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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (52)F ACORa CERTIFICATE OF LIABILITY INSURANCE /YY) 0DATE3/2/106/10 PRODUCER 1-3037534-4567 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 6 Liab. (Zurich American Ins) Hydro Construction Company, Inc. INSURER B: American Guarantee 6 Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER C: 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 060 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FxI OCCUR MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $1,000,000 X PD-Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY X PRO 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 X X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG H EXCESS LIABILITY AUC593964001 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 04/01/11 X WC OH- TOLIMITS ER E.L. EACH ACCIDENT $ 1 , 000 , 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER S a s DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 and with respect to work performed by insured subject to the policy terms and conditions. I:tK I ItIUA I t FIULULK I I ADDITIONAL INSURED; INSURER LETTER: UAN(:tLL.A I lUN RE: Security Improvements. 09-01-191 . 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 [/ s ACORD 25-S (7197) holly22 14931839 (_ Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 m ACORD CORPORATION 1988 F 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 (7197) 3:4 L F ACORQ. CERTIFICATE OF LIABILITY INSURANCE NY) DATE03/26/10 3/26/10 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 s Liab. (Zurich American Ins) Hydro Construction Company, Inc. INSURER B: American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURERC:Pinnacol Assurance Fort Collins, CO 80524 INSURER D: Fireman Is Fund Insurance Co an INSURER E: ri%ITJ y _11TO Xi 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 DATE fMM1DDNY1I LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR _ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 r 000 , 000 POLICY X PRO X LOC A AUTOMOBILE LIABILITY ANY AUTO CP0343758105 09/30/09 09/30/10 COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Per accident) $ 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 $ 2,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 2, 000, 000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 04/01/11 X WC STATU- OTH- TORY LIMIT ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEP $ 1 , 000 , 000 E.L. DISEASE- POLICY LIMIT I $ 1,000,000 D OTHER Installation Floater MZ198475502 09/30/09 09/30/10 Per Disaster $ 1,000,000 SPC Form $1,000 Ded. Any 1 Location $ 1,000,000 *Flood/Earthquake *$1,000,000 Sub -Limit *$25,000 *Ded. Temp/Transit $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 and with respect to work performed by Insured subject to the policy terms and conditions. City of Fort Collins P. O. Box 580 Fort Collins, CO 80524 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 REPRESENTATIVES. - AUTHORIZED REPRESENTATIVE i e USA ACORD 25-S (7/97) holly22 14932161 L- Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 Q ACORD CORPORATION 1988 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. AGORD 25-5 (7197) 3:4 ACORD.-, CERTIFICATE OF LIABILITY INSURANCE 0DATE 3/2/106/10 NY) 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) INSURER B: American Guarantee & Liab. (Zurich N. American Ins) INSURERC:Pinnacol Assurance 301 East Lincoln Avenue 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 NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS -LDL A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_1 OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $1,000,000 X PD Ded:$5'1000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 17 POLICY X PRO 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 X X BODILY INJURY (Per accident) $ 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 AUCS93964001 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 X OCCUR I CLAIMS MADE AGGREGATE $1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 04/01/11 TATUTH- X WCTORY LIMIT SLIMIT OER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 OTHER $ $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Mulberry Intermediate Replacement Project Phase 3 Headworks/Odor Control. Ur-K I IFIL:A I t MULUCK I I ADDITIONAL INSURED: INSURER LETTER: UANI;tLLA I IUN City of Fort Collins PO Box 580 Fort Collins, CO 80522-0000 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE USA ACORD 25-S (7/97) holly22 14931886 L_ Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 O ACORD CORPORATION 1988 F 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. wuumu Za-a tnai) L 3:4 3/26ACORQ CERTIFICATE OF LIABILITY INSURANCE . M,DD/Yv) 03/26/10 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: CAVFRArFS 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 LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXI OCCUR MED EXP (Any one person) $ 10,000 - PERSONAL & ADV INJURY $1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY X jFCT PRO 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 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND LIABILITY 2091550 04/01/10 04/01/11 X WCSIMIT OH- ET T R LIMIT ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 , 000,000. OTHER a $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Mulberry Intermediate Replacement Project Demolition Phase. City of Fort Collins PO Box 580 Fort Collins, CO 80522-0000 t;;ANI:tLLA I IUN 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 AUTHORIZED REPRESENTATIVE USA ACORD 25S (7/97) holly22 14931873 L_ Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 O ACORD CORPORATION 1988 F 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 25-5 (7/97) 3:4 L F ACORL?._3/26/10 03/26/10 : CERTIFICATE OF LIABILITY INSURANCE '"' 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 6 Liab. (Zurich American Ins) Hydro Construction Company, Inc. INSURER B: American Guarantee 6 Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER C:Pinnacol Assurance Fort Collins, CO 80524 INSURER D:.