HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (93)ACORQ. CERTIFICATE OF LIABILITY INSURANCE 09/261 5DNY)
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
Hydro Construction Company, Inc.
301 East Lincoln Avenue
Fort Collins, CO 80524
w V CKAU1:b
INSURERA: Zurich American Insurance
INSURERS: National Union Fire Ins Co I
INSURERC: 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.
INS
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IM1i
POLICY EXPIRATION
DATE I III
LIMBS
A
GENERAL LIABILITY
CP0343758101
09/30/05
09/30/06
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FXI OCCUR
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one person)
$1 p 000
X PD Ded:5,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2 0OO 000
GEN'L AGGREGATE LIM ITAPPLIES PER:
PRODUCTS-COMP/OPAGG
$2000000
POLICY X PRO-
J T X LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
CP0343758101
09/30/05
09/30/06
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
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
1
$
AUTO ONLY: AGG
B
CE EXSS LIABILITY
OCCUR CLAIMS MADE
BE9033798
09/30/05
09/30/06
EACH OCCURRENCE
$1 000 0-0-0X
AGGREGATE
$1 00O 000
DEDUCTIBLE
X RETENTION $1000D
IS
C
WORKERS COMPENSATION AND
2091550
04/01/05
04/01/06
X WC STATU-ORYLIMS OTH-
ER
EMPLOYERS' LIABILITY
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/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Poudre 24" Concrete Pipeline Air Vac R.
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.
CERTIFICATE HOLDER ADDmONALINSURED; 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 3D—DAYS WRITTEN
300 W. LaPorte Ave.
NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUT FAILURE TO DO SOSHALL
Fort Collins, CO 80522
IMPOSE NOO8LIGATION ORLIABILITY OFANY KIND UPONTHEINSURER,ITSAGENTS OR
REPRESENTATIVES.
A THORIZED REPRESENTATIVE
ACORD 25S (7/97)1 of 2 #M270427 SZM o ACORD CORPORATION 1988