HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (92)ClinnHf• 10079
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ACORD.a CERTIFICATE OF LIABILITY INSURANCE
DATE(M
sD""'
PRODUCER
IMA of Colorado, Inc.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1550 17th Street, Suite 600
Denver, CO 80202
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
303 534-4567
INSURERS AFFORDING COVERAGE
INSURED
Hydro Construction Company, Inc.
East Lincoln Avenue
Fort
Fort Collins, CO SD524
INSURER A: Zurich American Insurance Company
INSURER B: National Union Fire Ins Co PA(AIG)
INSURER C: 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.
ILTR NSR
I TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDONY1
POLICY EXPIRATION
DATE MMIDDIYYI
LIMITS
A
GENERAL LIABILITY
CP0343758101
09/30/05
09/30/06
EACH OCCURRENCE
$1 QQQ QQQ
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx-I OCCUR
FIRE DAMAGE (Any one fire)
$3000QQ
MED EXP (Any one person)
$1 D 000
X PD Ded:5,000
PERSONAL & ADV INJURY
$1 000 0QQ
GENERAL AGGREGATE
$z o00 000
GEN'L AGGREGATE LIM ITAPPLIES PER:
POLICY X PRO-
1-1 7 X LOC
PRODUCTS -COMPIOPAGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
CP0343758101
09/30/05
09/30/06
COMBINED SINGLE LIMIT
(Ea accident),
$1000000
,
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
X
X
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
B
EXCESS LIABILITY
X OCCUR CLAIMS MADE
SE9033798
09/30/05
09/30/06
EACH OCCURRENCE
$1 00D o00
AGGREGATE
$1 0QQ QQo
DEDUCTIBLE
X RETENTION $10000
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/05
04/01/06
X WC STA7U- OrH-
E.L. EACH ACCIDENT
$1 000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$1 000 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: Pollution Control Lab Remodel.
CERTIFICATE HOLDER ADDIr1ONALINSURED; INSURER LETTER: CANCELLATION
SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYSWRITTEN
300 W. LaPorte Ave.
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
Fort Collins, CO 80522
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR
REPRESENTATIVES.
A THORIZED REPRESENTATIVE
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