HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (57)03/26/09 ConfirmNet -> 19702216707
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A R CERTIFICATE OF LIABILITY INSURANCE
°ATE1ID9'YY,
w.
03/26 /09 .
PRODUCER 1-303-534-4567
INA of Colorado, Inc.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Suit 1Street
600
Suite 00
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, Co 80202
INSURERS AFFORDING COVERAGE
INSURED
Hydro Cottetruction Company, Inc.
301 East Lincoln Avenue
i INSURER A: American Guarantee & Liab. (Zurich American Ins)
_ _
INSURER U American Guarantee & Liab. (Zurich N. American Ina)
INSURER QPinnacol Assurance
NSURERD:
Fort Collins, CO 80524
INSURER E'
I
UVCRHVCO
THE POLICIES OF INSURANCE LISTED BELOW IJAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVVITHS1'ANDWG
ANY REQUIREMENT, TERM OR CONDI IION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TI IIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, TI IE INSURANCE AFFORDED BY THE POLICIES DESCRIBED IIEREIN IS SUBJECT TO ALL TI1E PERMS, EXCLUSIONS AND CONDITIONS OF SUCI I
POLICIES. AGGREGATE LIMITS SIIOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IITR NSR
TYPE OF INSURANCE
POLICY NUMBER
VOLICY11 IIVE
VOLIELM IRA(ION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 1 nJ OCCUR
CP0343758104
09/30/08
09/30/09
EACH OCCURRENCE
$1, 000, 000
FIRE DAMAGE (Any one fire)
$ 300, 000
MID L-XP (Any we Person)
$ 10, 000
X PD Ded:$5,000
_.
PERSONAL &ADV INJURY
$1,000,000
GENERALAGGRECATE
$ 2,000,000
GUN AGGREGATE LIMIT APPLIES PER:
._...
PRODUCTS COMPIOPAGG
-_
$2,000,000
PRO- X
POLICY X LOG
..
... _._...
A
AUTOMOBILE
' X
LIABILITY
ANY AUTO
CP0343758104
09/30/08
09/30/09
COMBINED aid,m SINGLE LIMIT
(Ea aaitlenl)
51, 000,000
--
_
ALL OWNED AUTOS
SCHEDULEDAUTOS
BODILY INJURY
(Per Perron)
$
X
HIREDAUI'C$
—_—__.-�
--_---
X
NONOWNED AUTOS
BODILYracc INJURY
(Per acdtlsnp
$
PROPERTY DAMAGE
)Peraccitlent)
$
GARAGE LIABILITY
AUTO ONLY EAACCID ENT
-_
$
—AC
ONIER TIIHN BA ACC
$
_ ANYAUIO
$
AUTO ONLY: AGC
B
EXCESS LIABILITY
xl OCCUR CIAIMS MADE
AUCS93964000
09/30/08
09/30/09
FACI I OCCURRENCE_
S1,000,000
AGGREGATE
S 1,000,000
S
IXOEOUCTIBLE
RII'ENTION $0
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
04 /Ol/OB
04/01/09
X WCST/lob GTE
T(JRV LIt)�I 5 ER
F.I.. EACH ACCIOENT
$ 1, 000, 000
E.L. DISEASE EA EMPLOYEE
$ 1, 000 , 000
E.L. DISEASE POLICY LIMIT
$1, 000, 000
OTHER
5
5
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENUSPECIAL PROVISIONS
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.
RE: 7015 General Pip
City of Fort Collins
215 North Mason Street 2nd Floor
P.O. Box 580
Fort Collins, CO 80522
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 50 SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVE
USA
Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877,669.8600
03/26/09 ConfirmNet -> 19702216707
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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.