- nnVFROnFS 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR MED EXP (Any one person) $ 10,000 - PERSONAL 8 ADV INJURY $ 1 , 000, 000 X PD Ded: $5, 000 - GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY X I JECTPRO X LOC A AUTOMOBILE LIABILITY ANY AUTO CP0343758105 09/30/09 09/30/10 COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 X 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 AUC593964601 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 X1 OCCUR u CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C -WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 04/01/11 X I WCSTATU- J I OTH- OR LIMIT E E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1, 000 , 000 - E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER $ $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins and MHW 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. VCR IIrIVfil r- r7VLUCR I I ADDITIONAL INSURED; INSURER LETTER: LAr4LrLLAI IU14 RE: Mulberry Intermediate Replacement Project - Phase 4. 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 PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE I __ i USA (j 1 ACORD 25-S (7/97) holly22 O ACORD CORPORATION 1988 14 9.51 ts4/ Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 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 25-5 (7/97) 3:4 L ACORQ CERTIFICATE OF LIABILITY INSURANCE 3/26/10 /YY) 03/26/10 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 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: Pinnacol Assurance 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 NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR DATE (MMIDD/Yn LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $1,0.00,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO 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 X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS LIABILITY AUCS93964001 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 X OCCUR CLAIMSMADE AGGREGATE $1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 _ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 04/01/11 TATU X TORY IMIT ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER S $ $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 and with respect to work performed by Insured subject to the policy terms and conditions. UtK I II-IGA I It HULUtK I I ADDITIONAL INSURED: INSURER LETTER: GANGtLL.ATION City of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522-0000 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i e USA AGUKD 25-5 (7/97) holly22 14931852 Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 O ACORD CORPORATION 1988 0 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. AGORD 25-5 (7/97) 3:4 L 0 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 3:4 L F ACORQ. CERTIFICATE OF LIABILITY INSURANCE 3/26 M/DD/YY) 03/26/10 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 S Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURERC:Pinnacol Assurance Fort Collins, CO 80524 INSURERD: INSURER E: CAVFROC,FS . 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 (MM/DD/YYI LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FxI OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $1r000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 17 POLICY X PRO - 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 X BODILY INJURY (Per accident) $ - HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ . AUTO ONLY: AGG B EXCESS LIABILITY AUCS93964001 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1 , 000 , 000 $ $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND 2091550 - 04/01/10 04/01/11 X WCSTATU- OTH- RY LIMIT E EMPLOYERS' LIABILITY E-L. EACH ACCIDENT $ 1 , 000 , 000 E.L. DISEASE - EA EMPLOYE $ 1 , 000 , 000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 OTHER S $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 and with respect to work performed by Insured subject to the policy terms and conditions. l:tK I IhJUA I It HULUtK I I ADDITIONAL INSURED; INSURER LETTER: L;AN(:tLLA 11UN RE: 7015 General Pipeline Emergency Repair. 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 215 North Mason Street 2nd Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. SOX 580 REPRESENTATIVES. