HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (47)r
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A. CERTIFICATE OF LIABILITY INSURANCE
DATE (MMI00 YV
09/21/09
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 & Liab. (Zurich N. American Ins)
301 East Lincoln Avenue
INSURER C: PinndCel Assurance
_
INSURER D:
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 NUMBER POLICY EFFECTIVE POLICY EXPIRATION moneyt
LIMITS
A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09
EACH OCCURRENCE
$1,000,000
X I COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE An one fire
$300,000
_I_ CLAIMS MADE OCCUR
MED EXP(Any one person)
_$ 10,000
X PD Ded:$5,000
PERSONAL &ADV INJURY
$1,000,000
GENERALAGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$2,000,000
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)
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
BODILY
X
HIRED AUTOS
X
NON -OWNED AUTOS
(Per accident)
accident)
$
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
—
$
AUTO ONLY: AGG
D
EXCESS LIABILITY
AUC593964000
09/30/08
09/30/09
1 EACH OCCURRENCE
$1,000,000
X OCCUR CLAIMS MADE
!AGGREGATE
$1, 000,000
DEDUCTIBLE
$
-,_
$
X RETENTION $0
C
WORKERS COMPENSATION AND
2091550
04/01/09
04/01/10
X WC STATU- OTH-
TQ.R_Y1,LMJ1$.__
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYE
' $ 1, 000, 000
E.L. DISEASE -POLICY LIMIT
ISIr 000.000
OTHER
5
5
5
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS 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 and with respect to work performed by Insured subject to the policy terms and conditions.
tt : uwtt <uus Aep.Lacemenr r
kH-WRF-2009-11.
City of Fort Collins
700 Wood St.
Fort Collins, CO 80521-0000
ACORD 25•S (7197) holly22
13068499
L_
SHOULDANYOF
CANCELLED
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 $0 SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE Y //' 1R
USA
Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600
1988
IMA of Colorado, Inc.
1550 17th Street
Suite 600
Denver, CO 80202
USA
City of Fort Collins
700 Wood St.
Fort Collins, CO 80521-0000
USA
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If you have questions regarding the content of this document, please contact
the Producer/Agent listed on the certificate of insurance.
cc: *Jim Enrich @ Hydro (EMAIL)
The data included in this notice and in the attached document is confidential to Ebix BPO
and the party responsible for bringing you this information.
Certificate Delivery by CedificatesNow - www.ConfinrNet.com - 877.669.8600
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