HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (12)7
ACORO CERTIFICATE OF LIABILITY INSURANCE
1DATE1/21/07 YY)
/07
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
INSURERA American Guarantee A Liab (Zurich American Ina)
INSURER National Union Fire Ina Co of PA (AIG)
301 Bast Lincoln Avenue
INSURER PSnnacol Assurance
INSURER
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 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 WSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMBS
A
GENERAL LIABILITY
CP0343758103
09/30/07
09/30/08
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire
$300,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FxI OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL a ADV INJURY
$ 1,000,000
X PD Ded $5,000
GENERAL AGGREGATE
$2,000,000
GEN L AGGREGATE
LIMIT APPLIES PER
PRODUCTS - COMPIOP AGO
$2,000,000
POLICY
X PRO,JFQT R LOG
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CP0343758103
09/30/07
09/30/08
COMBINED SINGLE LIMIT
(Ea accident)
E 1,000,000
BODILY INJURY
(Per person)S
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Pereccidenl)
$
HIRED AUTOS
NON-OWNEDAUTOS
X
PROPERTY DAMAGE
'Per accident)
$
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
S
AUTO ONLY AGO
EXCESS
LIABILITY
B85691039
09/30/07
09/30/08
EACH OCCURRENCE
$ 1,000,000
OCCUR CLAIMS MADE
X
AGGREGATE
$ 1,000,000
E
$
IC
DEDUCTIBLE
X
$
RETENTION $10,000
WORKERS COMPENSATION AND
2091550
04/01/07
04/01/08
R WC STATU- OTH
EMPLOYERS LIABILITY
IL EACH ACCIDENT
$ 11000,000
E L DISEASE - EA EMPLOYEE
$ 1,000,000
EL DISEASE POLICY LIMIT
$1,000,000
OTHER
s
s
s
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESMXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re WTF Replacement Program 2007 General Systems Imps- Phase II, Fort Collins Water Treatment Facility, 4316 West
LaPort Ave, Fort Collins, CO 80521
City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract
or agreement and with respect to work performed by insured subject to the policy terms and conditions
UbKI IY IUAI t HULUtK I I ADDITIONAL INSURED INSURER LETTER UANUtLLA I IUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
:ity 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
TOO Wood Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, US AGENTS OR
REPRESENTATIVES
fort Collins, CO 80521-0000 AUTHORIZED REPRESENTATIVE
USA '11^i
I
ACORD 25-S (7197) 70claudine 1 Gt ACORD CORPORATION 1988
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 lights 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 msurer(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