HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (17)r1lanMb 14079
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ACORQ,a CERTIFICATE OF LIABILITY
INSURANCE
DATE (MMM
03/29105Drrr)
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.
Fort Collins, CO 80524 East Lincoln Avenue
Fo
INSURERA: Zurich American Insurance Company
INSURER B: National Union Fire Ins. Co. (AIG)
INSURER C: Pinnacol Assurance
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.
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATIONIm
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
X PDDed:5.000
CP0343758100
09/30/04
09/30/05
EACH OCCURRENCE
$1 OOO 000
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
$1 O 000
PERSONAL BADVINJURY
$1000000
GENERAL AGGREGATE
$2 000 000
GEN'LAGGREGATE LIM ITAPPLIES PER:
17 POLICY X PRo- X LOC
PRODUCTS-COMPIOPAGG
$2 000 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
CP0343758100
09/30/04
09/30/05
COMBINED SINGLE LIMIT
(Ea amident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
EA ACC
OTHER THAN
AUTO ONLY: AGG
$
$
B
EXCESS LIABILITY
X1 OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE2911514
09/30/04
09/30/05
EACH OCCURRENCE_
$1 000 000
AGGREGATE
$1 00O 000
$
$
Is
C
WORKERS COMPENSATION AND
EMPLOYERS' LU181LIry
2091550
04/01/05
04/01/06
X I WCSTATU- OTH-
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE -EA EMPLOYEE
$100,000
E.L. DISEASE -POLICY LIMIT
$500000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: Southwest Pump Station.
City of Fort Collins
300 W. LaPorte Ave.
Fort Collins, CO 80522
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3ODAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON THE INSURE R,ITS AGENTS OR
REPRESENTATIVE
nwrcu cw �nar)1 o1 2 XM247319 AjP1 0 ACORD CORPORATION 1988