HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (99)ACADRIDnw CERTIFICATE OF LIABILITY INSURANCE 03/29/05 DATE(MMIDONY)
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
INSURER A: Zurich American Insurance
INSURER B: National Union Fire Ins. Co.
INSURER C: Pinnacol Assurance
INSURER D:
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.
ILTR NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDNY)
09/30/04
POLICY EXPIRATION
DATE IMMIDDNY)
LIMITS
A
GENERAL LIABILITY
X COMM ERCIALGENERAL LIABILITY
CLAIMS MADE 1XI OCCUR
X PDDed:5,000
CP0343758100
09/30/05
EACH OCCURRENCE
$1 000,000
FIRE DAMAGE (Any one fire)
s300000
MED EXP (Any one person)
$1 O 000
PERSONAL BADVINJURY
$1,000.000
GENERAL AGGREGATE
s2 OOO OOO
GE N'L AGGREGATELIMITAPPLIESPER:
POLICY X JFQT PRO X LOC
PRODUCTS-COMP/OPAGG
12000000
A
AUTOMOBILE
X
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
BODILY INJURY
(Per parson)
$
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 00O 000
AGGREGATE
$1 00O 000
S
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/05
04/01/06
X WC STIMIf OTH-
ER
E.L. EACH ACCIDENT
$100 000
E.L. DISEASE -EA EMPLOYEE
$1O0 000
E.L. DISEASE -POLICY LIMIT
S500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: FCWTF Misc. Improvements Project
City of Fort Collins is Included as Additional Insured on the General Liability Policy as required by written contract or
agreement and with respect to work performed by Insured.
City of Fort Collins - Utilities
700 wood St.
Fort Collins, CO 80522
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYSWRRTEN
NOTICE TOTHE CERTIFICATE H OLD ER NAM ED TO TH E LEFT, BUT FAILURE TO DO SO SHALL
IN POSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR
REPRESENTATIVE
^ rx. aa-v 1"U'lT OT Z PM247519 AJP1 0 ACORD CORPORATION 1988