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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (96)rur..,rre• 'I Q079 I-C7 eI-TSTS111 ACORDTa CERTIFICATE OF LIABILITY INSURANCE 0126/os°"Y' 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 INSURERA: Zurich American Insurance Company Hydro Construction Company, Inc. INSURER B: National Union Fire Ins Co PA(AIG) 301 Fast Lincoln Avenue 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 TYPE OF INSURANCE POLICY NUMBER POLLT Y EFFECTIVE E (MWDDfYY) POLICY EXPIRATIONLTR DATE (MMIDDNn LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE u OCCUR X PD Ded:5,000 CP0343758101 09/30/05 09/30/06 EACH OCCURRENCE $1 00Q 000 FIRE DAMAGE (Any one fire) s300,000 MED EXP (Any one person) $10 000 PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE $2 000 000 GE N'L AGGREGATE LIMITAPPLIESPER: POLICY X PRO X LOC PRODUCTS-COMPIOPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS CP0343758101 09/30/05 09/30/06 COMBINED SINGLE LIMIT (Ea accident) $1rD00rQ0D X BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ 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 $10 000 BE9033798 09/30/05 09/30/06 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 E $ - $ C WORKERS COMPENSATON AND EMPLOYERS' LIABILITY 2091550 04/01I05 04/01/06 - X WC STL,MSATIf OTHEEL E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1 000 000 OTHER DESCRIPTION OF OPERATIONSILOCATONSNEHICLESIEXCLUSIONS A°DED BY ENDORSEMENTISPECIAL PROVISIONS RE: South West Pump Station: City of Fort Collins is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. City of Fort Collins -Utilities Attn: Opal Dick P.O. Box 580 Fort Collins, CO 80522 I ACORD 25S (7/9711 of 9 100-1711A97 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL$Q-_DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTH E LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OB LIGATION OR LIABILITY OF ANY 19ND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE 07U o ACORD CORPORATION 199F 7`Jia.fA- 10079 uvnonnu �.e ACERTIFICATE OF LIABILITY INSURANCE 09is/ 5°°" 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 $0202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED INSURER A: Zurich American Insurance Company Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 INSURER B: National Union Fire Ins Co PA(AIG) INSURER C: Pinnacol Assurance 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 DATE (MMIDDMO POLICY EXPIRATION DATE (MMIDDPM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 41 OCCUR X PD Ded:5,000 CP0343758101 09/30/05 09130/06 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one person) $10 000 PERSONAL B ADV INJURY $1 00O 000 GENERAL AGGREGATE $2 OOO OD0- GE L AGGREGATE LIMITAPPLIESPER: POLICY X PR� X LOC PRODUCTS -COMP/OPAGG s2 OOO OOO A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CP0343758101 09/30/05 09/30106 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 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 $1 O 000 BE9033798 09/30/05 09/30/06 EACH OCCURRENCE $1 00O O00 AGGREGATE $1,000,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILrrY 2091550 04/01/05 04/01/06 X WC STATU- rR E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT 1 $1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Backwash Pumpstation. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 ANYOFTHE ABOVE DESCRIBED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3ODAYS WRITTEN NOTICETOIHE CERTIFICATE HOLDERHAMED TOTHE LEFT, BUT FAILURE TODOSOSH ALL IM POSE NO OB LIGATION OR LIAR ILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR REPRESENTATIVE ACOKU 25-5 (7/97)1 Of 2 #M270427 SZM O ACORD CORPORATION 1988 Clien}i6. 14472 NV11R(_r1N ACORD.e CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YY) os/zsros 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 INSURERB: 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE (MMMDPM POLICY EXPIRATIONLTR DATE IMM11DDtYYJ LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_] OCCUR X PD Ded:5,000 CP0343758101 09130105 09/30106 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one person) $10 000 PERSONAL B ADV INJURY $1 00Q 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM IT APPLIES PER: POLICY X PRO- 7 X LOC PRODUCTS-COMPfOP AGG $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) $1,000,000 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 Excrss LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BES033798 09/30/05 09130/06 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01105 04101/06 - X WC STATU- OTHER 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 OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Poudre Pipeline Slackstock Valve Replacement. 