Loading...
HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (17)A R CERTIFICATE OF LIABILITY INSURANCE 3/21LIIDDY"' 03/21/08 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 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR 1550 17th street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Suite 600 Denver CO $0202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company Inc INSURER American Guarantee & Liab (Zurich American Ins) INSURERS National Union Fire Ins Co 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 DAM (IMMITIDMI POLICY EXPIRATION DATE iNIM113MY1 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 MED EXP (Any one arson) $ 10 000 CLAIMS MADE F-XI OCCUR PERSONAL B 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 (Ea accident SINGLE LIMIT $ 1 000 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO It AUTO ONLY AGG B EXCESS LIABILITY -XI 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 WC STATUDRY I OTH FA EMPLOYERS LIABILITY EL EACH ACCIDENT $ 1 000 000 EL DISEASE EA EMPLOYE $1 000 000 EL DISEASE POLICY LIMIT $ 1 000 000 OTHER E $ $ DESCRIPTION OF OPERATION&LOCAMONS/VEHICLE&EXCLUSIONS ADDED BY ENDORSEMENTBPECIAL PROVISIONS RE Work Order #H WTF 2006 6 WTF PLC Improvements 2006 Progress 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 ty of Fort Collins 0 Wood St rt Collins CO 80521 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 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 'ORD 25 S (7/97) snzN iFI:RI 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 (7/971