HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (18)ORLQ CERTIFICATE OF LIABILITY INSURANCE DATE1/0 YY)
PRODUCER 03/21/08
AC 1 303 534 9567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO
xNA of Colorado xac ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT
1550 17th Street HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND O
Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOV
Denver CO 80202
INSURERS AFFORDING COVERAGE
INSURED
Sydro Construction Company Inc INSURER American Guarantee & Liab (Zurich American Ins)
301 East Lincoln Avenue INSURERB National union Fire Ins Co of PA (AIG)
INSURERC Pinnacol Assurance
Fort Collins CO 80524 loci ioGo r,
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
IR
POLICY
TYPE OF INSURANCE NUMBER POLICY EFFECTIVE POLICY EXPIRATION
A GENERAL LIABILITY CP0343758103 LIMITS
09/30/07 09/30/OB EACH OCCURRENCE $ 1 000 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 1:11 OCCUR
X PD Ded $5 000
GEN L AGGREGATE LIMIT APPLIES PER
IX
POLICY X PRO XLOC
MOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
ON OWNED AUTOS
ANY AUTO
B EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $10 000
C WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
OTHER
58103 09/30/07 09/30/08
691039 09/30/07 09/30/08
2091550 04/01/08 04/01/09
DESCRIPTION OF OPEgATONS20CATIONSNEHICLES'EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE Work Order 8 E WTF 2006 7 Security and Electrical 2006 Improvements
of Fort Collins
700 Wood Street
Port Collins CO 80521 0000
ACORD 25 S (7/97) ssazN
8340663
USA
;MEDEXP(An
AGE (An one iIS
$ 300 000
one arson$ 10 000L a ADV INJUR$ 1 000 000AGGREGATE$ 2 000 000S COMP/OPA2 000 000
oaccident)
ED SINGLE LIMIT 1 000 000
Eaent) $INJURYon) $
INJURYent) $
TY DAMAGEent) $
OTHERTHAN
AUTO ONLY
EL
1 000 000
1 000 000
1 000 000
1 000 000
1 000 000
E
E
E
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
REPRESENTATIVES
AUTHORIZED REPRESENTATWF A. .�..
�7
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED the policy(les) 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