
B
EXCESS LIABILITY
X OCCUR CIAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE0831894
09/30/06
09/30/07
EACH OCCURRENCE
$0 000 00O
AGGREGATE
$1 00O 000
E
S
E
ti
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04101/O7
04/01/O8
STATU TH-
X WCY LIMIT OEEL
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000 000
E.L. DISEASE - POLICY LIMIT
E1 000 000
OTHER
DESCRIPTION OF OPERATK)NS/LOCATNNIS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: Michigan Ditch Cabin Foundation - Work Order #01.
The City of Fort Collins is included as 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
700 Wood Street
Fort Collins, CO 80521
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE 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 LIABILITY OF ANY KIND UPON TH E INSU RER,ITS AGENTS OR
At.,vicu cD-a t1m)f 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 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.
ACORD25-S(7/97)2 of 2 #M334092
ClienH!• �0079
nu
ACOR CERTIFICATE OF LIABILITY
INSURANCE
DATE (MMA)DIYY)
03/27/07
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
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 80524
INSURER A: American Guarantee Bt Liab(Zurich)
INSURER B: National Union Fire Ins Co PA(AIG)
INSURERC: 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
POLICY EXPIRATION
LIMBS
A
GENERAL LIABILITY
X COMM ERCIALGENERAL LIABILITY
CLAIMS MADE 7 OCCUR
X PD Ded:5,000
CP0343758102
09/30/06
09130107
EACH OCCURRENCE
$1 00O 000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one Person)
$10000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2 OOD DDO
GEN'L AGGREGATE LIMITAPPLIES PER:
POLICY X JECT PRo- X LOC
PRODUCTS-COMP/OPAGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON-OWNEDAUTOS
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1 000 000
r r
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
S
X
PROPERTY DAMAGE
(Per accident)
S
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 00O 000
AGGREGATE
$1 00O 000
S
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/07
04/01/08
TH-
X WCRYC STATULIM • I OER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1 00O 000
E.L. DISEASE -POLICY LIMIT
$1 00O 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLE3/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: WTF PLC Improvements Program, Improvements to existing plant PLC systems
City of Fort Collins
700 Wood Street
Fort Collins, CO 80521
SHOULD ANYOFTH E ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30—DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUT FAILURE TO DO 503HALL
IMPOSE NO OB LIGATION OR LIABILITY OF ANY IOND UPON TH E INSU RER,ITS AGENTS OR
Ai VRV Ao' (llal)1 Or Z OM334092 SAM7 O ACORO CORPORATION 1933
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.
ACORD25S(7/97)2 of 2 #M334092
Client#: 19972
HYDRCON
ACORD,a CERTIFICATE OF LIABILITY
INSURANCE
DATE
03/27107°"'
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 8t Liab(Zurich)
INSURER B: National Union Fire Ins Co PA(AIG)
INSURER C: Pinnacol Assurance
INSURER D:
INSURER E:
rnVFRAQFS
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 IMMIDDNY)
POLICY EXPIRATIONIm
DATE IMMtDDrfn
LIMBS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIAOILRY
CLAIMS MADE rx-1 OCCUR
X PD Ded:5,000
CP0343758102
09/30/06
09/30/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
$10 000
PERSONAL BADVINJURY
$1,000,000
GENERAL AGGREGATE
s2 000 000
GEN'L AGGREGATE LIM MAPPLIES PER:
JECT POLICY X PRO- X LOC
PRODUCTS -COMP/OP AGG
s2.000.000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0343758102
09/30/06
09/30107
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - FA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
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
S
$
S
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/07
04/01/08
TH-
X LIM WCSTATU- DER
E.L. EACH ACCIDENT
i1 000 000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1 000 000
OTHER
DESCRIPTION OF OPERATKINSILOCATIONSNEHICLESIEXCLUSION3 ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: Work Order H-WRF-2006-4 Replacement Program 2006 System Imporvements-Phase 2.
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
700 wood St
Fort Collins, CO 80521
SHOULD ANYOFTH E ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYSWRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAM ED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR
REPRESENTATIVE
AUUKU ZO-s Inaill of 2 #M334092 SAM7 ® AGUKIJ VUKYUKAI IUN 111155
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.
