HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (14)�Q,a CERTIFICATE OF LIABILITY INSURANCE 03/29/ 5Oml
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 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Denver, CO 80202 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
GOVERAGE5
INSURER A: Zurich American Insurance
INSURER B: National Union Fire Ins. Co,
INSURERC: 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 (MMIDDIM
POLICY EXPIRATIONLTR
DATE fMMfDDr(Yl
09/30/05
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE NIOCCUR
X PD Ded:5,000
CP0343758100
09/30/04
EACH OCCURRENCE
$1 00O 000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one Person)
$1 O 000
PERSONAL S ADV INJURY
$1 OOO 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMITAPPLIES PER:
POLICY X PRO-
T X LOC
PRODUCTS -COMPIOPAGG
s2000000
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 accident)
(Per acddant)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
EA ACC
THAN
AUTO ONLY: AGG
$
$
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE2911514
09/30/04
09/30/05
EACH OCCURRENCE
$1 O0O 000
AGGREGATE
$1 00O 000
E
i
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/05
04/01/06
X WC STATIU OTH-
E.L.EACHACCIDENT
- --
$100,000
E.L. DISEASE -EA EMPLOYEE
$100,000
E.L. DISEASE -POLICY LIMIT
s5OO OOO
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESAEXCLUSIONS ADDED BY ENDORSEMENT15PECIAL PROVISIONS
Re: Pollution Control Lab Remodel.
City of Fort Collins
300 W. LaPorte Ave.
Fort Collins, CO 80522
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL gO_._ DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OR LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
^��^- v•�rn oTZ sM[4151V AjP1 0 ACORD CORPORATION 1988