HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (49)F
AM CERTIFICATE ®F LIABILITY INSU 3/17 NCE M,DDIYY)
03/17/10
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 & Liab. (Zurich N. American Ins)
301 East Lincoln Avenue INSURER C: Pinnacol Assurance
Fort Collins, CO 80524 INSURERD:
INSURER E:
rnVFRAnPA
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
LTRDATE
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
(MMIDDNY)
LIMITS
•
GENERAL LIABILITY
CP0343758105
09/30/09
09/30/10
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Anyone fire)
$ 300,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE IJ OCCUR
MED EXP (Any one person)
$ 10,600 -
PERSONAL & ADV INJURY
$1,000,000
X PD Ded:$5,000
GENERAL AGGREGATE
$ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2 , 000 , 000
POLICY X PRO- JFQT X LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CP0343758105
09/30/09
09/30/10
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
X
X
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
-
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
-
$
-
AUTO ONLY: AGG
B
EXCESS LIABILITY
AUC593964001
09/30/09
09/30/10
EACH OCCURRENCE
$ 1,000,000
X1 OCCUR CLAIMS MADE
AGGREGATE
$ 1 , 000 , 000
$
$
DEDUCTIBLE
$
X RETENTION $ 0
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2091550
-
04/01/09
04/01/10
X WCSTATU- OTH-
TORYLIMITS ER
E.L. EACH ACCIDENT
$ 1 , 000 , 000
E.L. DISEASE - EA EMPLOYEr
$ 1, 000, 000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000-
-
OTHER
$
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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.
l:tK 11t16A It; hULUrK I I ADDITIONAL INSURED; INSURER LETTER: (:ANI:tLLA IUN
RE: H-WRF-2010-1 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
Attn: Opal Dick IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
700 Wood Street
REPRESENTATIVES.
[/�q
Fort Collins, CO 80522 [�EDREPRESENTATIVE
USA
�
ACORD 25-5 (7/97) armando
14802281
L Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600
O ACORD CORPORATION 1988