HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (23)ACORQ„ CERTIFICATE OF LIABILITY INSURANCE 03/21/OB DATE(M00.0/YY)
INA of Colorado, Inc.
3.550 17th Street
Suite 600
Denver, CO 80202
Construction Company, Inc.
701 East Lincoln Avenue
Collins, CO 80524
A MATTER OF
I'S UPON THE
INSURERS AFFORDING COVERAGE
I_ INSURERS: National Union Fire Ins. Co, of PA (AIG)
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.
INSB
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
ATE (MMI��/YYI
POLICY EXPIRATION
09/30/08
LIMITS
A
GENERAL LIABILITY
CP0343758103
09/30/07
EACH OCCURRENCE
S 1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE f2x:jOCCUR
X PD Ded:$5,000
._..._.....
FIRE DAMAGE (any one Ere)
_
5300, 000
MED EXP(Any One m,$on�
0�000
v.—
SONAL& AOVINJURY
.__.___._...._...
$1,000,000
----
_PM
GENERAL AGGREGATE
52,000,000
GEN'L
AGGREGATE
POLICY
LIMIT APPLIES PER:
X PRO 1-fl 1.00
_
PRODUCTS-COMP/OP AGG
$2,000,000
—
--- ------
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CP0343758103
09/30/07
09/30/08
COMBINED SINGLE LIMIT
(Ea accident)
S 1, 000, 000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
X
HIRED AUTOS
X
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Peraccide01)
$ _--
-
---"'--'-'-
GARAGELIAMLITY
AUTO ONLY EA ACCIDENT
OTHER THAN EAACC
_$__
$___-.___
ANY AUTO
S
AUTO ONLY: AGG
E,.IxCESS LIABILITY
X1 OCCUR C� CLAIMS MADE
➢E5691039
09/30/07
09/30/08
EACH OCCURRENCE
81,000,000
AGGREGATE
$ 1,000, 000
DEDUCTIBLES
XIRETENTION $10, 000
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04/01/08
04/0l/09
X WCSTATU- OTH�
-TG�'J•�
E.L. EACH ACCIDENT
S1,000,000
E.L. DISEASE - EA EMPLOYE
S 1,000,000
E.L, DISEASE � POLICY LIMIT-
S 1,000,000
OTHER
5
5
S
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Security & Associates Electrical System Improvements.
City of Fort Collins Water Utilities
Attar Opal Dick
700 Wood St.
Collins, CO $0521-0000
USA
25•S (7/97) SDzM
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, SUIT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
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