ACORD25.S(7/97)2 of 2 #M334092
r`II..fib 40077
ACOBQ,r CERTIFICATE OF LIABILITY
INSURANCE
DATE(o D"
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
INSURERA: American Guarantee & Liab(Zurich)
Hydro Construction Company, Inc.
301 East Lincoln Avenue
INSURER B: National Union 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 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 IMMMDNY1
POLICY EXPIRATION
DATE IMMMONY)
LIMBS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx_1 OCCUR
X PD Ded:5,000
CP0343758102
09/30/06
09/30/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000,000
GENL AGGREGATE LIMITAPPLIES PER:
POLICY X X PRO LOC
PRODUCTS - COMP/OP AGO
52000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(En accident)
$1 000 000
r r
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
FDEDUCTIBLE
X RETENTION $10000
BE0831894
09/30/06
09/30/07
EACH OCCURRENCE
S1 000 000
AGGREGATE
$1 000 000
S
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/07
04/01/08
TH-
X WDRYC TLIM TU- I OER
E.L. EACH ACCIDENT
0,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1 000 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: Work Order #H-WTF-2006-6, WTF Installation & Back-up Generator.
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 terns and conditions.
City of Fort Collins
700 Wood St.
Fort Collins, CO 80522
SHOULD ANYOFTHEASOVE DESCRIBED POLICESBE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDERNAM ED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITYOF ANYKIND UPON THE INSURERJTS AGENTS OR
REPRESENTATIVE
ACORD Z" (7I97)1 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 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).
111&1q-W u1 =1[ l
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.
AG0KUz5-5V197)2 of 2 #M334092
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).
111MIqlIFILILTIF"
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 after the coverage afforded by the policies listed thereon.
A9,VKUca-stna1)2 Ot 2 4fM334092
ClianNk 19972
7►11 TTiT*TT
CERTIFICATE OF LIABILITY
INSURANCE
JCOR
03/27/07D
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
IMA of Colorado, Inc.
1550 17th Street, Suite 600
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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 & Llab(Zurlch)
Hydro Construction Company, Inc.
301 East Lincoln Avenue
INSURERS: National Union Fire Ins Co PA(AIG)
I 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 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
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx_] OCCUR
X PD Ded-5,000
CP0343758102
09130/06
09/30/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$300,000
MED EXP (Any one person)
$10 000
PERSONAL S ADV INJURY
$1 000 000
GENERAL AGGREGATE
a2 000 000
GEN'L AGGREGATE LIMITAPPLIES PER:
POLICY X JECT PRO X LOC
PRODUCTS -COMPIOPAGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per awidenq
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESSUA131UTY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE0831894
09/30/06
09/30/07
EACH OCCURRENCE
$1,.000,000
AGGREGATE
$1 000 000
S
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/07
04/01/08
TH-
X WC STAATTU- I OER
E.L. EACH ACCIDENT
$1,000,000
C.L. DISEASE -EA EMPL GYEE
$1 000 000
E.L. DISEASE -POLICY LIMIT
$1 000 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: Work Order # H-WTF-2006-7 Security and Electrical 2006 Improvements.
City of Fort Collins
700 Wood Street
Fort Collins, CO 80521
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30—DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
IM POSE NO OB LIGATION OR LIAR ILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
AVURU LO-J (I IS/Jj of Z SM334092 SAM1 W A{JUKU k;UKYUKA I IUN TBSS
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).
I116-1d>•_T IIF4.7
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.
