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)