HomeMy WebLinkAboutHYRDO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATEA_COR . CERTIFICATE OF LIABILITY INSURANCE
0/03 MID°YY)
10/03/07
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
Hydro Construction Company, Inc.
INSURERA American Guarantee & Liab. (Zurich American Ina)
INSURER National Union Pare Ina. Co of PA (ATG)
301 East Lincoln Avenue
INSURERC Pinnacol ABsuran0e
INSURER
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
-POLICY I.I(PIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F—XI OCCUR
X PD Ded $5,000
CPO343758103
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 &ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN L AGGREGATE LIMIT APPLIES PER
POLICY X PRO- X LOG
PRODUCTS COMPIOP ADS
$2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
CPO343758103
09/30/07
09/30/08
COMBINED SINGLE LIMIT
(Ea accident)
$ 11000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per acaden0
$
GARAGE LIABILITY
ANY AUTO
AUTOONLV EAACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY AGG
$
$
B
EXCESS LIABILITY
X1 OCCUR F71 CLAIMS MADE
DEDUCTIBLE
X RETENTION $10,000
BES691039
09/30/07
09/30/08
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
IS
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
2091550
04/01/07
04/Ol/G8
X WC STATLE I OTH
IQBY I IMITS
EL EACH ACCIDENT
$ 11000,000
EL DISEASE EAEMPLOYEE
$1,000,000
E L DISEASE POLICY LIMIT
$ 1,000,000
OTHER
a
5
S
DESCRIPTION OF OPERATIONS/LOCATIONSNEIHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Fort Collins as included as Additional Insured on the General Liability Policy if required by written contract
or agreement and with respect to work performed by Insured sub3ect to the policy terms and conditions
CERTIFICATE HOLDER T7ADDITIONAL 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
IMPOSE NO OBLIGATION OR LIABII ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
300 W. LaPorte Ave
REPRESENTATIVES
AUTHORIZED REPRESENTATIVE 0.
Port Collins, CO 80522-0000
USA
s�IwI
ACORD 25-S (7/97) SDZM
'7197815
O ACORD CORPORATION 1988
IMPORTANT
If the ceddicate 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