HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (84)r1i..+4b 40079
ivnnww�r
DATE YV)
ACDM. CERTIFICATE OF LIABILITY INSURANCE
03/29/06
06
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.
Fo East Lincoln Avenue
Fort Collins, CO $0524
INSURERA: American Guarantee & Llab.(Zurich)
INSURER B: National Union Fire Ins Co PA(AIG)
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.
NSR
TR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
M
LIMITS
A
GENERAL LIABILITY
CP0343758101
09130/OS
09/30/O6
EACH OCCURRENCE
$1 QQQ QQQ
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE I X1 OCCUR
FIRE DAMAGE (Any one fire)
$300000
MED EXP (Any one parson)
$10 000
X PD Ded:5,000
PERSONAL & ADV INJURY
$1 QQQ QQQ
GENERAL AGGREGATE
s2.000.000
GEN'L AGGREGATE LIM IT APPLIES PER:
POLICY X PR� X LOC
PRODUCTS-COMP/OPAGG
$2000000
A
AUTOMOBILE
LIABILm'
ANY AUTO
CP0343758101
09/30/05
09/30/06
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
1xx
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$NY
OTHER THAN EA ACC
$
AUTO A
$
AUTO ONLY: AGG
B
EXCESS LIABILITY
X1 OCCUR CLAIMS MADE
BE9033798
09/30/05
09/30/06
EACHOCCURRENCE
$1000000
AGGREGATE
$1 QQQ 000
DEDUCTIBLE
X RETENTION $10 000
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILIT'
2091550
04/01/06
04/01107 1X
JTWCSTATU oTH-
E.L. EACH ACCIDENT
$500 000
E.L. DISEASE - EA EMPL OYEE
$500,000
E.L. DISEASE -POLICY LIMIT 1
$500,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE: Mulberry Water Reclamation Facility UV System & Other Improvements.
The 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
700 Wood Street
Fort Collins, CO 80521
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL An DAYSWRnTEN
NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY POND UPON THE INSURERJTS AGENTS OR
^� ^� -.' I".,n OT z ;FMzvuaub SZM 0 ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD25S(7/97)2 Of 2 #M290806