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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (27)4/08ACORDo CERTIFICATE OF LIABILITY INSURANCE M/DD/YY) 04/08/09 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. INSURER A. American Guarantee & Liab. (Zurich American Ins) -- ---—--- --- INSURERB:American Guarantee & List. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER0. Pinnacol Assurance Fort Collins, CO 80524 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. II T LICY R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POEXPIRATINVID,ION LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE 51, 000, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one lire) S300, 000 _ I CLAIMS MADE I X OCCUR MED EXP (Any one person) S 10, 000 __. X PD Ded:$5, 000 IFEE ONAL&ADV INJURY -- S 1, 000, 000 ._... GENERAL AGGREGATE iS 2, 000, 000 G I.NI AGGREGATE LIMP PER: _ _ PER _. .._ _OP PRODUCTS-COMP/OP AGG --- �52,000, 000 __— PRO- POLICY X LI ii�_ A AUTOMOBILE LIABILITY CP0343758104 09/30/08 09/30/09 -- COMBINED SINGLE LIMIT 51, 000, 000 X X ANY AUTO (Ea accitlen0 ALI. OWNED AUTOS �S (BODILY INJURY SCHEDULED AUTOS (Per Person) X HIRED AUTOS BODILY INJURY is X NON-OWNI::D AUTOS ; (Per accident) PROPERTY DAMAGE S (Per accltlenl) GARAGE LIABILITY AU r0 ONLY EA ACCIDENT S EA ACC $ OTHER THAN AUTO ONLY: AGG I S B EXCESS LIABILITY AUC593964000 09/30/08 09/30/09 EACI I OCCURRENCE $ 1,000,000 X_. OCCUR I_ CLAIMS MADE AGGREGATE _ IF 5 1, 000, 000 S — DEDUCTIBLE S X RETENTION Bo $ C WORKERS COMPENSATION AND 2091550 04/01/09 04/01/10 X WC BTAIU ICIH J iMITS..__.__LT EMPLOYERS ' LIABILITY __ _T El EACH ACCIDENT_ S 1,000, 000 F.L. DISEASE EA EMPLOYEE($ 1, 000, 00- F L. DISEASE- POLICY LIMIT S 1, 000, 000 OTHER e S S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins, Ditesco Project & Construction Services, LLC are 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. _ - 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 USA ACORD 25-S (7/97) holly22 O ACORD CORPORATION 1988 11SA57SA Certificate Delivery by Certifica(esNOw - www.Confin iNot - 877,669.8600 u•0: :► , 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)