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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (100)AMRD.a CERTIFICATE OF LIABILITY INSURANCE 09121/04D"Y) 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 Fort Collins, CO 80524 COVERAGES INSURERA: Zurich American Insurance INSURERB: 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. INSR LTR rypE OF POLICY NUMBER POLICYEFFECTIVE DATE M D POLICY EXPIRATION DATE MMIDD LIMITS A GENERAL LIABILITY CP03437581 09/30/04 09/30/05 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX7 OCCUR FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 X PD Ded:5,000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS - COMP/OP AGG s2000000 POLICY FXPRO- -1T X LOC A AUTOMOBILE X LIABILITY ANY AUTO CP03437581 09/30/04 09/30/05 COMBINED SINGLE LIMIT (Ea accident) $1 r000 ,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per Person) I, $ X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS LIABILITY X OCCUR CLAIMS MADE BE2911514 09/30/04 09/30/05 EACH OCCURRENCE $7 000 000 AGGREGATE $1 000,000 $ $ DEDUCTIBLE $ X RETENTION $10000 C WORKERS COMPENSATION AND 2091550 04/01/04 04/01/05 X WC STA7U- OTH- RYLIM118 EEL EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $100,000 E.L. DISEASE -EA EMPLOYEEI $100,000 E.L. DISEASE -POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: South West Pump Station: 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 Attn: Opal Dick P.O. Box 580 Fort Collins, CO 80522 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30-_DAYS WRrrTEN NOnCETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM rOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR i+�.vrcv cra Tuar1T OT Z 11IM228454 DLM01 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AG0RD25-5(7197)2 of 2 #M228454 Client#- 19972 I'►A flrTaTal JI ACORDa CERTIFICATE OF LIABILITY INSURANCE 09121/04om) 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 ---- INsuRERA: Zurich American Insurance Company Hydro Construction Company, Inc. 301 East Lincoln Avenue _ INSURER B: Union Fire Ins. Co. (AIG ) � _National - - - -- 5 w$URERc, Pinnacol Assurance Fort Collins, CO 80524 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. INSR I TYPE OF INSURANCE LTR POLICY NUMBER POLICY EFFECTIVE DATE(MMIDDfYYI POLICY EXPIRATION i DATE MIDDIM LIMIT A GENERAL LIABILITY CP03437581 09/30/04 09/30/05 EACH OCCURRENCE $1 00Q 000 $300000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 X OCCUR FIRE DAMAGE (Any one fire) MED EXP (Any one Person) $10000 $1 00Q 000 X PD Ded:5,000 PERSONAL S ADV INJURY s2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIM ITAPPLIES PER: $2 O00 OOO PRODUCTS -COMP/OPAGG POLICY X I PRO X LOC A 11 AUTOMOBILE LIABILITY CP03437581 09/30/04 09/30/05 : X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS COMBINED SINGLE LIMIT (Ea accident) Il BODILY INJURY (Par person) $1,000,000 $ X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS LIABILITY X OCCUR CLAIMS MADE BE2911514 09/30/04 09/30/05 EACH OCCURRENCE $1 00O 000 AGGREGATE '$1 00O 000 $ $ DEDUCTIBLE $ X RETENTION $10000 Ci WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/04 04/01/05 X WC STATU- OTH- -QRYl_IMU$_L__ ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE -EA EMPLOYEE $100,000 E.L. DISEASE -POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSA/EHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: 2003 WTF Modifications. The 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 Street Fort Collins, CO 80522 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYSWRRTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE ha.a.rrau Zra Ilryrll of 2 OM228454 DLM01 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. OL 6 $M61&tl4.74 ACORDra CERTIFICATE OF LIABILITY INSURANCE oDATE (MMID sr2v9/211o4DIM PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 COVERAGES INSURERA: Zurich American Insurance INSURERB: National Union Fire Ins. Co. w$URERC: 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. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE fMMIDDIYYI POLICY EXPIRATION DATE MMROD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 41 OCCUR CP03437581 09/30/04 09/30/05 EACH OCCURRENCE FIRE DAMAGE (Any one fire) 1 $1 OOO 000 $300000 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1 000 000 X PD Ded:5,000 GENERAL AGGREGATE $2 0-0-0 OOO GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS-COMP/OP AGG $2000000 PRO X LOC POLICY FX7 JrCT A AUTOMOBILE IX LIABILITY ANY AUTO CP03437581 09/30/04 09/30/05 COMBINED SINGLE LIMIT (Ea accident) $rOOO ,000 1 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X ii X HIRED AUTOS NON -OWNED AUTOS I BODILY INJURY (Per accident) j $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG 1 B EXCESS LIABILITY X OCCUR CCLAIMS MADE BE2911514 09/30/04 09/30/05 EACH OCCURRENCE $1 00O 000 AGGREGATE $1 00O 000 a $ DEDUCTIBLE X RETENTION $10000 $ C WORKERS COMPENSATION AND EMPLOYER$' LIABILITY 2091550 04/01/04 04/01/05 TH- R E.L. EACH ACCIDENT $100,000 E.L. DISEASE -EA EMPLOYEEI $100,000 E.L. DISEASE -POLICY LIMIT $500 00O OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30— DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TO DO SOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND U PON TH E INSU RER,ITS AGENTS OR ^`�+^" ca-a IrIV, I OT Z PMZ20454 DLM01 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 0 1-163W1LIJ14:1 The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. A�uKuXa-*V1Vf)2 Ot 2 #M228454