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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (8)A_ CO�CERTIFICATE OF LIABILITY INSURANCE nr) 0/03/07 10/03/07a 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 Ins) INSURER National DRlOR Fite Ins Co. of PA (AIG) 301 East Lincoln Avenue INSURER Pinnacol Assurance INSURERC Fort Collins, CO 80524 INSURER E COVFRAGFS 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 15 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 POLIAT CY EFFECTIVE POLICY EXPIRATION DATE tMWODNYI LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 1 09/30/08 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one tire) $300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a] OCCUR MED I (Any one person) $ 10,000 PERSONAL ACV 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 ECT POLICY X PRO- X LOC A AUTOMOBILE LIABILITY ANY AUTO CP0343758103 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea accident) $11000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLV EAACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY AGG B EXCESS LIABILITY BES691039 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 X TWO STATU OTH- Y T E L EACH ACCIDENT $ 1,000,000 EMPLOYERS LIABILITY EL DISEASE EA EMPLOYE $1,000,000 E L DISEASE POLICY LIMIT $ 1,000,000 OTHER a s s DESCRIPTION OF OPERAUONWLOCATIONSNEHICLEWE%CLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE DWRF Preliminary & Solids Odor Control, Fort Collins Colorado. City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement subject to the policy terms and conditions. CERTIFICATE HOLDER I I ADDITIONAL 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 700 Wood Street IMPOSE NO OBLIGATION OR LASH ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVEi Fort Collins, CO 80521-0000 USA ACORD 25-S (7/97) SDZN O ACORD CORPORATION 1988 7197833 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 ACORQ_ CERTIFICATE OF LIABILITY INSURANCE 10/03/a7 DAT03/07D YY) PtiODUCER 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 1550 17th street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR suite 600 ALTER THE COVERAGE AFFORDED 9Y THE POLICIES BELOW Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Collins, CO 80524 D INSURERS AFFORDING COVERAGE Dnal Union Pyre Ina. Cc of PA (AI0) THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER U ABOVE MAY PERTAIN, �ryjTHE '1JINSURANCE PAFFORDEDBYTIjIjI I(�I I(``r I�'yAIIIMI IN'1 j�I POLICI III I I�IIII[I1RIl-II�11li ����III��II II III �I����'I� i'iIIIIPI�IIII IIIII� Ik