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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