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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (13)AW-Ra CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD YV) 03/11/08 PRODUCER 1 303 534 4567 INA of Colorado Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 Suite 00 600 1Street Suit HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE Denver CO 80202 INSURED Hydro Construction Company Inc INSURERA American Guarantee a List,(Zurich American Ins) INSURER National Union Fire Ina Cc of PA (AIG) 301 East Lincoln Avenue INSURER Pinnacol Assurance INSURER Fort Collins CO 80524 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 ILTR NSR TYPE OF INSURANCE POLICY NUMBER POUCYEFFECTIVE IMI POLICYEXPIRATIONDATE DATE IM1WDTVVV1 09/30/08 LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $300 000 MED EXP(Any one person) $10 000 CLAIMS MADE 111 OCCUR X PD Ded $5 000 PERSONAL S ADV INJURY $1 000 000 GENERAL AGGREGATE $ 2 000 000 GEN L AGGREGATE LIMIT APPLIES PER RO X LOC 17 POLICY X PECT PRODUCTS COMP/OPAGG $2 000 000 A AUTOMOBILE X LIABILITY ANY AUTO CP0343758103 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea accident)$ 1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per parson) $ X HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per accitlent) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGO B EXCESS LIABILITY X OCCUR El CLAIMS MADE BES691039 09/30/07 09/30/08 EACH OCCURRENCE $1 000 000 AGGREGATE $ 1 000 000 DEDUCTIBLE X RETENTION $SO 000 $ C WORKERS COMPENSATION AND EMPLOYERS LIABILITY 2091550 04/01/07 04/01/08 X I WCSTATU OTH FIR EL EACH ACCIDENT $1 000 000 EL DISEASE EA EMPLOYE $ 1 000 000 EL DISEASE POLICY LIMIT 1 $ 1 000 000 OTHER E E $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIGNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions of Fort Collins Box 580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO $0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Fort Collins CO 80522 0000 USA 25-S (7/97) SDZX S2R92S4 AUTHORMED REPRESENTATIVE 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