HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (56)AMOR—PaCERTIFICATE OF LIABILITY INSURANCE
DATE03/0/099/09 IVY)
PRODUCER 1-303-534-4567
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
INA of Colorado, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1550 17th Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 600
Denver, CO 80202
INSURERS AFFORDING COVERAGE
INSURED
INSURER A: American Guarantee &Liab. (Zurich American Ins)
Hydro Construction Company, Inc.
_--- -- '
INSURER B. American Guarantee & Liab. (Zurich N. American Ins)
301 East Lincoln Avenue
INSURERC Pinnacol Assurance
Fort Collins, CO 80524
INSURERD
INSURER E:
COVERAGES
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.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE 1MWDD/YY1 I DATE LIMITS
A
GENERAL LIABILITY
CP0343758104
09/30/08
09/30/09
OCCURRENCE_
ONOCCURRENCE_
$1, 000, 000 _—
X COMMERCIAL GENERAL LIABILITY
RE one fire)
S300,000
CLAIMS MADE [X._i OCCUR
IrFI
ED
MEXP(Any one person) I
$ 10,000
X PD Ded:$5,000
PERSONAL &ADV INJURY_
S 1, 000, 000
GENERAL AGGREGATE
S2, 000, 000
I
2, 000, 000
GENt AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGO
S
POLICY I X] PRO- X LOC
A
AUTOMOBILE
LIABILITY
CP0343758104
09/30/08
09/30/09
COMBINED SINGLE LIMIT
31,000,000
X
ANY AUTO
(Ea accitlen0
ALL OWNED AUTOS
BODILY INJURY
S
SCHEDULED AUTOS
(Per person)
X
HIRED AU DOS
(BODILY INJURY
S_
X
NONOWNED AUTOS
(Per accident)
...._S—
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY EAACCIDENT
-__.__
S
..._....
ANY AUTO
OTHER THAN EAACC
-
S
AUTO ONLY: ADS
S
B
LIABILITY
AUC593964000
09/30/08
09/30/09
EACH OCCURRENCE
S1, 000, 000
_EXCESS
X._.I OCCUR I __. CLAIMS MADE
AGGREGATE _
$1,000,000
$
DEDUCTIBLE
S
X RETENTION $0
3
C
WORKERS COMPENSATION AND
2091550
04/01/08
04/O1/09
X WC STATU IOTH
SORY I, IMIT$. �_
......__._
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT,._J5
I 1, 000, 000
EL.DISEASE - EA EMPLOYEE!$
1, 000, 000
EL DISEASE POLICY LIMIT
S1,000,000
OTHER
5
I e
5
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CFRTIFICATF HnI.DFR I I ADDITIONAL INSURED INSURER LETTER: CANCELLATION
RE: Boiler Replacement.
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 $0 SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
700 Wood Street
REPRESENTATIVES.
Fort Collins, CO 80521-0000
AUTHORIZED REPRESENTATIVE
USA
ACORD 25-S (7197) francine O ACORD CORPORATION 1988
11295940
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.
ACORD