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE USA (/ I 1 ACORD 25-S (7/97) holly22 14931876 L Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 ACORD CORPORATION 1988 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. AUUKU 25-5 (1/91) 3:4 L Fol ACORIZ, CERTIFICATE OF LIABILITY INSURANCE 0DATE 3/26/10 3/26/10 "") 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 S Liab. (Zurich American Ins) Hydro Construction Company, Inc. INSURER B: American Guarantee S Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER c:Pinnacol Assurance Fort Collins, CO 80524 rnVFPAnPq 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 INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDNY). POLICY EXPIRATION ;LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY - CLAIMS MADE FxI OCCUR MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 17 POLICY X PRO 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 HIRED AUTOS NON -OWNED AUTOS X 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 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 04/01/11 X WCSTIM, OTH- TORY LIMI S E E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000 , 000 OTHER 5 a DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS L,cmI Irn mIC 19VLUCR I I ADDITIONAL INSURED; INSURER LETTER: VANk r_LLA1IVN RE: Boiler Replacement. 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 igy.aiayi Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 F 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. 'I:UKU Lb-J t//y/) L 3:4 ACORQ CERTIFICATE OF LIABILITY INSURANCE 3/26 M/DDIYY) 03/26/10 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 6 Liab. (Zurich N. American ins) 301 East Lincoln Avenue INSURER C: Pinnacol Assurance Fort Collins, CO 80524 INSURERD: 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 IN POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDNY) LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR MED EXP (Any one person) $ 10,000 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 JECT PRO Fx 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 E EXCESS LIABILITY AUC593964001 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $1,000,000 $ $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 04/01/11 X WRTH- Y IMT ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 , 000, 000 E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000. OTHER $ $ 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. VCmI Iris AIC nULUerc RE: WTF Miscellaneous Maint City of Fort Collins 700 Wood Street Fort Collins, CO 80521-0000 ACORD 25-S (7/97) holly22 14931916 L_ I IUN 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE USA Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 m ACORD CORPORATION 1988 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 3:4 I_ F ACOR 3/ 03/26/10 CERTIFICATE OF LIABILITY INSURANCE /YY) /10 PRODUCER ' 1 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. 301 East Lincoln Avenue Fort Collins, CO 80524 COVERAGES INSURER A: American Guarantee & Liab. (Zurich American Ins INSURER B: American Guarantee & Liab. (Zurich N. American INSURER C: Pinnacol Assurance 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 INSURANCE .POLICY NUMBER POLICY EFFECTIVE DATE (MM[DDNY) POLICY EXPIRATIONLTR LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,060 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY X PRO-jECT X LOC A AUTOMOBILE LIABILITY ANY AUTO CP0343758105 09/30/09 09/30/10 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X 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 X OCCUR CLAIMS MADE AGGREGATE $1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND 2091550 04/01/10 04/01/11 X I `/'/CSTATU- oTH- TORY LIMIT ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER a E $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ULK I IrIGA I h HULULK I I I RE: 2008 System Improvement City of Fort Collins 700 Wood Street Fort Collins, CO 80521-0000 ACORD 25-S (7/97) holly22 14931871 L_ 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i e USA Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 O ACORD CORPORATION 1988 L 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) 3:4 L F ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE03/26/103/26/10IYY) 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. 301 East Lincoln Avenue Fort Collins, CO 80524 nnVPRAnPR B:American Guarantee & Liab C:Pinnacol Assurance D: E: Zurich N. American 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 DATE (MMIDDNYI POLICDATEY EXPIRA(MMIDDITION LIMITS A GENERAL LIABILITY CP0343758105 - 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY - CLAIMS MADE FXI OCCUR MED EXP (Any one person) $ 10,000 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 FX PRO- X LOC A AUTOMOBILE LIABILITY ANY AUTO CP0343758105 09/30/09 09/30/10 COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 _ X 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 Et EXCESS LIABILITY AUC593964001 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 _X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE - $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 04/01/11 X I WRSLATU ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 - OTHER S - S DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: MWRF Intermediate Replacement Project Phase II (Equipment Procurement Only) 920 Mulberry St., Fort Collins CO 80524 UrK 1 It-IUA I t NULUtK I I ADDITIONAL INSURED; INSURER LETTER: L;AN(:tLLA I IUN 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 80522 AUTHORIZED REPRESENTATIVE USA Ruumu L,-a (I/yI/ nolly« 14931888 Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 (i AUUKU L;UKYUKA I IUN I W115 ACORIZ CERTIFICATE OF LIABILITY