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)