HomeMy WebLinkAboutHYDRO - INSURANCE CERTIFICATE (19)ruQntfi• 151079
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A GM. CERTIFICATE OF LIABILITY INSURANCE
MIDD/YY)
3/291
03l29105
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 c: Pinnacol Assurance
Fort Collins, CO 80524
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 IMMVDD/YY)
POLICY EXPIRATION
DATE IMMIDDiYYI
09/30/05
LIMBS
EACH OCCURRENCE
$1,000,000
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILRY
CLAIMS MADE Y OCCUR
X PD Ded:5,000
CP0343758100
09/30104
FIRE DAMAGE (Anyone firs)
$30000-0-
MED EXP (Any one person)
$10 000
PERSONAL AADV INJURY
$1 000 000
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIM IT APPLIES PER:
POLICY X PRa X LOC
PRODUCTS-COMPlOPAGG
$2000000
A
AUTOMOBILE
LIABILITY
ANYAUTO
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)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE2911514
09/30/04
09/30/05
EACH OCCURRENCE
$1 000,000
AGGREGATE
$1 00Q 000
$
$
$
Ci
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/05
04/01/06
X WC STATCRY LIMU- I DTH-
ER
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE -EA EMPLOYEE
$100,000
E.L. DISEASE -POLICY LIMIT
9500000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: Work Order H-WTF-2004-2. Southwest Pump Station- Suction and Discharge
Piping.
City of Fort Collins
Attn: P.O. Box 580
300 West LaPorte Ave.
Fort Collins, CO 80522
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3p_ DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHELEFT, BUTFAILURE TODOSOSHALL
IMPOSE NOOB LIGATION OR LIABILITYOF ANYKIND UPON THE INSURERJTS AGENTS OR
REPRESENTATIVE
Mi WMU LU' trlYrll of 2 #M247819 AjP7 0 ACORD CORPORATION 1988