INSURANC03/26/10 E DATE/YY) /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 6 Liab. Zurich American In Hydro Construction Company, Inc. INSURER B: American Guarantee 6 Liab_ (Zurich N. American 301 East Lincoln Avenue INSURER C: Pinnacol &ssurance Fort Collins, CO.80524 INSURERD: rnVFRAnFC 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 LIMITS A GENERAL LIABILITY, CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 COMMERCIAL GENERAL LIABILITY 4X CLAIMS MADE � OCCUR MED EXP (Any one person) $ 10 , 000 - PERSONAL BADVINJURY $1,000,000 X PD Ded:$5,000 - GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY X PRO- JECT 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 T3 EXCESS LIABILITY AUC593964001 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 - $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 - 04/01/10 04/01/11 X TWRC Y LI STATU- OIT R ER E.L. EACH ACCIDENT $ 1, 000 , 000 E.L. DISEASE - EA EMPLOYE $ 1, 000 , 000 E.L. DISEASE - POLICY LIMIT 1 $ 1, 000, 000 OTHER E a E DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins and CH2M Hill 6 Ditesco 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. I.CRI Ir n mI C nVLLJCIX I I ADDITIONAL INSURED; INSURER LETTER: L AI4L rLLAI IVIY i City of Fort Collins CH2M Hill 6 Ditesco 700 Wood Street, Fort Collins, CO 80524 1 ACORD 25-S (7197) holly22 USA 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i e O ACORD CORPORATION 1989 149:31925 L_ Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 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 3:4 L F ACOR CERTIFICATE OF 'L:IABILITY INSURANCE 3/26 M/DD/YY) 03/26/10 PRODUCER 1-303-534_41 67 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 6 Liab. (Zurich American ins) INSURER B: American Guarantee 6 Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURERC:Pinnacol Assurance INSURERD: Fort Collins, CO 80524 INSURER E: /`A\/CD A RC C 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 EXPIRATIONLTR LIMITS A 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 FxI OCCUR MED EXP (Any one person) $ 10 , 000 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 r 000 , 000 POLICY X PRO 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 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000- $ $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND 2091550 - 04/01/10 04/01/11 TH- X WCORY LIMIERSTATU- DER T E.L. EACH ACCIDENT $ 1,000,000 EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 . OTHER 5 S DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins, MWH America, Inc and Carollo Engineers 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. GtK I II-IGA I L MULUtK I I ADDITIONAL INSURED; INSURER LETTER: GANULLLA I IUN RE: Boiler Installation. 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 3 AGUKU Z5-5 (1191) nollyZZ 14931862 L Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 O ACORD CORPORATION 1988 FEI 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) 3:4 L F ACORQ. CERTIFICATE OF LIABILITY INSURANCE DATE03/26/10 3/26/10 "'' 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 Hydro Construction Company, Inc. INSURER A: American Guarantee & Liab. (Zurich American Ins) INSURER B: American Guarantee & Liab. (Zurich N. American Ins) INSURER C:Pin nacol Assurance 301 East Lincoln Avenue INSURERD: Fort Collins, CO 80524 i 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 ISISUBJECT 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 EXPIRATIONLTR LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx� OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO- g 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 X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG * EXCESS LIABILITY AUCS93964001 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND 2091550 04/01/10 04/01/11 X WCSTATU- O R T RY LIMITS ER E.L. EACH ACCIDENT $1,000,000 EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYE $ 1, 000, 000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 OTHER E E E DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Heat Exchanger, Condensate Traps & PLC modification. 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. City of Fort Collins 700 Wood Street Fort Collins, CO 80521-0000 LETTER: USA 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) holly22 14931860 L Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 o ACORD CORPORATION 1988 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) 3:4 F ACORa CERTIFICATE- LIABILITY INSURANCE 0DATE 3/3/2/10 6/10 OF/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 :American Guarantee & Liab. (Zurich American Ins) Hydro Construction Company, Inc. INSURER B: American Guarantee fi Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURERC:Pinnacol Assurance Fort Collins, CO 80524 INSURER Do INSURER E: CAVFRArF3 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 (MMIDD/YY*l LIMITS * GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY .CLAIMS MADE 7 OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY X PRO 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 X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS LIABILITY AUCS93964001 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 04/01/11 X TORY LIMIT E WCSTATU- OTH- E.L. EACH ACCIDENT $ 1 , 000 , 000 E.L. DISEASE - EA EMPLOYE9 $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1, 000 , 000 OTHER $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 and with respect to work performed by Insured subject to the policy terms and conditions. ULK I IrIGA I L MULUEK I I ADDITIONAL INSURED; INSURER LETTER: GANGELLATIUN RE: DWRF 2009 Replacement Projects Phase 2 ; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION #H-WRF-2009-11. 