HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (15)r`linna$• 10077
AMR& CERTIFICATE OF LIABILITY INSURANCE
3121MIDD/VY)
03129105
PRODUCER
IMA of Colorado, Inc.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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
INSURERA: 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 (MMIDDNY)
POLICY EXPIRATION
DATE (MMIDDNY)
LIMBS
A
GENERAL LIABILITY
X COMM ERCIALGENERAL LIABILITY
CLAIMS MADE O OCCUR
X PD Ded:5,000
CP0343758100
09/30/04
09/30/05
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE (Any meSre)
$300000
MED EXP (Any one person)
$1 n 000
PERSONAL BADV INJURY
$1,000,000
GENERAL AGGREGATE
s21000.000
GEN'L AGGREGATE LIM RAPPLIES PER:
1-1 POLICY X PR0. X LOC
PRODUCTS -COMP/OP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0343758100
09130/04
09/30/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per axident)
$
X
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 00n 000
AGGREGATE
$1,000,000
S
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/05
04/01/06
X WC STATUDRY LIM S I OTH-
ER
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE -EA EMPLOYEE
$100,000
E.L. DISEASE -POLICY LIMIT
_
Sinn 000
OTHER
DESCRIPTION OF OPERATIONSA.00ATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: Work Order #H-WRF. 2004-1 Daft Odor Control.
City of Fort Collins
Attn: P.O. Box 580
300 West LaPorte Ave.
Fort Collins, CO 80522
SHOULD ANYOF THEABOVE DESCRIBED
BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3n DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLOERNAM ED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR
^- �••�•„ oT c em[aTaTa AJP1 o ACORD CORPORATION 1988