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 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOFTHEABOVE DESCRIBED POLICIESSE CANCELLED BEFORE THE ExinmTON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30_ DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT. BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITYOF ANYKIND UPON THE INSURERITS AGENTS OR AI.UKU LO-S (IINII1 Of 2 #M270427 SZM O AGORU GORPORATION 1988 r`IinnHk• '10077 ACORQTM CERTIFICATE OF LIABILITY INSURANCE 0DATE 9126105om) PRODUCER IMA of Colorado, Inc. 1550 17th Street, Suite 600 Denver, CO 80202 303 534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 INSURER A: Zurich American Insurance Company INSURERS National Union Fire Ins Co PA(AIG) INSURER C: Pinnacol Assurance 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 TYPE OF INSURANCE POLICY NUMBER POALICY EFFECTIVE IMMIDDNYI POLTE LIICY EXPIRATION LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FAI OCCUR X PD Ded:5,000 CP0343758101 09/30/05 09/30/06 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one person) $10 000 PERSONAL S ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY x PRO- T X1 LOC PRODUCTS-COMPlOP AGG $2000000 A AUTOMOBILE X 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) $1,000,000 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 $10 000 BE9033798 09/30/05 09/30/06 EACH OCCURRENCE $1 000 000 AGGREGATE $1,000,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' UABIUTY 2091550 04/01105 OW01/06 X WC STATLU I OTH- E.L. EACH §1,000 000 _ACCIDENT E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1 000 000 OTHER DESCRIPTION OF OPERATIONWLOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Pollution Control Lab Remodel. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 3p._ DAVSWRr TEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NOOBLIGATION OR LIABILITYOF ANY IUND UPON TH E INSURER,ITS AGENTS OR REPRESENTATIVE AGURD Z5-5 (7/97)1 of 2 #M270427 SZM 0 ACORD CORPORATION 1988 ACDRM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY) 09/26/05 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 .Wv=R/ Co INSURER A: Zurich Americanlnsurana INSURERB: National Union Fire Ins 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 09130/05 POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_] OCCUR X PD Ded:5,000 CP0343758101 09/30/06 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one person) $1 Q 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE S2,000,000 GEN'L AGGREGATE LIM ITAPPL IES PER: POLICY X PRO- T X LOC PRODUCTS-COMP/OPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS CP0343758101 09/30/05 09/30/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY IPer parson) 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 LWBILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10000 BE9033798 09/30/05 09/30/06 EACH OCCURRENCE $1 OOQ000 AGGREGATE $1,000,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/05 04/01/06 X WC STATU- I OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEEI $1,000,000 E.L. DISEASE -POLICY LIMIT 1 $1,000,000 OTHER T-7 DESCRIPTION OF OPERATIONSILOCATIGNSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3Q_ DAYSWRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TO DO BOSH ALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR SZM © ACORD CORPORATION 1988 ti ACOM. CERTIFICATE OF LIABILITY INSURANCE 09126105DIM 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 Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 f_nVFQA!_CS INSURER A: Zurich American Insurance INSURER B: 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. R TYPE OF INSURANCE POLICY NUMBER POLICY EDATE LECTIVE OLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR X PD Ded:5,000 CP0343758101 09/30/05 09/30/06 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM IT APPLIES PER: POLICY X PRO- X LOC PRODUCTS-COMP/OPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS CP0343758101 09/30/05 09/30/06 COMBINED SINGLE LIMIT (Ea accident) $1,000 OOO , 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 OABILITY X OCCUR CLAIMS MADE DEDUCTIBLE - X RETENTION $10 000 SE9033798 09/30/05 09/30/06 EACHOCCURRENCE $1 000 000 AGGREGATE $1 000 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS LIABILITY 2091550 04/01/05 04/01/06 7H- X WCSTATIU I oFIR E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT I S11,000.000 OTHER DESCRIPTION OF OPERATIONS/LOCATONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: General System Improvements. City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 311)_ DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODD SO SHALL IMPOSE NO OB LIGATION OR LIAB ILITY OF ANY KIND UPON TH E INSURE FLITS AGENTS OR AGURIJ LOU (Ilal11 Of 2 #M270427 SZM Q ACORO GORPORATION 1933 .1 ACORD. CERTIFICATE OF LIABILITY INSURANCE 099/26/ 5°n"' 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. INSURERB: National Union Fire Ins Co PA(AIG) 301 East Lincoln Avenue INSURER c. Pinnacol Assurance Fort Collins, CO 80524 INSURER D: INSURER E: nnVPRACPS 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 fMMn)DN*n POLDATE LIICY EXPIRATIONIm- TE IMMn)DfYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F-x1 OCCUR X PD Ded:5,000 CP0343758101 09/30/05 09/30106 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one person) $1 D 000 PERSONAL B ADV INJURY $1000000 GENERAL AGGREGATE s2,000.000 GEN'L AGGREGATE LIM IT APPLIES PER: POLICY X JECTPRI X LOC PRODUCTS-COMPlOP AGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS CP0343758101 09/30/05 09/30/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 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 CLAIMSMADE DEDUCTIBLE X RETENTION $10000 BE9033798 09/30/05 09130/06 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/05 04101 /06 X WC STATU- O7H- E.L. EACH ACCIDENT 51,000UOD E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Work Order Number: H-WRF-2005-1, Work Order Title: DWRF Storage Building. 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 300 W.LaPorte Avenue Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3D—DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURE R,ITS AGENTS OR ,ra UKU cao (Ilvf)1 Of 2 #M270427 SZM 0 AGUKU GORPORATION 1933