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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (97)AC_ RD. CERTIFICATE 4F LIABILITY INSURANCE 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 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 Fort Collins, CO 80524 rnVFRAAFR INSURERS: 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 POLICYEFFECTIVE DATE (NIMIDDIM POLICY EXPIRATIONIm DATE iMMMOPM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [i] OCCUR X PDDed:5,000 CP0343758101 09/30/05 09/30/06 EACH OCCURRENCE $1 00D 000 FIRE DAMAGE (Any one fire) $300000 MED EXP (Any one person) $1 D 000 PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE $2 000 000 GEML AGGREGATE LIM ITAPPLIES PER: JECT POLICY X PRO-X LOC PRODUCTS -COMP/OP AGG $2 000 000 A AuroMostLE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CP0343758101 09/30105 09/30/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,DD0 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 $10 000 BE9033798 09130/05 09/30/06 EACH OCCURRENCE $1 00D 00D AGGREGATE $1 00D 000 S $ $ C woRKERs coMPENsATION AND EMPLOYERS' LIABILITY 2091550 04101/05 04/01/06 - X WC STATUDRY LIM - I JOTHER E.L. EACH ACCIDENT $1,000 D0D E.L. DISEASE - FA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000 000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSXNIS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Work Order Number: H-WRF-2004-3, Work Order Title: DWRF Digester Gas Piping. 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 ANYOF TH E ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30 DAYSWRnTEN NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSH/LLL IM POSE NO OBLIGATION OR LIABILITY OF ANYIOND UPON TH E INSURER,ITS AGENTS OR AL,UnU cD.S Irreill of 2 #M270427 SZM O AGORD CURPURATION 1933 rranru• 19972 uvnar-nm AMR& CERTIFICATE OF LIABILITY INSURANCE °`�"' 09/22610 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 5344567 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 a. 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 POLICY EFFECTIVE DATE (MMIDDJYYI POLICY EXPIRATION DATE (MMMDIYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I X1 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 8 ADV INJURY GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM IT APPLIES PER: POLICY X PROJECT X LOC PRODUCTS-COMP/OP AGG "000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS CP0343758101 09130105 09130/06 COMBINED SINGLE LIMIT (Ea accident) 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 CE EXSS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10 000 BE9033798 09/30105 09/30/06 EACH OCCURRENCE s1 000 000 AGGREGATE $1 000 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/05 04/01/06 X WC STATIT DTH- 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 OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECW. PROVISIONS RE: Work Order #H-WRF. 2004-1 Daft Odor Control. City of Fort Collins Attn: P.O. Box 580 300 West LaPorte Ave. Fort Collins, CO 80522 ACORD 25S 171971,t —f O 40JIg7nAn7 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUT FAILURE TO DO SOSHALL IMPOSE NO OB LIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR emu m arnRn rrlRpnRATInN tGRR