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 St. 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 14931854 L Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 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) 3:4 L F 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. AWKU Zb-S (M31) L 3:4 ACORIZ CERTIFICATE OF LIABILITY INSURANCE 0DATE (MM/DD3/26/103/26/10IYY) PRODUCER i-3o3-534-4567 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 S Liab. (Zurich American Ins) INSURER B: American Guarantee 6 Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER C: Pinnacol Assurance 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 CONTRACTOR 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 (MM/DD/YY1 DATETION POLICY EXPIR(MMIDDADATE LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL &ADVINJURY $1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000' GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY X JrCTPRO X LOC A AUTOMOBILE LIABILITY ANY AUTO CP0343758105 09/30/09 09/30/10 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS NON -OWNED AUTOS X 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 04/01/10 04/01/11 X TyRSLAMIT ER E.L. EACH ACCIDENT _ $ 1,000,000 E.L. DISEASE - EAEMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 OTHER g a $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS I.CK I ItII.A 1 C NULUCK I I ADDITIONAL INSURED; INSURER LETTER: UANL.CLLA 1 IIJN 7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Opal F. Dick, CPPO, Senior Buyer DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City Of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 215 North Mason St, 2nd Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE USA [/ I AGORD 25-5 (7/97) holly22 14931844 L Certificate Delivery by CertificatesNow - www. Confirm Net.00m - 877.669.8600 m ACORD CORPORATION 1988 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. AGORD 25-5 (7/97) 3:4 L ACORQ CERTIFICATE OF LIABILITY INSURANCE 3/26 M/DD/YY) 03/26/10 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 Hydro Construction Company, Inc. INSURER A: American Guarantee S Liab. (Zurich American Ins) INSURER B:American Guarantee S Liab. (Zurich N. American ins) 301 East Lincoln Avenue INSURERC:Pinnacol Assurance INSURERD: Fort Collins, CO 80524 INSURER E: CAVFRAGFiC . 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 LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE Any one fire) $ 300 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F_x1 OCCUR MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $1,000,000 X PD Ded:$5,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 � POLICY X PRO x l 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 BODILYINJURY (Per accident) $ X X HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG * EXCESS LIABILITY AUCS93964001 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 X OCCUR CLAIMS MADE AGGREGATE $1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND 2091550 04/01/10 04/01/11 X WCSTATU- oTH- TORY LIMIT ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000400 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 OTHER 5 S DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The 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. trtK I II-RoA I t MULUtK I I ADDITIONAL INSURED; INSURER LETTER: UANUr-LLA I IUN RE: H-WTF-2010-1 Sludge Hauling 6 Lime Tank Recoating. 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. Fort Collins, CO 80522 AUTHORIZED RE PRESENTATIVE USA ACORD 25-S (7/97) holly22 14931831 L Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 O ACORD CORPORATION 1988 F 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. AGORD 25-5 (7197) 3:4 L ACORQ CERTIFICATE OF LIABILITY INSURANCE 0DATE 3/26/10 3/26/10 NY) 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 ALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. INSURERA:American Guarantee & Liab. (Zurich American Ins), INSURER B: American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue _ INSURER C: Pinnacol Assurance 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0343758105 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE E OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 PRO X LOC POLICY FX JECT 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 _ X X BODILY INJURY (Per accident) $ 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 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/10 . 04/01/11 X I WCSTATU- OTH- RY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER S S S DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 and with respect to work performed by Insured subject to the policy terms and conditions. UrK I I11-16A I t MULUtK I I ADDITIONAL INSURED: INSURER LETTER: UANUELLA 1 IUN City of Fort Collins Attn: Opal Dick 700 Wood Street Fort Collins, CO 80522 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i s USA ACORD 25-S (7/97) holly22 14931837 L_ Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 O ACORD CORPORATION 1988