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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (16)A CERTIFICATE OF LIABILITY INSURANCE 03/21/ 8 ORl a D"Y) 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 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 & Liab (Zurich American Ina) INSURERS National Union Fire Ins Cc of PA (AIG) 301 east Lincoln Avenue _,_ _ Fort Collins CO 80524 COVERAGES INSURER D 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 POLICY EXPIRATION DATE 1110111013MY1 LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $300 000 CLAIMS MADE OCCUR MED EXP (Any one person) $10 000 X PERSONAL B ADV INJURY $ 1 000 000 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 SINGLE LIMIT (Ea accident) $ 1 000 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILYURY (Per accident) $ HIRED AUTOS NON OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLV EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG B EXCESS X LIABILITY 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 R WC STATU OTH EMPLOYERS LIABILITY EL EACH ACCIDENT $ 1 000 000 EL DISEASE EA EMPLOYE $ 1 000 000 EL DISEASE POLICY LIMIT $ 1 000 000 OTHER E E E DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTMPECIAL PROVISIONS Re FCNTF Misc Improvements Project 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 -Cm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION of Fort Collins utilities 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 Wood St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Collins CO 80522 0000 1AUTHORIZED USA SDZM iFsr?:1 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