HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (9)A ORD 10/0/07 CERTIFICATE OF LIABILITY INSURANCE DATE3/07 Y)
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
o Construction Company, Inc
East Lincoln Avenue
Fort Collins, CO 80524
GES
INSURER5. National Union Fire Ina. Cc of PA (AIG)
INRIIRFE, Plnnacol Assurance
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 NUMBEfl
POLICY EFFECTIVE
IMMIDDNY1
POLICY EXPIRATION
DATE IMMIDDNY
LIMITSDATE
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMSMADE 7X OCCUR
X PD Ded:$5,000
CP0343758103
09/30/07
09/30/08
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Anyone fire)
$300,000
VIED EXP (Any one person)
$10,000
PERSONAL S ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN L AGGREGATE
POLICY
LIMIT APPLIES PER
X jECT PRO X LOC
PRODUCTS COMP/OPAGG
$2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
CP0343758103
09/30/07
09/30/08
COMBINED SINGLE LIMIT
(Ea accdent)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
IS
X
PROPERTY DAMAGE
(Per accident)
$
GAR AGE LIABILITY
ANY AUTO
AUTOONLY EAACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY AGO
$
$
E
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10,000
IIE5691039
09/30/07
09/30/08
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
$
$
C
WORKERSCOMPENSATION AND
EMPLOYERS LIABILITY
2091550
04/01/07
04/01/08
X WC STATU OTH
E L EACH ACCIDENT
$ 1,000,000
E L DISEASE EA EMPLOYE
$ 1,000, 000
EL DISEASE. POLICY LIMIT
1 $1,000, 000
OTHER
5
S
S
DESCRIPTION OF OPERATIONSILOCATONSNEHICLESI"CLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS
RE Work Order R H-WTF-2006-7 Security and Electrical 2006 Improvements
City of Port Collins
700 Wood Street
Fort Collins, CO 80521-0000
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
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
AUTHORIZED REPRESENTATIVE
ACORD 25-S (7/97) SDZN
7197835
n
TION 1988
IMPORTANT
If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 conslitute 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
25-5