ACORD25S(7/87)2 of 2 #M334092
r•IIe..I�e• �DD��
ACQ CERTIFICATE OF LIABILITY
INSURANCE
DATE (MMIDD/YY)
03127/07
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
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 80524
INSURER A: American Guarantee 8: Liab(Zurich)
INSURER B: National Union Fire Ins Co PA(AIG)
INSURER C: Pinnacol Assurance
INSURER 0:
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 fMM0D0rYY1
POLICY EXPIRATION
DATE fMNUDDfM
LIMBS
A
GENERAL LIABILITY
CP0343758102
09/30/06
09/30/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$300000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
MED EXP (Any one person)
$1 D 000
PERSONAL & ADV INJURY
$1 000 000
X PD Ded:5,000
GENERAL AGGREGATE
s2,000,000
GE NL AGGREGATE LIMITAPPLIES PER:
PRODUCTS-COMP/OPAGG
s2000000
POLICY X PRO- X LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - FA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
B
EXCESS LIABILITY
BE0831894
09130/06
09/30/07
EACH OCCURRENCE
S1,000,000
X OCCUR CLAIMS MADE
AGGREGATE
$1 000 000
S
S
DEDUCTIBLE
$
X RETENTION $10000
C
WORKERS COMPENSATION AND
2091550
04/01/07
04/01/08
X WC S7A7U- ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$1,000 000
E.L. DISEASE - EA EMPLOYEE
$1000000
E.L. DISEASE -POLICY LIMIT
$1 000 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Mulberry Water Reclamation Facility UV System & Other Improvements.
The 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
700 Wood Street
Fort Collins, CO 80521
SHOULDANYOFTHE
CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUT FAILURE TO DOSO SHALL
IM POSE NO OBLIGATION OR LIAR ILITY OF ANY KIND UPON TH E INSU RERJTS AGENTS OR
A+ Umu Z3"0 ttrJYIT of 2 EM334092 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.
ACORD25-5(7/97)2 Of 2 #M334092
rue..*A. 40079
!►'I el rToTel I I
ACORDn CERTIFICATE OF LIABILITY
INSURANCE
DATE
03127/07D
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
INSURERA: American Guarantee 8t Liab(Zurich)
NSURER B: National Union Fire Ins Co PA(AIG)
INSURERC: Pinnacol Assurance
INSURER D:
INSURER E:
mew
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 fNHA1DDiVY,
POLICY EXPIRATION
DATE fNIN11DDNYI
LIMBS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE NO OCCUR
X PD Ded:5,000
CP0343758102
09/30/06
09/30/07
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE (Anyone fire)
$300,000
MED EXP (Any one person)
$10000
PERSONAL A ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2.000.000
GEN'L AGGREGATE LIM RAPPLIES PE R:
17 POLICY X PRO- X LOC
PRODUCTS-COMP/OPAGG
E2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
00O E1
r r000
X
BODILY INJURY
(Par person)
E
X
BODILY INJURY
(Per accident)
E
X
PROPERTY DAMAGE
(Per accident)
E
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
E
OTHERTHAN EA ACC
AUTO ONLY: AGO
E
$
B
EXCESS LIABILITY
X OCCUR F—ICLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE0831894
09130/06
09/30/07
EACH OCCURRENCE
E7 OOO 000
AGGREGATE
$1,000,000
E
_
E
E
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/07
04/01/08
TH-
X WC STATU- OEll
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
OTHER
DESCRIPTION OF OPERATKINSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORI EMENTISPECIAL PROVISIONS
RE: South West Pump Station:
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 -Utilities
Attn: Opal Dick
P.O. Box 580
Fort Collins, CO 80522
SHOULD ANYOF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30__DAY9WRITTEN
NOTICE TOTHE CERTIFICATE HOLDERNAM ED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON TH E INSURER,ITS AGENTS OR
REPRESENTATIVE
ACURD 25-5 (7197)1 of 2 #M334092 SAMt W AL.UKU GUKPUKA I IUN 111166
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.
ACORD25S(7197)2 of 2 #M334092
Uvnornu
ACORD� CERTIFICATE OF LIABILITY
INSURANCE
03/227//oi°�"'
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 & Liatl(Zurich)
INSURER e: National Union Fire Ins Co PA(AIG)
INSURER C: Pinnacol Assurance
INSURER M
INSURER E:
was
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 IMMIDDrfY)
POLICY EXPIRATION
DATE (MMfDDfYYI
LIMBS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE NXI OCCUR
X PDDed:5,000
CP0343758102
09/30/06
09/30/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one Sre)
$300000
MED EXP (Any one person)
$1 O 000
PERSONAL & ADV INJURY
$1000000
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIM ITAPPLIES PER:
POLICV X PRO- JFCTX LOC
PRODUCTS-COMP/OPAGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0343758102
09130/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1 000,000
r
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
S
$
B
CE EXSS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE0831894
09/30/06
09/30/07
EACH OCCURRENCE
$1 00O 000
AGGREGATE
$1 00O 000
S
$
$
C
WORKERS COMPENSATION AND
LIABILITY
2091550
04/01/07
04/01/06EMPLOYERS'
—77
E.L. EACH ACCIDENT
$1,000 000
E.L. DISEASE -EA EMPL OYEEI
$1,000,000
E.L. DISEASE -POLICY LIMIT
1 $1000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Security & Associates Electrical System Improvements.
