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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (11)ACORD. CERTIFICATE OF LIABILITY INSURANCE 0/F03 MIUDNY) 10//07 PRODUCER 1-303-534-4567 INA of Colorado, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 INSURER American Guarantee & Liab (Zurich American Ins) Hydro Construction Company, Inc INSURERS National Union Fire Ins. Co of PA (AIG) INSURERC Pinnacol Assurance 301 East Lincoln Avenue INSURER Fort 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 (MMi POLICY EXPIRATION DATE imunromyr, LIMITS -LIIELDATE A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE rx� OCCUR X PD Ded $5,000 CP0343758103 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 LOC PRODUCTS COMP/OPAGG $2, 000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS CP0343758103 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea accident) $11000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTOONLV EAACCIDENT $ OTHERTHAN EA ACC AUTO ONLY AGO $ $ E EXCESS LIABILITY % OCCUR CLAIMS MADE DEDUCTIBLE % RETENTION $10,000 BE5691039 09/30/07 09/30/06 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1, 000,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/07 04/01/08 X WC STATU DR V E L EACH ACCIDENT $ 1,000,000 EL DISEASE EA EMPLOYEE $1, 000,000 EL DISEASE POLICY LIMIT $1,000,000 OTHER 5 s 5 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Security & Associates Electrical System Improvements. CERTIFICATF HOLDER I I AnnlTIDraAI INSIIRED. INSURER I FTTFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins Water Utilities 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 Attn Opal Dick IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 700 Wood St REPRESENTATIVES AUTHORIZED REPRESENTATIVE kz� Fort Collins, CO 80521-0000 USA V^� ACORD 25-S (7/97) SDZN O ACORD CORPORATION 1988 7197813 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the pohcy(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 ACORD 25-S (7/97)