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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (70)ACORQ: CERTIFICATE OF LIABILITY INSURANCE O1/25 MIDOf 1/25/20 1 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: Travelers Indemnity Company INSURER B: Travelers Property Casualty Co of America INSURER C: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 EXPIRAMMIDDTION LIMITS A GENERAL LIABILITY DTC08743RO161ND10 09/30/.10 09/30/11 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 BADVINJURY $1,000,000 X PD Ded:$5,000. GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 - POLICY X PRO- LOC H AUTOMOBILE LIABILITY ANY AUTO DT8108743RO16TIL10 09/30/10 09/30/11 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 8 EXCESS LIABILITY DTSMCUPS743RO16TIL10 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1, 000 , 000 g $ DEDUCTIBLE $ X RETENTION $10 , 000 C WORKERS COMPENSATION ANDORY 2091550 04/01/10 04/01/11 X WCSTATU- OTH- LIMITS 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 $ DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECULL 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. CERTIFICATE HOLDER I I ADDITIONAL RE: MWRF Communication and Securit., City of Fort Collins 700 Wood Street Fort Collins, CO 80521-0000 ACORD 25S (7/97) SDZM 19490155 L_ INSURER LETTER: Lei'fl 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 J _ �A m ACORD CORPORATION 1933 r 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 IMA of Colorado, Inc. 1550 17th Street Suite 600 Denver, CO 80202 USA City of Fort Collins 700 Wood Street Fort Collins, CO 80521-0000 USA 8:240:360 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIII If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. cc: *Stan Javernick @ Hydro Construction (EMAIL), *Stan @ Hydro (EMAIL) E 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 CertificatesNow - www.ConfirmNet.com - 877.669.8600 1:4