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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (14)AC RQ; CERTIFICATE OF LIABILITY INSURANCE 0ATE1/0°°""' 3/a1/oe PRODUCER 1 303 534 4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA of Colorado Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR 1550 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Suite 600 Denver CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company Inc INSURER American Guarantee & Liab (Zurich American Ins) INSURERS National Union Fire Ins Cc of PA (AIG) 301 East Lincoln Avenue INSURER Pinnacol Assurance INSURER Fort Collins CO 80524 NSURER 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 (MIADDIM POLICY EXPIRATION DAM flMMJDD/VY1 LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 FIRE DAMAGE (Anyone fire) $300 000 X COMMERCIAL GENERAL LIABILITY il CLAIMS MADE OCCUR MED EXP tAny one person) $10 000 X PERSONAL &ADV INJURY $ 1 000 000 PD Ded $5 000 GENERAL AGGREGATE $ a 000 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG $a 000 000 POLICY X X PRO IFrT LOC A AUTOMOBILE LIABILITY ANY AUTO CP0343758103 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea accident) $1 000 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY (Per (Per accitlent) accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHEEA ACC THAN $ ANY AUTO $ AUTO O AUTO ONLY AGG B EXCESS LIABILITY 7XI OCCUR CLAIMS MADE BES691039 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 AGGREGATE $ 1 000 000 DEDUCTIBLE X RETENTION $10 000 $ C WORKERS COMPENSATION AND 2091550 04/01/08 04/01/09 X I WCSTATU I IOTH EMPLOYERS LIABILITY EL EACH ACCIDENT $ 1 000 000 EL DISEASE EAEMPLOYE $ 1 000 000 EL DISEASE POLICYLIMIT $ 1 000 000 OTHER S S a DESCRIPTION OF OPERATION&LOCAMONSNEHICLE&EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE 24 Poudre Pipeline Repair Poudre Canyon Highway Fort Collins CO 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 q zo City of Fort Collins PO Box 580 Fort Collins CO 80522 0000 USA 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 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVE ACORD 25 S (7/97) SDZM 8340660 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 ACORQ" CERTIFICATE OF LIABILITY DATEYY) INSURANCE 03/21/08 /OB PRODUCER 1 303 534 4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA of Colorado Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th Street HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Suite 600 Denver CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company Inc INSURER American Guarantee & Liab (Zurich American Ins) INSURER National Union Fire Ins Cc of PA (AIG) 301 East Lincoln Avenue INSURER Pinnacol Assurance INSURER Fort Collins CO 80524 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 IMMIDOMI POLICY EXPIRATION1331 DATE MWDDN� LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 FIRE DAMAGE (Any one fire) $300 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $10 000 CLAIMS MADE OCCUR PERSONAL& ADV INJURY $ 1 000 000 X PD Ded $5 000 GENERAL AGGREGATE $ 2 000 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $2 000 000 POLICY X PRO X LOC A AUTOMOBILE X LIABILITY ANY AUTO CP0343758103 09/30/07 09/30/08 COMBINED (Ea awident'INGLE LIMIT $1 000 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per ecotlent) $ HIRED AUTOS NON OWNED AUTOS X PROPERTY DAMAGE (Per amideni $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG B EXCESS X LIABILITY OCCUR CLAIMS MADE B35691039 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 AGGREGATE $ 1 000 000 DEDUCTIBLE X 1$ RETENTION $10 000 C WORKERSCOMPENSATION AND 2091550 04/01/08 04/01/09 X I WCSTAATU OTH EMPLOYERS LIABILITY EL EACH ACCIDENT $ 1 000 000 EL DISEASE EA EMPLOYE $ 1 000 000 E L DISEASE POLICY LIMIT $ 1 000 000 OTHER S E S DESCRIPTION OF OPERATIONSILOCATONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROWSIONS Re DNRF Odor Control Covers Procurement of Fort Collins 00 N LaPorte Ave Collins CO 80522 0000 SHOULD ANY OFTHE 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 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR USA ACORD 25-S AUTHORIZED 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 25-S 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 ACORD ACORN" CERTIFICATE OF LIABILITY INSURANCE o3/a1 3/21/08WY) 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 Suit 1street 600 Suite 00 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Denver CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company Inc INSURERA American Guarantee & List,(Zurich American Ina) INSURERS National Union Fire Ina Cc of PA (AIG) 301 East Lincoln Avenue INSURER P1nnaC01 Assurance INSURER Fort Collins CO 80524 NSURER E lTY!• 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 IMMIDDYYI POLICY EXPIRATION DATE (M�D�l 09/30/08 LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE 7X OCCUR FIRE DAMAGE (Anyone fire) $300 000 MED EXP(Anyone Person) $ 10 000 X PD Dedt$5 000 PERSONAL& ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 GEN L AGGREGATE LIMIT APPLIES PER POLICY FXI PRO 17 X LOC 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 person) $ X HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per atddent) $ GAR AGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG B EXCESS LIABILITY X OCCUR CLAIMS MADE B85691039 09/30/07 09/30/08 EACH OCCURRENCE $1 000 000 AGGREGATE $ 1 000 000 DEDUCTIBLE X RETENTION $10 000 $ C WORKERS COMPENSATION AND EMPLOYERS LIABILITY 2091550 04/01/08 04/01/09 X I WCSTATU 07H LIM E L EACH ACCIDENT $ 1 000 000 EL DISEASE EA EMPLOYE $ 1 000 000 EL DISEASE POLICY LIMIT I $ 1 000 000 Eq LE E $ $ DESCRIPTION OF OPERATION&LOCAMONSNEHICLMEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PRO 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 PO Box 580 Fort Collins CO 80522 0000 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 CERTFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED USA SDZN 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 ACORD- CERTIFICATE OF LIABILITY INSURANCE e1IDDYY) o3/a1/oe PflODUCER 1 303 534 4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA of Colorado Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR Suite 00 Suit 1street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Denver CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company Inc INSURER American Guarantee & List,(Zurich INSURER National Union Fire Ins Cc of PA 301 East Lincoln Avenue INSURER Pinaacol Assurance Fort Collins CO 80524 INSURER 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 09/30/07 POLICY EXPIRATION DATE IMMVDD� LIMITS A GENERAL LIABILITY CP0343758103 09/30/08 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $300 000 MED EXP (Any one rson) $ 10 000 CLAIMS MADE T OCCUR X PD Ded $5 000 PERSONAL& ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 GEN L AGGREGATE POLICY LIMIT APPLIES PER X PRO X LOC PRODUCTS COMP/OPAGG $2 000 000 A AUTOMOBILE X LIABILITY ANY AUTO CP0343758103 09/30/07 09/30/08 COMBINED Ea accentSINGLE LIMIT $1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIREDAUTOS NON OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GAR AGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGO e EXCESS X LIABILITY OCCUR CLAIMS MADE B95691039 09/30/07 09/30/08 EACHOCCURRENCE $ 1 000 000 AGGREGATE $ 1 000 000 DEDUCTIBLE X $ RETENTION $10 000 C WORKERSCOMPENSATION AND EMPLOYERS LIABILITY 2091550 04/01/08 04/01/09 X WCSTATU OTH E L EACH ACCIDENT $ 1 000 0 00 EL DISEASE EA EMPLOYEd $ 1 000 000 EL DISEASE POLICY LIMIT $ 1 000 000 OTHER E E $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins 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 SO SHALL 300 N LaPorte Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES Fort Collins CO 80522 0000 AUTHORIZED REPRESENTATIVE USA ACORD 25S (7/97) sazN 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 ACOR CERTIFICATE OF LIABILITY INSURANCE 2`MM'°°""' 03TE(MWD 3/21/08 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 & List,(Zurich American Ins) INSURER National Union Fire Ins Cc of PA (AIG) 301 Bast Lincoln Avenue INSURERC Pinnecol Assurance INSURERD 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 ILYRNSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 09/30/07 POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0343758103 09/30/08 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 111 OCCUR FIRE DAMAGE (Any one fire) $300 000 MED EXP (Any one person) $ 10 000 X PD Ded $5 000 PERSONAL &ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 GEN L AGGREGATE POLICY LIMIT APPLIES PER r X PRO X I LOC PRODUCTS COMP/OPAGG $2 000 000 A AUTOMOBILE X LIABILITY ANY AUTO CP0343758103 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea exMent) $ 1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG H EXCESS LIABILITY X OCCUR CLAIMS MADE BE5691039 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 AGGREGATE $ 1 000 000 DEDUCTIBLE X RETENTION $10 000 C WORKERS COMPENSATION AND EMPLOYERS LIABILITY 2091550 04/01/08 04/01/09 X WCSTATU OTH EL EACH ACCIDENT $ 1 000 000 EL DISEASE EA EMPLOYE $ 1 000 000 E L DISEASE POLICY LIMIT $ 1 000 000 OTHER S S $ DESCRIPTION OF OPERATIONSAACATIONS'VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS- -City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement subject to the policy terms and conditions Larimer County CO City of Port Collins 700 Wood street Collins CO 80521 0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED USA SDZN 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 nghts 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 ACORQ: CERTIFICATE OF LIABILITY INSURANCE DATE1 VY) /oe o3/a/08 PRODUCER 1 303 534 4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA 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 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company Inc INSURERA American Guarantee & Liab (Zurich American Ins) INSURERS National Union Fire Ins Cc of PA (AIG) 301 East Lincoln Avenue INSURERC Pinnacol Assurance INSURER Fort Collins CO 80524 INSURER E CC 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 IITR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $300 000 CLAIMS MADE OCCUR MEDEXP(Arroneperson) $10 000 X PERSONAL& ADV INJURY $ 1 000 000 PD Ded $5 000 GENERAL AGGREGATE $2 000 000 GEN L AGGREGATE LIMIT APPLIES PER POLICY r % PRO X LOC PRODUCTS COMP/OPAGG $2 000 000 A AUTOMOBILE X LIABILITY ANY AUTO CP0343758103 09/30/07 09/30/08 COMBINEDSINGLELIMIT (Ea acc $1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per acatlent) $ X PROPERTY DAMAGE (Per acaaent) $ GAR AGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG B LIABILITY OCCUR CLAIMS MADE BE5611039 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 AGGREGATE $ 1 000 000 NXCE8S DEDUCTIBLERETENTION $10 000 It C WORKERS COMPENSATION AND EMPLOYERS LIABILITY 2091550 04/01/08 04/01/09 X WCSt LIMOTH Fp E L EACH $ 1 000 000 EL DISEAPLOYE $1 000 000 EL DISEASE POLICY LIMIT $ 1 000 000 OTHER S S $ DESCRIPTION OF OPERAMONS20CAMONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE Water/Wastewater Treatment and Site Infrastructure Design/Construction Contractor P1007 of Fort Collins ttn Mr James O Neill II 15 North Mason Street 2nd Floor Collins CO 80524 0000 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 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED USA SDZK