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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (22)A OR CERTIFICATE OF LIABILITY INSURANCE °ATE1/08 Y"' 03/21/08 PRODUCER 1 303 534 4567 INA of Colorado Inc Suit 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 Beet 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 ILTRNSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIRIOffn 09/30/07 POLICY EXPIRATION DATE RAMIDOPYTi LIMITS A GENERAL LIABILITY CP0343758103 09/30/08 EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $300 000 MED EXP IAny one person) $ 10 000 CLAIMS MADE 1-X-1 OCCUR X PD Ded $5 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $ 2 000 000 GEN L AGGREGATE POLICY LIMIT APPLIES PER 51 PlPr,TRO 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 acwaers) $ 1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS JURY NJURY (Per BODILYIN person) $ X HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per acoaent) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLV EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGO B EXCESS LIABILITY X OCCUR El 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 EMPLOYERS LIABILITY 2091550 04/01/08 04/01/09 X I WC STATU OTM EL EACH ACCIDENT $1 000 000 EL DISEASE EA EMPLOYE $ 1 000 000 EL DISEASE POLICY LIMIT $ 1 000 000 OTHER $ e $ DESCRIPTION OF OPERATIONSILOCAnONSNEHICLE&EXCLUSIONS ADDED BY END0118EMENTISPECIAL PROVISIONS RE DWRF Preliminary & Solids Odor Control Fort Collins Colorado City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement subject to the policy terms and conditions SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins 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 700 Wood Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES Fort Collins CO 80521 0000 AUTHORIZED REPRESENTATIVE IIHA ACORD 25S (7/97) anzN 0ACORD CORPORATION 1ARS 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