SHOULD ANYOF TH E ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins Water DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYSWRTTEN
Utilities NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT, BUTFAILURE TODOSOSHALL
Attn:Opal Dick IMPOSE NOOBLIGATION ORLIABILITY OF ANYKIND UPON THE INSURERJTS AGENTS OR
700 Wood St. REPRESENTATIVES.
Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE
ACORD 25-5 (7/97)1 of 2 XM334092 5AM7 A�rVRY I.VRrVtw 11VN taoo
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.
ACORD25s(7/97)2 of 2 #M334092
Clientlk 19272
I.IvnorrniM
AOR CERTIFICATE OF LIABILITY
INSURANCE
03/27/07
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
INSURERS AFFORDING COVERAGE
INSURED
Hydro Construction Company, Inc.
301 East Lincoln Avenue
INSURER A: American Guarantee & Liab(Zurich)
INSURER B: National Union 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 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 (MMIDDIYYI
POLICY EXPIRATION
DATE (MMIDDIM
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FxI OCCUR
X PD Ded:5,000
CP0343758102
09/30/06
09/30/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2.000.000
GENT AGGREGATE LIMITAPPLIES PER:
POLICY X PRO X LOC
PRODUCTS -COMPIOPAGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1r000r000
X
BODILY INJURY
(Per Person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
It
OTHER THAN EA ACC
AUTO ONLY: AGG
It
$
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE0831894
09/30/06
09/30/07
EACH OCCURRENCE
$ 000 000
AGGREGATE
$1 000 000
S
$
It
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/07
04/01/O8
X WC STATU-TH-
ER
E.L. EACH ACCIDENT
$1 000 000
E.L. DISEASE -EA EMPLOYEE
$1 000 000
E.L. DISEASE - POLICY LIMIT
$1 000 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEH(CLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: WTF PAC Feed System & PLC Modifications, Reconstruction of existing PAC system.
ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAY5WRITTEN
700 Wood Street NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
Fort Collins, CO 80521 IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR
REPRESENTATIVE
AI URU C.'f-A (1lur)1 Of Z SM334092 SAM1 Q AGORD CORPORATION 1958
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.
ACORD25S(7/97)2 of 2 #M334092
ACORD, CERTIFICATE OF LIABILITY INSURANCE 3127/MIDDIYY)
03/27/07
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
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
tJUV CKALSCJ
INSURER A: American Guarantee & Lia
INSURERS: National Union Fire Ins Cc
INSURER C: 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.
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
09/30/06
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMM ERCIALGENERAL LIARILITY
CLAIMS MADE FXI OCCUR
X PD Ded:5,000
CP0343758102
09/30/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$300,000
MED EXP (Any one person)
$1 O 000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2 OOO OOO
GENL AGGREGATE LIMITAPPLIES PER:
POLICY X PRO, JECT X LOG
PRODUCTS-COMP/OPAGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
CP0343758102
09130/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
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
09/30107
EACH OCCURRENCE
$1 00O OOO
AGGREGATE
$1,000,000
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LABILITY
2091550
04/01/07
04/01/08
X WC STATUDRY LIM S I OTH-
rR
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT13PECIAL PROVISIONS
Re: FCWTF Misc. Improvements Project
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 - Utilities
700 wood St.
Fort Collins, CO 80522
SHOULD ANYOFTH E ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O—DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
^'+ T.... )I Or L SM334UVz SAM7 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.
