The URL can be used to link to this page

Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (102)r- ACORD� CERTIFICATE OF LIABILITY INSURANCE 09122/03°""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street, Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED INSURER A: American Casualty Co. PA (CNA) Hydro Construction Company, Inc. INSURER B: Transportation Insurance Co (CNA) 301 East Lincoln Avenue INSURER C: Pinnacol Assurance Fort Collins, CO 80526 INSURER D: INSURER E: VV�LMVLJ 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 (MMfDDrM POLICY EXPIRATION DATE (NIMIDDlYn LIMITS A GENERAL LIABILITY X COMMERCIALGENERALLIABILITY CLAIMS MADE Fx-1 OCCUR C1098498800 09/30/03 09/30/04 EACH OCCURRENCE $1 00O 000 FIRE DAMAGE (Any one fire) $100000 MED EXP(Any one Person) SS 000 PERSONAL &ADV INJURY $1 00O 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PRO- X LOC JrCT PRODUCTS-COMP/OPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS C1098497775 try` - 1 .'!." CM I SEP 2r i`'. 2 OF FORTCOLLINS ra -. 09/30/04 03 COMBINED SINGLE LIMIT (Ea accident) $1 r000r000 X BODILY INJURY (Per person) $ X BPDaccidNeJntt))RY $ X PROPERTYDAMAGE $ GARAGE LIABILITY ANY AUTO J AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 C1098498828 09►30103 09/30►04 EACH OCCURRENCE $1 OOO 00O AGGREGATE $1 OOO 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/03 04/01/04 OTH- X WC STATUS I EEL E.L. EACH ACCIDENT $1 000,000 E.L.DISEASE-EAEMPLOYEE $1,000r000 E.L. DISEASE -POLICY LIMIT $1 000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Work Order#WTF-2002-2a. Backwash Recycle Project. City of Fort Collins 300 Laport Ave. Fort Collins, CO 80522 SHOULD AWYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAN —An DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHELEFT, BUTFAILURE TO DO SOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVE ACORD 25S (7/97)1 of 2 #M189700 SYH tv ATA,vMU Arvrcrvr I1WR I000 (`lino+$• 10077 CERTIFICATE OF LIABILITY INSURANCE °"Y' .DQBQnw 09/22/0 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: American Casualty Co. PA (CNA) INSURERS: Transportation Insurance Co (CNA) INSURERC: Pinnacol Assurance Fort Collins, CO 80526 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR C1098498800 09/30/03 09/30/04 EACH OCCURRENCE $1 00O 000 FIRE DAMAGE (Any one fire) $100000 MED EXP (Any one person) $5 000 PERSONAL 8 ADV INJURY $1 00O 00O GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM RAPPLIES PER: POLICY PR07 X LOC PRODUCTS -COMPIOPAGG $2000000 A AUTOMOBILE LIABILITr ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS C1098497775 _ - 09/30/03 flu--,.F,�j l/!1 Sb'J LU )p F >~o1z- . , 09/30/04 l � COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X X BODILY INJURY (Per person) $ BODILY INJURY (Per accident)accident)CITY $ X (Per accidentPROPERTY )SAGE $ rl GARAGE LIABILITY ANY AUTO .A NACEM NT AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X1 OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 C1098498828 09/30/03 09/30/04 EACH OCCURRENCE $1 OOO 000 AGGREGATE $1 OOO 000 $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04101/03 04/01/04 X WC STATI OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1 00O 000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Backwash Recycle Project, City of Fort Collins. City of Fort Collins is included as Additional Insured on the General Liability policy as required by written contract or agreement and with (See Attached Descriptions) City of Fort Collins 300 Laport Ave. Fort Collins, CO 80522 SHOULD ANYOF THE ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30_DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUTFAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR Awl<u zb-a (nai)l of 3 #M189700 SYH O ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE 0DATE 9122/03D 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 303 534-067 INSURERS AFFORDING COVERAGE INSURED A....�in.. !`oe..a16. P.. DA if'UAl Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80526 UUVt=RALiE5 INSURERB: Transportation Insurance Co INSURERC: Pinnacol Assurance 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. INSR LTRTYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICYEXPIRATION p LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx-� OCCUR C1098498800 09/30/03 09/30/04 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fire) $100000 MED EXP(Any one person) $5 000 PERSONAL B ADV INJURY $1 000 000 GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY x PR0. X LOC PRODUCTS -COMPIOPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS C1098497775 �y ll ��1\v p CITY C RISK 2003(Per H'UR CCU N1.,%.�AGEM LINS N COMBINED SINGLE LIMIT (Ea accident) $1,000 ,000 X BODILY INJURY 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: AGG $ $ B EXCESS LIABILITY X OCCUR 7 CLAIMS MADE DEDUCTIBLE X RETENTION $10000 C1098498828 09/30/03 09130/04 EACH OCCURRENCE $1000000 AGGREGATE $1 000 000 $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LUU31Lm' 2091550 04/01/03 04/01/04 X ITORY WC STATIT OTH- E.L. EACH ACCIDENT $1 000,000 E.L. DISEASE _-EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1,000,000 $1 000 000 OTHER DESCRIPTION OF OPERATIONSILOCATONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Work Order Number H-WRF-2002-2, MWRF UV System Improvements, Phase I City of Fort Collins P.O. Box 580 300 West LaPorte Ave Fort Collins, CO 80522 SHOULD ANYOFTHE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3d_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLD ER NAMED TO THE LEFT, BUT FAILURE TO DO SOSHALL IMPOSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR Avertu zoo tnVN)1 Of 2 f MI39700 SYH O 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). L163dW1I' I=10 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. AG0RL)25S(7/97)2 of 3 #M189705