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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (85)ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE( MI D� 06 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 �Uvclwvra INSURER A: American Guarantee & Lie INSURER B: National Union Fire Ins Co INSURERC: Pinnacol Assurance 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDD/YYI POLICY EXPIRATION DATE IMMtDDffn LIMITS A GENERAL LIABILITY X COMM ERCLAL GENERAL L LABILITY CLAIMS MADE OCCUR X PD Ded:5,000 CP0343758101 —DATE 09/30/05 09/30/06 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one fee) $,�QQ QQQ MED EXP (Any one person) $10000 PERSONAL & ADV INJURY $1 00O 000 GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X PRO- JECT X LOC PRODUCTS-COMP/OPAGG $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 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 00O 000 AGGREGATE $1 QOQ 000 is C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/06 04/01/07 X we sTATu- OTH- E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE..- POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: General WTF 2005 System Improvements, Reconstruction of various water treatment systems. City of Fort Collins 700 Wood Street Fort Collins, CO 80521 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL An DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUT FAILURE TO DO SOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR REPRESENTATIVE .,. W. u'w v»in oT z #1111290806 SZM © 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. ACORD25.3(7/97)2 Of 2 #M29080b