Loading...
HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (8)ACDRD,M CERTIFICATE OF LIABILITY INSURANCE DATE( MI DIYY) 06 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 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 �wvclw Co INSURER A: American Guarantee & INSURERB: National Union Fire Ins INSURERC: PinnacolAssurance INSURER D: 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 POLICY EFFECCTIIVDATE ,E POLICYLTR EXPIRI DATE DATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F—xl OCCUR X PD Ded:5,000 CP0343758102 09130/06 09/30/07 EACH OCCURRENCE $1 ODO 000 FIRE DAMAGE (Anyone fire) 1$300,000 MED EXP (Any one person) $10 000 PERSONAL &ADV INJURY $100000D GENERAL AGGREGATE $2 DDD 000 GE N'L AGGREGATE LIM ITAPPLIES PER: POLICY rX7 PROIFCT X LOC PRODUCTS -COMP/OPAGG $2000DDD A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 C !' 7 Y OFFOR 200[� O f COLLINS COMBINED SINGLE LIMIT Ea accident) $1,000,000 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 00Q 000 AGGREGATE $1 000 000 E Is C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC STATU- OTH- E.L. EACH ACCIDENT $500 000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT 1500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Work Order #H-WRF. 2004-1 Daft Odor Control. City of Fort Collins Attn: P.O. Box 580 300 West LaPorte Ave. Fort Collins, CO 80522 SH OULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3D_ DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHELEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ^- -•-- -�- ••�•, I or 19 8m3143bb AMP1 o 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. ACORD 25.5 (719712 or 2 I M.i 14.5 o b rhanr8. 10079 HYI'1RCAN ACOR CERTIFICATE OF LIABILITY INSURANCE 09128/OG°D"' 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 S, Liab(Zurich) INSURER B: National Union Fire Ins Co PA(AIG) INSURER 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. INSR LTRM TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE IMMIDDYY) PODATE LICY EXPIRATION (MWDDIYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [i] OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1 00Q 000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one parson) $1 O 000 PERSONAL &ADV INJURY $1 00O 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: 17 POLICY X PRO X LOC PRODUCTS - COMP/OP AGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 ..I<. j r Y OF 09/30/06 iJjSil �.�,1-,� I �' LOoU Q 6 1 Uu 1 COLLINS 09/30/07 NS COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per Person) $ X BODILY INJURY (Per accident) $ X X DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIA131UY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BED831894 09/30/06 09/30/07 EACH OCCURRENCE $1 0OO 0O0 AGGREGATE $1 00O 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 2091550 04/01106 04/01107 X WC STATU- E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONSILOCATONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECULL PROVISIONS Re: Pollution Control Lab Remodel. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR REPRESENTATIVE AGORD 25-5 (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. ACORD25S(7t97)2 Of 2 #M3143bb ACORDr CERTIFICATE OF LIABILITY INSURANCE 0 228/os°n"' 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. INSURER B: National Union Fire Ins Co PA(AIG) 301 East Lincoln Avenue 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. N7R TYPE OF INSURANCE POLICY NUMBER POALT Y EFFECTIVE (MMIDDfYYI POE LICY EXPIRATION PIRATION IDDNYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F—xl OCCUR X PD Ded:5,000 CP0343758102 09130/06 09/30/07 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Anyone person) $10000 PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIM ITAPPL IES PER: POLICY X PRO X LOGJECT PRODUCTS-COMP/OPAGG s2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS��� NON -OWNED AUTOS Drive Other Car CP0343758102 CIT RISK V OF FORT MANAGEMENT MID(Ea Q OLLINS COMBINED SINGLE LIMIT accident) $1 000 000 r r 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 X1 OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 00Q 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC STATU- OTH- E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATKINSILOCATKINSNENICLESIEXCLUSKNIS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Poudre 24" Concrete Pipeline Air Vac R. 