ACORD25-5(7/97)2 of 2 #M334092
rlianH!• 10077
uvncrnN
ACORD.a CERTIFICATE OF LIABILITY
INSURANCE
°m'
03/27/0
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
IMA of Colorado, Inc.
1550 17th Street, Suite 600
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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
Hydro Construction Company, Inc.
301 East Lincoln Avenue
INSURER A: American Guarantee 8t Llab(Zurich)
INSURERS: National Union Fire Ins Co PA(AIG)
INSURER C: Pinnacol Assurance
Fort Collins, CO 80524
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.
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMBS
A
GENERAL LIABILITY
CP0343758102
09/30/06
09/30/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$300000
X COMM ERCIALGENERAL LIABILITY
CLAIMS MADE FXI OCCUR
MED EXP (Any one person)
$1 D 000
PERSONAL S ADV INJURY
$1 00U 000
X PD Ded:5,000
GENERAL AGGREGATE
s2.000.000
GEN'L AGGREGATE LIM ITAPPLIES PE R:
PRODUCTS-COMPIOP AGG
s2000000
POLICY X PRO- X LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CP0343758102
09/30/06
09/30/07
COMBINED SINGLE LIMIT
(Ea accident)
$1 rDDD ,DOD
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
X
X
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
B
EXCESS LIABILITY
BE0831894
09/30/06
09/30/07
EACH OCCURRENCE
$1 00U 000
X OCCUR CLAIMS MADE
AGGREGATE
$1 00U 000
s
$
DEDUCTIBLE
$
X RETENTION $10000
C
WORKERS COMPENSATION AND
2091550
04/01/07
04/01/08
X WC S7A7U- O7H-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000000
E.L. DISEASE • POLICY LIMIT
s1,000,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Work Order #H-WTF-2006.6, WTF PLC Improvements 2006 Program.
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
700 Wood St.
Fort Collins, CO 80521
I
ACORD 25-S (7/9711 of 2 am-1-un92
SHOULD ANYOFTHE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3D—DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTNE LEFT, BUTFAILURE TODOSOSMALL
IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR
SANK O ACORD CORPORATION f9RA
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.
ACORD25s(7197)2 of 2 #M334092
r_linnt*- 110077
uvnornu
ACORD. CERTIFICATE OF LIABILITY
INSURANCE
DATE(MMID DNY)
03/2707
107
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
Hydro Construction Company, Inc.
301 East Lincoln Avenue
Fort Collins, CO 80524
INSURER A: American Guarantee & Liab(Zurich)
INSURERB: 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
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE I -XI OCCUR
X PD Ded:5,000
CP0343758102
09/30/06
09/30/07
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any we fire)
$300000
MED EXP (Any me person)
$10 000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
a2 000 000
GE N'L AGGREGATE LIMITAPPLIES PER:
POLICY X PRO- LOC
X
PRODUCTS-COMP/OPAGG
$2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0343758102
09/30/06
04,40/07
COMBINED SINGLE LIMIT
(Eeaccident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
S
X
PROPERTY DAMAGE
(Par accident)
a
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
It
OTHER THAN EA ACC
AUTO ONLY: AGG
$
It
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE0831894
09130/06
09/30/07
EACH OCCURRENCE
$0 000 000
AGGREGATE
$1 000 000
S
$
$
Ci
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/07
04/01/08
X WC STATU- O R
E.L. EACH ACCIDENT
51 000,000
E.L. DISEASE -EA EMPLOYEE
$1 000 000
E.L. DISEASE -POLICY LIMIT
1 $1 000 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: General WTF 2005 System Improvements - Phase 2, Reconstruction of various water treatment systems.
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
700 wood Street
Fort Collins, CO 80521
SHOULD ANYOF TH E ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30._ DAYSWRITTEN
NOTICE TOTH E CERTIFICATE HOLD ER NAM ED TOTHE LEFT, BUT FAILURE TO DOSO SHALL
IMPOSE NO OB LIGATION OR LIAR ILITY OF ANY KIND UPON THE INSU RER,ITS AGENTS OR
.+ Wmu AU-0IrIar11 OT -Z WM334UVZ SAM7 O ACORD CORPORATION 1938