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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (64)ACORQM CERTIFICATE OF LIABILITY INSURANCE DATE. /30/09 /YV) /09 PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA 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 Hydro Construction Company, Inc. _.-_._ ......... ..- MSURERA American Guarantee & Liab (Zurich American Ins) - -- --- --- INSURERB:American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURERC P1nndC01 A6SllrdnCe INSURERD: Fort Collins, CO 80524 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 NUMBEfl POLICY EFFECTIVE DA ATION POLICY EXPIRLTR i LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1, 000,000 L FIRE DAMAGE (Any one fire) s300,000 X COMMERCIAL GENERAL LIABILITY _CLAIMS MADE L X I OCCUR 4 MED EXP(Any one person) $10,000 X PD Ded:$5,000 PERSONAL& ADV INJURY $ 11000,000 GENERALAGGREGATE S2,000,000 G_EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 X PRO ED TOO IPOLICY A AUTOMOBILE LIABILITY CP0343758104 09/30/08 09/30/09 j COMBINED SINGLE LIMIT _X_ i(Ea accitlent) $1,000,000 _.. ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) S BODILY INJURY $ X HIRED AUTOS X NON OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S $ AUTO ONLY: AGO E EXCESS LIABILITY AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE $1,000,000 J OCCUR [-� CLAIMS MADE AGGREGATE $ 1,000,000 _X .._X_ DEDUCTIBLE - $ RETENTION $0 S C WORKERS COMPENSATION AND 2091550 04/Ol/09 04/Ol/10 X WC STATU- OTH- _IMI_TS EMPLOYERS' LIABILITY E.L. EACH ACCIDENT IS 1,000,000 E.L. DISEASE EA EMPLOYE S 1, 000, 000 EL DISEASE -POLICY LIMIT $ 1, 000,000 OTHER s S 5 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Opal F. Dick, DEED, Senior Buyer City of Fort Collins 215 North Mason St, 2nd Floor 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 Fort Collins, CO 80524 USA ACORD 25•S (7/97) francine 11465481 AUTHORIZED REPRESENTATIVE r iG7'T:7 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. ACORQ CERTIFICATE OF LIABILITY INSURANCE 3/30 M/OD/YY) 03 /30/09 PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA 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 American Guarantee & List. (Zurich American Ins) Hydro Construction Company, Inc. INSURER American Guarantee & List. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER Pinnacol Assurance Fort Collins, CO 80524 INSURER 1) 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. INSP POLICY EFFECTIVE POLICY EXPIRATIONDATE TYPE OF INSURANCE POLICY NUMBER (MM/DD/Y DATE (MM/DDIYY) LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1, 000, 000 MMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one lire) 5300,000 tCO CLAIMSMADE1XI OCCUR NEEDEXP(Anyoneperson) S 10, 000 Ded:$5,000 PERSONAL &ADV INJURY S 1, 000, 000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 52, 000, 000 POLICY X PRO- X LOG A AUTOMOBILE LIABILITY CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT S 11000,000 X ANY AUTO (Ea acciden0 ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY S — X NON OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANYAUTO EA ACC OTHER THAN -_ S .__..._ AUTO ONLY: AGG S R EXCESS LIABILITY AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE iS 1, 000, 000 _ X1 0CCUR C__I CLAIMS MADE AGGREGATE S 1 000, 000 _ DEDUCTIBLE S X RETENTION $ 0 $ C WORKERS COMPENSATION AND 2091550 04/01/09 04/01/10 X WCSTATU- OTH ___ TO_R-Y LIMI ER -- EMPLOYERS' LIABILITY EL EACH ACCIDENT $1, 000000, , 000 E.L. DISEASE - EA EMPLOYEES 1 000, 000 EL DISEASE - POLICY LIMIT $1,000, 000 OTHER $ S e DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins is included as Additional Insureds 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. ruuuic Aavcc --a— 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 60521-0000 AUTHORIZED REPRESENTATIVE A �� USA / 114b>464 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. ACC,., CERTIFICATE OF LIABILITY INSURANCE DATE (MMID 03 /303/30/09D/YY) PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA 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 & List. (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. INS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC11 TIVE POLICY EXPIRATION— LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1, 000, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) 300,000 MEN EXP(Anyoneperson)I$10,000 CLAIMS MADEFX.. I