HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (18)r1ionflb 1QQ72
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AMR& CERTIFICATE OF LIABILITY
INSURANCE
DATE
03/29/05DIM
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
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
INSURER B: National Union Fire Ins. Co. (AIG)
INSURER Pinnacol Assurance
Fort Collins, CO 80524
INSURER : :
D
INSURER E:
C(
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDNY]
POLICY EXPIRATION
DATE IMNUDDNY)
LIMITS
A
GENERAL LIABILITY
X COMM ERCIALGENERAL LIABILITY
CLAIMS MADE Fx-1 OCCUR
X PD Ded:5.000
CP0343758100
09/30/04
09/30/05
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
s300000
MED EXP (Any one Person)
$1 D 000
PERSONAL A ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIM It -APPLIES PER:
POLICY X JECTPRO X LOC
PRODUCTS-COMP/OPAGG
52000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON-OWNEDAUTOS
CP0343758100
09/30/04
09/30/05
COMBINED SINGLE LIMIT
(Ea accident)
$1 OD
r 0,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
s
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
EA ACC
OTHER THAN
AUTO ONLY: AGO
$
$
B
EXCESS LIABILITY
X1 OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE2911514
09/30/04
09/30/05
EACH OCCURRENCE
$1 00D 000
AGGREGATE
$1 000 000
a
$
Is
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/05
04/01/06
X WC STATU- OTH-
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE -EA EMPLOYEE
$100 000
E.L. DISEASE - POLICY LIMIT
s500 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: Backwash Pumpstation.
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 TO MAIL30DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR
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