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 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL RA DAYS WRITTEN NOTICE TO THE CERTIFICATE H OLDER NAM ED TOTHE LEFT, BUT FAILURE TODD BOSH ALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE ru.�rtv Caro (/IaTIj Of Z PM314366 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. ACORD 25S (7/97)2 Ot 2 #M.i 14.3b b ACORCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY) 09/28/06 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 INSURED INSURER A: American Guarantee 8: Liab(Zurlch) Hydro Construction Company, Inc. INSURERB: National Union Fire Ins Co PA(AIG) Fort East Lincoln Avenue INSURER C: Pinnacol Assurance Fort Collins, CO 80524 INSURER D: 6U V GKAlat3 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 Im TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IYY POLICY EXPIRATION DATE LIMITS A GENERAL LIABILITY CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_1 OCCUR FIRE DAMAGE (Any one fire) s300,000 MED EXP(Any one person) $10 000 X PDDed:5,000 PERSONAL BADVINJURY $1000000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMPIOPAGG $2000000 POLICY jrC X LOC X A AUTOMOBILE X LIABILITY ANY AUTO CP0343758102 6 09/30/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILYINJURY (Perrperson) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOSBODY NON -OWNED AUTOS -* 2U06 X (Perr accident) $ X X Drive Other Car CITY OFFORT RISK M Co S PROPERTY PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS LIABILITY X OCCUR CLAIMS MADE BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 DEDUCTIBLE X RETENTION $10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC STATU- OTH- E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Poudre Pipeline Blackstock Valve Replacement. City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTH.E LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURERJTS AGENTS OR REPRESENTATIVE 1 11 1 v1 � tt11111011#000 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. ACORD 25S (7187)2 OL 2 #M314.3bb IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the poiicy(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 4FM3143bb CliSI 19972 HYDRCON AC M . CERTIFICATE OF LIABILITY INSURANCE DATE MMID 09128106D/YY) PRODUCER IMA of Colorado, Inc. 1550 17th Street, Suite 60D Denver, CO 80202 303 534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 INSURER A: American Guarantee & Liab(Zurich) INSURER B: National Union Fire Ins Co PA(AIG) INSURER C: Pinnacol Assurance INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE p M)D POLICY EXPIRATION M LIMITS A GENERAL LIABILITY CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1 ODD 000 FIRE DAMAGE (Anyone fire) $300000 X COMM ERCIALGENERAL LIABILITY CLAIMS MADE Fx7 OCCUR MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1 00o DOo X PD Ded:5,000 GENERAL AGGREGATE s2 DOD 000 GE N'L AGGREGATE L IM ITAPPL IES PER: PRODUCTS -COMP/OPAGG s2,000,000 POLICY X PR'-X LOC A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS CP0343758102 �','y�q o'II'(°�J�\JAI( (jLyAOa, 09/30/06 09/30/07 COMBINED SINGLE LIMIT (Ea accident)43 $1,DDorDDD BODILY INJURY (Per Person) $ X BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS Drive Other Car CITY ij ^oo� L X X PROPERTY DAMAGE (Per accident) $ GARAGE LV\BILITY RUSK M N/iGE1�EN E 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 00D 000 X OCCUR CLAIMS MADE AGGREGATE $1 00O 000 $ DEDUCTIBLE $ X RETENTION $10000 C WORKERS COMPENSATION AND 2091550 04/01/06 04/01/07 X WC STATU- EMPLOYERS'LIABILITY E.L. EACH ACCIDENT $SDD DDD E.L. DISEASE -EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Work Order #H-WRF-2006-5, Replacement Program 2006. City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 300 West LaPorte Avenue Fort Collins, CO 80522 SHOULD ANYOFTHEABOVE DESCRIBED POLICIESBE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAYSWRIITEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR AkL,UKU LOv (/1V/)1 of 2 XM314366 AMP1 © 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. ACORD 25.5 (7197) 2 O I 2 {f M 3 l 4 6 b b ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY) 09/28/06 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 INSURED INSURER A: American Guarantee & Liab(Zurlch) Hydro Construction Company, Inc. INSURER B: National Union Fire Ins Co PA(AIG) Fort East Lincoln Avenue INSURER C: Pinnacol Assurance Fort Collins, CO 8D524 INSURER D: INSURER E: ,Wv= i =o 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 POLICY EFFECTIVE pffi[L_ POLICY EXPIRATION DATE IMM1ODfYY1 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [i] OCCUR X PD Ded:5,DO0 CP0343758102 09/30/06 - 09/30/07 EACH OCCURRENCE $1 D0D 000 FIRE DAMAGE (Any ooe fire) $30000D MED EXP (Any one person) $10000 PERSONAL BADVINJURY $1 00D 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE L IM ITAPPL IESPER: POLICY X PRO- T X LOC PRODUCTS-COMPIOPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 i��G �w c, I� CITY IRIS ��T�{p`�1'pr�'p�,� I IV . Uyi P M S' 200 F FOR'! CO MANAGEMENT I I 1 1 1L11 LINS COMBINED SINGLE LIMIT (Ea accident) $1,000,000 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 CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE0831894 09/30/06 09/30/07 EACH OCCURRENCE $1 00D 000 AGGREGATE $1 00D 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC DRYSTATIU LIM fS I DTH- E.L. EACH ACCIDENT $500000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Work Order Number: H-WRF-2004-3, Work Order Title: DWRF Digester Gas Piping. City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYSWRITTEN NOMCETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVE - 11 VI c MPM14,9JD0 AMP1 © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD25S(7197)2 of 2 #M314366 Clinnt$Y 19972 HYDRCON ACORDra CERTIFICATE OF LIABILITY INSURANCE DATE 09128/06Dm) 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 8: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDD(YYI POLICY EXPIRATION DATE (MMIDDLYY)LIMITS A GENERAL LIABILITY X COMM ERCALGENCRALLABILITY CLAIMS MADE a OCCUR X PD Ded:5,000 CP0343758102 09/30/06 09/30/07 EACH OCCURRENCE $1 000 Q00 I FIRE DAMAGE (Any one fire) S300000 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1 00Q 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PROJECT X LOC PRODUCTS -COMP/OPAGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 ,.. 09/30/06 ;��r�,�s''tt� �" I i 1�, }� t yr 1d {F } - 09130107 '�j� { ` 1� ,d•' COMBINED SINGLE LIMIT (Ea accident) $1 000 r ,OOO X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO C) ri �t R(SK 'TL;.�1�. AN H( FME C (N., T AUTO ONLY - EA AC CIDENT $ OTHER THAN EAACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE FDEDUCTIBLE X RETENTION $10000 BED831894 09/30/06 09/30/07 EACH OCCURRENCE $1 00O 0O0 AGGREGATE $1 QOO 00O $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WCSTA7U- oTH- uER E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT 1 $500,000 OTHER DESCRIPTION OF OPERATKXISILOCATIONSNEHiCLESiEXCLUSKNIS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Backwash Pumpstation. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 I ACORD 25-S (7/97)1 of 7 #M't1A AA SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30—DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, SUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE AUD1 © ACORD CORPORATION 19RR IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97)2 of 2 #M314 3 6 6 Client#- 19972 HYDRCON CERTIFICATE OF LIABILITY INSURANCE gG12B . 09128/os°"�' 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 & Liab(Zurich) Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 INSURERS: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE D POLICY EXPIRATION DATE D LIMITS A GENERAL LIABILITY X COMM ERCtAL GENERAL LIABILITY CLAIMS MADE O OCCUR X PD Ded:5,000 CP0343758102 09130/06 - ;., 09/30/07 EACH OCCURRENCE $1 00O 000 FIRE DAMAGE (Any one fire) s300000 MED EXP (Anyone person) $1 O 000 PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPL IES PER: "C_X LOC POLICY X JrCT PRODUCTS-COMP/OPAGG 52000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS Drive Other Car CP0343758102 i 7 OF RISKMANA 0936/ 77 I�(�nry 2006 C'UL'L'INS FMENT COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X (PeILY rD accident) INJURY $ 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 00O 000 AGGREGATE $1 00O 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X WC S7ATU- I OTH- EEL E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEEI $500,000 E.L. DISEASE -POLICY LIMIT 1 $500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: General System Improvements. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDERNAM ED TO TH E LEFT, BUT FAILURE TODD SOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURERJTS AGENTS OR REPRESENTATIVE rawrcu c°u Inar11 Of Z SM314366 AMP1 0 ACORU CORPORATION 19M