OCCUR X PD Ded:$5,000 PERSONAL &ARM INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $2, 000, 000 POLICY I X PRO X LOC A AUTOMOBILE LIABILITY CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT $1, 000, 000 _ X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) X ...X HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accitlent) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY -_-- AUTO ONLY - EA ACCIDENT $ �R TH EA ACC OTHEAN . $ ANY AUTO $ _ _- AUTO ONLY: AGO B EXCESS LIABILITY AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE $ 1, 000, 000 AGGREGATE $ 1, 000, 000 X,, OCCUR L__I CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $0 C WORKERS COMPENSATION AND 2091550 04/01/09 04/01/10 WC STATU- OTH.X_LTOAY LJMI- "R_ EL EACH ACCIDENT $ 1, 000, 000 EMPLOYERS' LIABILITY E.L. DISEASE -EA EMPLOYS $1, 000, 000 E.L. DISEASE. POLICY LIMIT $1,000,000 OTMEfl 5 DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIEI(`ATE i DER I I AnnITInNAI INSI IRFn' INFDRPR 1 FTTFRCANCELLATION RE: New Mercer & Lorimer Cty q2 Ga to Modif ication9. 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 (7/97) Francine O ACORD CORPORATION 1988 11465484 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. 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. Awwu 25-5 tiiaif AC-0-RACERTIFICATE OF LIABILITY INSURANCE DATE (MMID 03/303/30/09D/YY) PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA 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 Ina) Hydro Construction Company Inc. --- - --'-- '— INSURERB.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 I To TYPE OF INSURANCE POLICY NUMBER PDATE (MMIDD/YYV OLICV EFFECTIVE PO FATE I MIDDNYI LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $1, 000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one lire) S300, 000 _I CLAIMS MADE 1XI OCCUR MED EXP(Any one person) $10,000 X PD Ded:$5,000 PERSONAL& ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE S2, 000, 000 PRODUCTS COMP/OP AGO $2,000,000 GENL AGGREGATE LIMIT APPLIESPER: PRO - POLICY X X LOC A AUTOMOBILE LIABILITY CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT $1,000, 000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ _ SCHEDULED AUTOS (Per person) BODILY INJURY (Per accident) $ X _.._.. HIRED AUTOS X NON OWNED AUTOS PROPERTY DAMAGE �S (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT] S ANY AUTO EA ACC OTHER THAN ------ S --------- AUTO ONLY: AGO S E EXCESS LIABILITY AUCS93964000 09/30/08 09/30/09 EACH OCCURRENCE S1, 000, 000 AGGREGATE $ 1, 000, 000 X OCCUR 11 CLAIMS MADE S IDEDUCTIBLE X RETENTION St) C WORKERS COMPENSATION AND 2091550 04/01/09 04/01/10 X WC STATU GTH TORY. LIMITS_ - _.......... EMPLOYERS' LIABILITY CC E.L. EACH AIDENT 5 11000,000 (E L DISEASE EA_EMPLOYE 11 1, 000, 000 EL. DISEASE- POLICY LIMIT I S 1,000,000 OTHER 5 S a DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: MWRF Intermediate Replacement Project Phase II (Equipment Procurement Only) 920 Mulberry St., Fort Collins CO 80524 CERTIFICATE HOLDER I I AnnITIONAI. INSI IRFDINSURER I ETTER_ CANCELLATION 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 700 Wood Street REPRESENTATIVES. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE USA ACORD 25-S (7/97) francine O ACORD CORPORATION 1988 11465488 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. Ate,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VY) 03/30/09 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 & List. (Zurich American Ins) Hydro Construction Company Inc. -- - ------ ------ - --- -- INSURERB:American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue -- - _-- -- --- Fort Collins, CO 80524 INSURER D: 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 INSURANCES POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONITTI j BAT IMMIDI)A(VI, DATE flMMLIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE 51,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one lire) 5300,000 CLAIMS MADE X OCCUR MED EXP(Any one person) 510,000 0 X PD Ded:$5,000 PERSONAL INJURY 1, S 000,000 GENERAL AGGREGATE S 2, 000,000 _ _ GENT AGGREGATELIMR' APPLIES PER: PRODUCTS COMP/OPAGG $2,000,000 POLICY X PRO T LOD A LIABILITY CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT $ 1, 000, 000 __AUTOMOBILE X ANY AUTO (Ea accident) _ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) S X HIRED AUTOS BODILY INJURY X NON OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER TFIAN EA ACC S S AUTO ONLY: AGGI R EXCESS LIABILITY AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE 51,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 S S _ DEDUCTIBLE X RETENTION $0 $ C WORKERS COMPENSATION AND 2091550 04/01/09 04/01/10 X WC STATU- Ol'H EMPLOYERS' LIABILITY E,L. EACH ACCIDENT -- S 1, 000,000 _ _I E.L. DISEASE � EA EMPLOYEES 1, 000, 000 EL DISEASE POLICY LIMIT 5 1, 000, 000 OTHER S S S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins 700 Wood Street SHOULD ANY OFTHE 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 Fort Collins, CO 80521-0000 USA ACORD 25-S (7/97) francine 11465487 AUTHORIZED REPRESENTATIVE (a ACORD 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 25-S (7/97) ACORV„ CERTIFICATE OF LIABILITY INSURANCE 3/30/09D/YY) 03 /30 PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I14A 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 & (Zurich American Hydro Construction Company, Inc. _Liab ,Ins) _. __ .. _ _ INSURER B: American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER Pinnacol Assurance Fort Collins, CO 80524 INSURER 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 OLICY POLICY EFFECTIVE PDATE (XPIRATION LIMITS LTRA TypE OF INSUflANCE POLICY NUMBER WM/DD/YYi GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 ( EACH OCCURRENCE S 1, 000, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) s300,000 ICLAIMS MADE OCCUR MED EXP(Any one person) S10,000 X PD Ded:$5,000 PERSONAL B ADV INJURY._ 1, 000, 000 �S GENERAL AGGREGATE $ 2,000,000 PRODUCTS COMP/OPAGG $2,000,000 GENT AGGREGATE LIMIT APPLIES PER POLICY X PRO X LOG A AUTOMOBILE LIABILITY CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT $ 1, 000, 000 X ANY AUTO (Ea accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY X HIREDAUTOS X NON OWNED AUTOS (Per accident) $ PROPERTYAGE Is (Per accidart)tlenl) I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC 1$ $ AUTO ONLY: AGG B LIABILITY AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE $ 1, 000, 000 _EXCESS %-I OCCUR I _.__I CLAIMS MADE AGGREGATE S 1 000, 000 __ S .X. DEDUCTIBLE RETENTION $ 0 S C WORKERS COMPENSATION AND 2091550 04/01/09 04/01/10 X WC STATU OTH TORY_LIMIT —L58_ EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE - EA EMPLOYEE S1, 000, 000 E.L. DISEASE - POLICY LIMIT S1, 000,000 OTHER S S S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins 700 Wood Street 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 Fort Collins, CO 80521-0000 USA ACORD 25-S (7/971 francine 11465485 AUTHORIZED REPRESENTATIVE W.IT9 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. R9., CERTIFICATE OF LIABILITY INSURANCE M/DDIVY) 3/30A_C 03/30/09 PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 116A 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 Hydro Construction Company, Inc. INSURER A: American Guarantee & Liab (Zurich American Ins) ---- - - - - - INSURER_B: American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue - - ---- INSURER C:P1nndC01 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 I ToTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMMIDDIYYI DATE IMMADDNYI LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1, 000, 000 _ X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fre), S300, 000 CLAIMS MADE 5:1OCCUR MED EXP(Any one person) $10,000 X PD Ded:$5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $2,000,000 POLICY X PRO 51 LOC A AUTOMOBILE LIABILITY CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT $1,000, 000 X ANY AUTO F.accitlent) S ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY j AUTO ONLY EA ACCIDENT § ANY AUTO OTHER THAN EAACC $ S AUTO ONLY: AGG B EXCESS LIABILITY AUC593964000 09/30/08 09/30/09 ESON OCCURRENCE ,$ 1,000, 000 X OCCUR CLAIMS MADE AGGREGATE $ 1, 000,000 DEDUCTIBLE ( $ X RETENTION $0 Ig C WORKERS COMPENSATION AND 2091550 04/01/09 04/01/10 X CSTAMITB IOTH-I T--.FR___-- ___-- EMPLOYERS' LIABILITY 1, 000, 000 E.L.EACH ACCIDENT S El DISEASE EA EMPLOVEEI $ 1 000, 000 E.L.DISEASE POLICY LIMIT S1000,000 OTHER s s s DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 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. Larimer County, CO. City of Fort Collins 700 Wood Street 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 Fort Collins, CO 80521-0000 USA ACORD 25S l7/97) francine 11465472 AUTHORIZED REPRESENTATIVE