Loading...
HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (7)DATE ACORD.M CERTIFICATE OF LIABILITY INSURANCE 09128/06Dm) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED INSURER A: American Guarantee & Llab(ZUflch) Hydro Construction Company, Inc. INSURER B: National Union Fire Ins Co PA(AIG) 301 East Lincoln Avenue 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. INSR TR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE M DryY POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one person) $1 Q 000 PERSONAL &ADV INJURY $1 00Q 000 GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMITAPPLIES PER: PRI-X LOC POLICY FXJrCT PRODUCTS - COMP/OP AGG $2000000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS Drive Other Car CP0343758102 09/30/06 09/30/07 COMBINED SINGLE LIMIT (Ea accident) $1 000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X1 OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 00Q 000 AGGREGATE $1 00O 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITYLITY 2091550 04/01/06 04/01/07 X WC STATU- EEL- E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE $50Q,000 E.L. DISEASE - POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATK)NSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 700 wood St. Fort Collins, CO 80521 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE ACORD 25-S (7/97)1 of 2 #M314366 AMP1 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. A9,UKNZ0Jt1/yrJ2 OL 2 #M314366 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(7t97)2 of 2 #M314366 DATE AQ,M CERTIFICATE OF LIABILITY INSURANCE 09/28/ 60m) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED INSURER A: American Guarantee & Liab(Zurich) Hydro Construction Company, Inc. INSURER B: National Union Fire Ins Co PA(AIG) 301 East Lincoln Avenue INSURER C: Pinnacoi Assurance Fort Collins, CO 80524 INSURER D: 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. INSR TYPE OF INSURANCE POLICY NUMBER PDATY MMIDDI YI POLICY DATE MM DDIYY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [i] OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09/30/07 I EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $36000 MED EXP (Anyone person) $1 O 000 PERSONAL BADVINJURY $110001000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY X PRO X LOC PRODUCTS-COMP/OPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 09/30/06 09130107 COMBINED SINGLE LIMIT (Ea accident) $1 r000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR FICLAIMSMADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1000000 a $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01107 X WC STA7U- OTH- E.L. EACH ACCIDENT SSOO OOO E.L. DISEASE -EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Mulberry Water Reclamation Facility UV System 8: Other Improvements. The City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 700 Wood Street Fort Collins, CO 80521 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR REPRESENTATIVE ACORD 25-S 17/97)4 s -1 16M14A1RR aiii © ACORD CORPORATION i9RF 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(7187)2 of 2 #M314366 ATE ACORo.M CERTIFICATE OF LIABILITY INSURANCE 09128/06Dm) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED INSURER A: American Guarantee & Liab(Zurich) Hydro Construction Company, Inc. INSURERS: National Union Fire Ins Co PA(AIG) 301 East Lincoln Avenue 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. INSSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09130107 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Anyone fire) $300000 MED EXP (Any one person) $10 000 PERSONAL S ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PRO- X LOC PRODUCTS-COMPlOPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS Drive Other Car CP0343758102 09/30/06 09/30/07 COMBINED SINGLE LIMIT (Ea accident) $1000 r r000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY - 2091550 04/01/06 04/01/07 TH- X WC STATUCRY LIM - I GER E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE s500,000 E.L. DISEASE -POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS 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 as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 700 wood St. Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVE ACCIRD 25-3 (7197)1 of 2 #M314366 AMP1 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. ACORD254(7f97)2 of 2 #M314366 DATE ACORD. CERTIFICATE OF LIABILITY INSURANCE 09128/06Dm) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 INSURERA: American Guarantee & Lia INSURER B: National Union Fire Ins Co INSURER C: Pinnacol Assurance INSURER D: INSURER E: a WVQ c . THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L TYPE OF INSURANCE POLICY NUMBER POLDATE Y EFFECTNE POLITY MMIDD(MEXPIRATION LIMITS A GENERAL LIABILITY CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1 00O 000 FIRE DAMAGE (Any one fire) $300000 X COMMERCIAL GENERAL LIABILITY - MED EXP (Any one person) $1 O 000 CLAIMS MADE [i] OCCUR PERSONAL & ADV INJURY $1 o0O OOO X PD Ded:5,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMPIOPAGG $2000000 POLICY X PRO X LOC A AUTOMOBILE LIABILITY ANY AUTO CP0343758102 09/30/06 09/30/07 COMBINED SINGLE LIMIT (Ea accident) $1000,000 , X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS X X PROPERTY DAMAGE (Per accident) $ Drive Other Car 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 $1000 000 AGGREGATE $1 OOO 0O0 X OCCUR CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $10000 C WORKERS COMPENSATION AND 2091550 04/01/06 04/01/07 X WC STAT OTH- MT I ER E.L. EACH ACCIDENT $SOO,000 EMPLOYERS' LIABILITY E.L. DISEASE -EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT 1 $500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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 as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 700 wood St. Fort Collins, CO 80521 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURERITS AGENTS OR ACORD25-S(7l97)1 oft #M314366 AMP1 oAcurcucurcruwanuNTsae 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. Ac0rz1)z5s(7197)2 of 2 #M314366 DATE Acog CERTIFICATE OF LIABILITY INSURANCE 09/28/ 6Om) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 INSURER A: American Guarantee & Lia INSURER B: National Union Fire Ins Co INsuRERc: Pinnacol Assurance INSURER D: INSURER E: I Uv=rV MO THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER PDAAIEY EFFECTIVE E PODATELICY EXPIRATION LIMITS 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 - — MED EXP (Any one person) $10 000 CLAIMS MADE FX] OCCUR PERSONAL & ADV INJURY $1 000 000 X PD Ded:5.000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM IT APPLIES PER: PRODUCTS-COMP/OPAGG $2000000 Ra X LOC POLICY FX I PIPCT A AUTOMOBILE LIABILITY ANY AUTO CP0343758102 09/30/06 09/30/07 COMBINED SINGLE LIMIT (Ea accident) $1000000 r r X ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ X Drive Other Car GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ B EXCESS LIABILITY BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 X OCCUR CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $10000 C WORKERS COMPENSATION AND 2091550 04/01/06 04/01107 X WC BTATU- DTR- E.L. EACH ACCIDENT s500 000 EMPLOYERS' LIABILITY E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS 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 as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 700 Wood St Fort Collins, CO 80521 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �_ DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TODD SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR ACORD 25-S (7/97)1 of 2 #M314366 AMP7 o ACUKLIcUKFUKA I IUN 1V5V