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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (20)A ORQ" CERTIFICATE OF LIABILITY INSURANCE DATEM) 03/21/08 /OB PRODUCER 1 303 534 4567 INA of Colorado Inc 1550 Suite 00 600 1street Suit 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 S List,(Zurich American Ins) INSURER National Union Fire Ins CO of PA (AIG) 301 XeSt Lincoln Avenue INSURER Pinnacol Assurance INSURER Fort Collins CO 80524 INSURER E O 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 ILT.NS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (IMMIDDIVY'l POLICY EXPIRATION 09/30/08 LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone lire) $300 000 MED EXP (Any one arson) $ 10 000 CLAIMSMADE OCCUR X PD Ded $5 000 PERSONAL S ADV INJURY $1 000 000 GENERAL AGGREGATE $ 2 000 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $2 000 000 POLICY X PPOTRO X LOC A AUTOMOBILE LIABILITY CP0343758103 09/30/07 09/30/08 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident)$ 1 000 000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Par person) X HIREDAUTOS X BODILY INJURY $ NON OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGO H ExcESS LIABILITY BES691039 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 X OCCUR CLAIMS MADE AGGREGATE $ 1 000 000 DEDUCTIBLE X RETENTION $10 000 C WORKERS COMPENSATION AND 20915SO 04/01/08 04/01/09 X I WCSTATU 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/LOCAnONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins and Northern Colorado Water Conservancy District 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 1 City of Fort Collins 700 Wood Street Collins CO 80521 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 AUTHORIZED USA SDZM 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