HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (19)ACORQ CERTIFICATE OF LIABILITY INSURANCE
"'
03/21/08
PRODUCER 1 303 534 4567
INA of Colorado Inc
lust 1street
Suite 00
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
INSURER American Guarantee & Liab (Zurich American Ina)
INSURER National Union Fire Ina Co Of PA (AIG)
301 East Lincoln Avenue
INSURER P1nneCol Assurance
INSURER
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
ILTR NSR
TYPE OF INSURANCE
POLICY NUMBER
POGCYEFFECTIVE
MD
09/30/07
POLICY EXPIRATION
DATE rMNUDMY1
09/30/08
LIMITS
A
GENERAL LIABILITY
CP0343758103
EACH OCCURRENCE
$ 1 000 000
X COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Anyone fire)
$300 000
MED EXP iMy one person
$ 10 000
OLAIMSMADE 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 PIFCT RO 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 accident)
$
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO ONLY AGO
B
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 000Is
$
C
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
2091550
04/01/08
04/01/09
C STATU OTH
X ISMS
E L EACH ACCIDENT
$ 1 000 000
E L DISEASE EA EMPLOYE
$ 1 000 000
EL DISEASE POLICY LIMIT
$1 000 000
OTHER
E
a
s
DESCRIPTION OF OPERADONSILOCADONSIVEHICLE&EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE Cathodic Protection Improvements 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
IM
A-CJOTIM^AI =
City of Fort Collins
Wood Street
Collins CO 80521 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 LABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
AUTHORIZED
USA
25 S (7197) BDZN
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED the policy(tes) 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
ACORD