HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (98)Client#: 19972 HYDRCON
CERTIFICATE OF LIABILITY
INSURANCE
DATE
JCOBQ,M
09/21104D
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
IMA of Colorado, Inc.
1550 17th Street, Suite 600
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80202
303 534-4567
INSURERS AFFORDING COVERAGE
— — -- — —
INSURED
Hydro Construction Company, Inc.
301 East Lincoln Avenue
INSURER A: Zurich American Insurance Company
INSURERS: National Union Fire Ins. Co. (AIG)
INSURER C: Pinnacol Assurance
Fort Collins, CO 80524
INSURER D:
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
T
I TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
A DDIVY
POLICY EXPIRATION
DATE MMIDD
LIMITS
A
I GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE �, X OCCUR
X PD Ded:5,000
CP03437581 -
09/30/04
09/30/05
EACH OCCURRENCE
I $1 00D 000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any we person)
$1 D 000
PERSONAL B ADV INJURY
$1000000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIM ITAPPLIES PER:
POLICY X PRO
7 FX7 LOC
PRODUCTS - COMP/OP AGG
$2000000
A
11 AUTOMOBILE
X
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP03437581
` I� ,I'
'���C.li' jQ,
SE
CITY OF
09/30/04 _ _
�p}c,.v{�i _.� �y�
1 'fir
�`. 2004
FOR I COLL)NS
09/30/05
a
COMBINED SINGLE LIMB
(Ea accident)
$1 000 000
,,
BODILY INJURY
(Per person)
$
BODILY
INJX
Per accident)2
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE2911514
09/30/04 09/30/05
EACH OCCURRENCE $1 00O 000
AGGREGATE $1,000,000
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/04
04/01/05
X WC ST LIMITS OTH-'rEL.
TQRY
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE -EA EMPLOYEE
$100,000
E.L. DISEASE -POLICY LIMIT
$500 000
OTHER
DESCRIPTION OF OPERATIONSA.00ATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: Pollution Control Lab Remodel.
City of Fort Collins
300 W. LaPorte Ave.
Fort Collins, CO 80522
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BECANCELLED BEFORETHE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYSWRTTTEN
NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NOOBLIGATION OR LIABILITY OF ANY IOND UPON TH E INSURER,ITS AGENTS OR
REPRESENTATIVE
AVURU LIYA Jfnll)1 of 2 #M225454 DLM01 0 ACORD CORPORATION 1988