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
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