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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (15)C. CERTIFICATE OF LIABILITY INSURANCE a---�3/21/0 00"n 03/21/08 PRODUCER 1 303 534 4567 INA of Colorado Inc 1550 17th Street Suite 600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 & Liab (Zurich American Ins) INSURER National Union Fire Ina Co of PA (AIG) 301 East Lincoln Avenue INSURERC Pinnacol Assurance INSURERD Fort Collins CO 80524 INSURER E envwwr_ce 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 ILIA NSR TYPE OF INSURANCE POLICY NUMBERDATE POLICY EFFECTVINEArn�E 09/30/07 POLICY EXPIRATION 09/30/08 LIMITS AGENEMLLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx� OCCUR X PD Ded $5 000 CP0343758103 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Anyone fire) $300 000 MED EXP(An ono ersan) $ 10 000 PERSONAL& ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 GEN L AGGREGATE POLICY LIMIT APPLIES PER FX I PRO X LOC PRODUCTS COMP/OPAGG $2 000 000 A AU70MOSILELIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON OWNED AUTOS CP0343758103 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea eccidem) $ 1 000 000 INJURY (Per person) $ X X BODILY INJURY (Par accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTOONLY EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGO $ $ e EXCESS X LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $10 000 885691039 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 AGGREGATE $ 1 000 000 $ X C WORKERS COMPENSATION AND EMPLOYERSRS LIABILITY OTHER 2091550 04/01/08 04/01/09 X WC STATU OTH EL EACH ACCIDENT $1 000 000 EL DISEASE EAEMPLOYE $1 000 000 EL DISEASE POLICY LIMIT $ 1 000 000 E $ $ DESCRIPTION OF OPERATIONSfLOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE WTF 2008 General System Improvements 7 Phase I 7 work order $ H WTF 2008 2 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 CFRTIFICATr Mnl nco I I of Fort Collins 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 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 REPRESENTATIVE USA 25 S (7/97) SDZN A34nwan 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) authonzed 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