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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