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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (21)ACORN" CERTIFICATE OF LIABILITY INSURANCE DATE (MIADDYY) o3/a1/oa PRODUCER 1 303 534 4567 IMA of Colorado Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Suit 1street Suite 00 600 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 Ins) INSURER National Union Fire Ins Co of PA (AIG) 301 Heat Lincoln Avenue INSURER Pinnacol 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 POLICY EFFECTIVE POLICY EXPIRATION VVI 09/30/08 LIMITS A GENERAL LIABILITY CP0343758103 09/30/07 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXIOCCUR FIRE DAMAGE (Anyone fire) $300 000 MED EXP (My one person) $ 10 000 X PD Ded $5 000 PERSONAL&ADV INJURY $ 1 000 000 GENERAL AGGREGATE $2 000 000 GEN L AGGREGATE POLICY LIMIT APPLIES PER X PRO X LOC PRODUCTS COMP/OPAGG $2 000 000 A AUTOMOBILE X LIABILITY ANV 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 HIREDAUTOS NON OWNED AUTOS BODILY INJURY (Per accident) § X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLV EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG B EXCESS LIABILITY X-1 OCCUR CLAIMS MADE BE5691039 09/30/07 09/30/08 EACH OCCURRENCE $ 1 000 000 AGGREGATE $ 1 000 000 DEDUCTIBLE X RETENTION $10 000 Is C WORKERSCOMPENSATION AND EMPLOYERS LIABILITY 2091550 04/01/08 04/01/09 X WCSTATU OTH LIM T. EL EACH ACCIDENT § 1-0 0 0 000 EL DISEASE EAEMPLOYE $ 1 000 000 EL DISEASE POLICY LIMIT I $ 1 000 000 OTHER E E E DESCRIPTION OF OPERAMONSrLOCAMONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE WTF Replacement Program 2007 General Systems Imps Phase II Fort Collins Water Treatment Facility 4316 west LaPort Ave Fort Collins CO 80521 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 City of Fort Collins 700 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 LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVE USA 28-S (7/97) SI 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 25-S