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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (6)ACORN. CERTIFICATE OF LIABILITY INSURANCE DAT03/07DYY) 10/03/07 PRODUCER 1-303-534-4567 INA of Colorado, Inc. 1550 17th Street Suite 600 Denver, CO 80202 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 American Guarantee & L1ab. (Zurich American Ins) INSURERS National Union Fire Ina Co. of PA (AIG) INSURER Pinnacol Assurance INSURER 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 POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE lxl OCCUR X PD Ded.$5,000 CP0343758103 09/30/07 09/30/08 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $300,000 MED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER POLICY X PRO- RO X I I PRODUCTS - COMP/OP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CP0343758103 09/30/07 09/30/O8 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 I 11 AUTOONLY EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ B EXCESS LIABILITY X I OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10,000 B95691039 09/30/07 09/30/08 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ $ C WORKERS COMPENSATION ANDORY,2091550 EMPLOYERS LIABILITY 04/01/07 04/01/08 X WC STATUS OTH E L EACH ACCIDENT $ 1, 000,000 EL DISEASE EA EMPLOYE $1,000,000 EL DISEASE POLICY LIMIT 1 $1, 000,000 OTHER $ E E DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTMPECIAL PROVISIONS Re FCi 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins - Utilities 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 700 Wood St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES Fort Colla.ne, CO 80522-0000 USA AUTHORIZED REPRESENTATIVE F-d Arnon oc_c i RM.M G ACORD CORPORATION 1988 7197814 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) ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 0/03 M/OD VV) I 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 INSURERS AFFORDING COVERAGE Suite 600 Denver, CO 80202 INSURED Hydro Construction Company, Inc. INSURER American Guarantee & Liab (Zurich American Ins) INSURER National Union Fire Ins. Co of PA (AIG) INSURERC Plnnacol Assurance 301 East Lincoln Avenue INSURER Fort Collins, CO 80524 INSURER E v 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 EXPIRATIONFTR LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 09/30/08 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone lire) $300,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 10, 000 CLAIMS MADE F—x] OCCUR PERSONAL S ADV INJURY $ 1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $2,000,000 POLICY X PRO X LOC A AUTOMOBILE X LIABILITY ANY AUTO CP0343758103 09/30/07 09/30/08 COMBINED SINGLE LIMIT E. 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) $ GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO r $ AUTO ONLY AGO B EXCESS LIABILITY BE5691039 09/30/07 09/30/08 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1, 000,000 X OCCUR CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $10,000 C WORKERS COMPENSATION AND 2091550 04/01/07 04/01/08 X WC STAJTU OTH E L EACH ACCIDENT $ 1, 000, 000 EMPLOYERS LIABILITY EL DISEASE EA EMPLOYE $1, 000, 000 EL DISEASE POLICY LIMIT I $1,000,000 OTHER $ DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES XCLUSIONS ADDED BY ENDORSEMENT'SPECIAL PROVISIONS RE: Water/Wastewater Treatment and Site Infrastructure Design/Construction Contractor, P1007. CFRTIFICATE HOLDER I I ADOITInNAI INSURED_ INSURER LETTER CANCELLATION 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 Attn: Mr. James O'Neill II IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 North Mason Street, 2nd Floor REPRESENTATIVES AUTHORIZED REPRESENTATIVE /l. ,`�i �d Fort Collins, CO 80524-0000 USA AOr)11 V,+�� ACORD 25-S (7197) SDZN m ACORD CORPORATION 1988 7197812 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 25-S (7/97)