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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (5)Ate1 . CERTIFICATE OF LIABILITY INSURANCE DAT03/07D YV) 0/o3/D7 PRODUCER 1-303-534-4567 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED INSURER American Guarantee & Liab. (Zurich American Ins) Hydro Construction Company, Luc. INSURER National Union Fire Ins. Cc of PA (AIG) 301 East Lincoln Avenue .,�., .,.------ .__.._.._,._ Fort Collins, CO 80524 CnVFRArFS 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 EFFECTIVE POLICY EXPIRATION LIMITS A GENERALLIABILITY CP0343758103 09/30/07 09/30/08 EACH OCCURRENCE $ 1,000,000 $300,000 % COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone lire) CLAIMS MADE H1 OCCUR MET) EXP (Any one person) $10,000 X PD Dedt$5,000 PERSONAL B ACV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,DDD GENI AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $2,000,000 POLICY X PRO X LIDO A AUTOMOBILE LIABILITY CP0343758103 09/30/07 09/30/08 COMBINED SINGLE LIMIT $11000,000 X ANY AUTO Be accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) BODILY INJURY X HIRED AUTOS $ % NON OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per awden0 GARAGE LIABILITY AUTOONLY EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGO $ B EXCESS LIABILITY BE5691039 09/30/07 09/30/08 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION $10,000 C WORKERS COMPENSATION AND 2091550 04/01/07 04/01/08 % WC STLATU OTH EMPLOYERS' LIABILITY E L EACH ACCIDENT $ 1, Do 0, a00 EL DISEASE - EA EMPLOYE $1, 000, 000 EL DISEASE POLICY LIMIT $1, 000, 000 OTHER S S S DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE 24" Poudre Pipeline Repair, Poudre Canyon Highway, Fort Collins, CO. 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES sort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE USA I ACORD 25-S (7197) SDZM O ACORD CORPORATION 1988 7197832 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 tnsurer(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 CORD 25-S (7197) ACORN. CERTIFICATE OF LIABILITY DATEYY) INSURANCE 1OJ03/07 J07 PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. INSURER American Guarantee & L1ab (Zurich American Ina) INSURERS National Union Fire Ins. Co. of PA (AIG) 301 East Lincoln Avenue INSURER PinnaCol Assurance INSURERD Port Collins, CO 80524 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICYEXPIRAPON LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 09/30/08 EACH OCCURRENCE $ 1,000,000 $300, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one tire) CLAIMS MADE 1�1 OCCUR MED EXP (Any one person) $ 10,000 X PD Ded $5,000 PERSONAL& AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 DEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGO $ 2,000,000 "' X LOG POLICY FXIISGT A AUTOMOBILE LIABILITY C110343758103 09/30/07 09/30/08 COMBINED SINGLE LIMIT $ 11000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Persen) $ X $ HIRED AUTOS BODILY INJURY X NON OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY AGG $ B EXCESS LIABILITY BE569ID39 09/30/07 09/30/08 EACHOCCURRENCE $ 1,000,00D X OCCUR D CLAIMS MADE AGGREGATE $ 1,000,000 DEDUCTIBLE $ X RETENTION $10,000 $ C WORKERS COMPENSATION AND 2091550 04/01/07 04/01/08 X WC BTATU OTH- EMPLOYERS LIABILITY EL EACH ACCIDENT $ 1, 000, 000 $1, 000, 000 EL DISEASE EAEMPLOYFE $1, 000,000 EL DISEASE POLICY LIMIT OTHER E E E DESCRIPTION OF OPERATIONS/LOCAPONSNEHICLMFXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: DWRF Odor Control Covers Procurement Lty of Port Collins 10 W. LaPorte Ave SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Irt Collins, CO 80522-0000 USA SDZM 7197834 AUTHORIZED REPRESENTATIVE @ ACORD 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