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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