HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (11)eNnn«/!• �GGo�
ACORD�, CERTIFICATE OF LIABILITY INSURANCE
033/29/05DNY)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
IMA of Colorado, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1550 17th Street, Suite 600
Denver, CO 80202
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
303 534-4567
INSURERS AFFORDING COVERAGE
INSURED
Hydro Construction Company, Inc.
301 East Lincoln Avenue
Fort Collins, CO 80524
INSURER A: Zurich American Insurance Company
INSURER B: National Union Fire Ins. Co. (AIG)
INSURER C: Pinnacol Assurance
INSURER D:
INSURER E:
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.
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE iMMIDDIYYI
POLICY EXPIRATIONIm
DATE (MMIDDNY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FxI OCCUR
X PDDed:5,000
CP0343758100
09/30/04
09/30/05
EACH OCCURRENCE
$1000 000
FIRE DAMAGE (Any me fire)
s300000
MED EXP (Any one person)
$1 O 000
PERSONAL BADVINJURY
$1,000.000
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIM ITAPPLIES PER:
POLICY X PRO X LOC
PRODUCTS-COMPIOPAGG
s2 OOO OOO
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0343758100
09/30/04
09/30/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
It
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO A
AUTO ONLY - EA ACCIDENT
ENY
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESS LIABILITY
X1 OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE2911514
09/30/04
09/30/05
EACH OCCURRENCE
$1 OOO U00
AGGREGATE
$1 000,000
E
$
y
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/05
04/01/06
X WC STATUORYLIM - I OTH-
rR
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE -EA EMPLOYEE
$100,000
E.L. DISEASE -POLICY LIMIT I
E500000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES(EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: 2003 WTF Modifications.
The City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract
or agreement and with respect to work performed by Insured.
City of Fort Collins -Utilities
700 Wood Street
Fort Collins, CO 80522
SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3O—DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NOOBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
nvvnu'Uv 111al)1 Or 2 XM247319 AJP7 0 ACORD CORPORATION 1988