HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (89)rlinnl$- 1QQ72
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ACORD.a CERTIFICATE OF LIABILITY
INSURANCE
DATE
09/26/ 5D
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
IMA of Colorado, Inc.
1550 17th Street, Suite 600
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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 PA(AIG)
INSURER C: 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.
NSR
R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
X PD Ded:5,000
CP0343758101
09/30/05
09/30/06
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
$300.000
MED EXP(Any one person)
_
$10000
PERSONAL B ADV INJURY
$1 00D 000
GENERAL AGGREGATE
$2 00O 000
GEN'L AGGREGATE LIM ITAPPLIES PER:
POLICY X PRO X LOC
JECT
PRODUCTS -COMPIOPAGG
$2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0343758101
09/30/05
09/30/06
COMBINED SINGLE LIMIT
(Ea accident)
$1 r000,�DD
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: AGG
$
$
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10000
BE9033798
09/30/05
09/30/06
EACH OCCURRENCE
$1 000 000
AGGREGATE
$1 00O 000
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/05
04/07I06
TH-
X WCSTATU- OFR
E.L. EACH ACCIDENT
$1000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1 00U 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECUIL 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
Ann: Opal Dick
P.O. Box 580
Fort Collins, CO 80522
1
ACORD 25S (7197)i rs 7 mRA,27nd,27
SHOULD ANYOFTH E ABOVE DESCR03ED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3D—DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT. BUTFAILURE TODOSOSH ALL
IMPOSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR
REPRESENTATIVE
emu o ACORD CORPORATION