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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (72)►CORO� CERTIFICATE OF LIABILITY INSURANCE �. DATE(MM/DOYYYY) 03/08/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4561 CONTACT NAME: PHONE FAX INC, No EMI AIC Na: IMA of Colorado, Inc. E-MAIL ADDRESS: 1550 17th Street PRODUCER - CUSTOMER to N' Suite -600 Denver, CO 80202 INSURERS AFFORDING COVERAGE NAIL 4 INSURED INSURER A: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D : Fort Collins, CO 80524 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 20078920 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE NqR Wkm SUER POLICY NUMBER MMMDPOLICY EFF MM/DDY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X I OCCUR X PD Ded:$5,000 DTC08743RO16IND10 09/30/10 09/30/11 EACH OCCURRENCE § 1,000,000 DAMAGE TO RENTED PREMISES Ea occumencal S 300,000 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY § 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER JECTPOLICY PRO- LOG PRODUCTS - COMP/OP AEG $ 2,000,000 S B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DT8108743RO16TIL10 09/30/10 09/30/11 COMBINED SINGLE LIMIT (Ea accident) S 1, 000,000 X BODILY INJURY (Per person) S BODILY INJURY (Per amdent) $ 1 PROPERTY DAMAGE (Per accident) $ X X $ $ B lX 1 UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE DTSMCUP8743RO16TIL10 09/30/10 09/30/11 EACH OCCURRENCE § 1,000,000 AGGREGATE S 1,000,000 HXDEDUCTIBLE RETENTION § 10,000 I s Is C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER,EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 2091550 04/01/11 04/01/12 X WCSTATU- OR E.L. EACH ACCIDENT § 1,000,000 E.L. DISEASE - EA EMPLOYEd $ 1, 000, 000 E.L. DISEASE - POLICY LIMIT $ 1, 000 , 000 DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom apace Is required) 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 W. LaPorte Ave. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0000 USA ` ��{'//� ,✓ / /A francine © 1988-2009 ACORD CORPORATION. All rights reserved. ACURD 25 (2111JUMU) The ACORD name and logo are registered marks oT ACORD 20078920 3:4 �I CERTIFICATE OF LIABILITY INSURANCE ATE D3/08/2011Y 03/OB/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: IMA Of Colorado, Inc. PHONE FAX N INC,No: INC1550 E.ArML ADDRESS: 17th Street PRODUCER CUSTOMER ID Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE NAIC # INSURED - INSURER A: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E : INSURER F : COVFRAGFS CERTIFICATE NUMBER: 20078927 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLTYPE iNsR SUER POLICY NUMBER MMIDDPOLICYEFF MMLDICDYEXP LIMITS A GENERAL LIABILITY DTC08743RO16IND10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENT D PREMISES Ea occurrence $ 300,000 CIAIMS-MADE rx] OCCUR MED EXP(Any one person) $ 10,000 $ 1,000,000 X PD Ded:$5,000 PERSONAL B ADV INJURY GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 $ POLICY X PRO- 71 LOG JFCT B AUTOMOBILE LIABILITY DT8108743RO16TIL10 09/30/1 09/30/11 COMBINED SINGLE LIMIT $ 1, 000r000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ $ X NON -OWNED AUTOS - $ IS LIAB X OCCUR DTSMCUP8743RO16TILIO 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 NUMBRELLA AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE $ WXDEDUCTIBLE $ RETENTION $ 10 r 000 C WORKERS COMPENSATION 2091550 04/01/11 04/01/12 X WC STATU- DTH- ANDEMPLOYERS' DABILITY E.L.EALHACCIDENT $1,000,000 ANY PROPRIETORMARTNERIEXECUTNERIFN OFFICEMEMBER EXCLUDED? NIA EL. DISEASE - EA EMPLOYE S1, 000, 000 (Mandator, In NH) If yes, describe under DE SLRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AtNCM1 ACORD 101, Additional Remarks Schedule, if more space Is required) Re: Work Order# H-WTF-64332-3, Purchase Order# 4404663. City of Fort Collins, Owner, 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 Building Permits 6 Inspections Division P.O. Box 580' 300 West LaPorte Ave. Fort Collins, CO 80522-0000 USA francine SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (/ / vR 1988-2009 ACORD CORPORATION. All rights reserved. ACUHU 25 (21JU9/119) I he ACUHU name and logo are registered marks of ACORU 20078927 3:4 ►coR" CERTIFICATE OF LIABILITY INSURANCE `� 03/08/2011 03/OB/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: IMA of Colorado, Inc. PHONE FAX ING. No EAU,AC No: E-MAIL ADDRESS: 1550 17th Street PRODUCER CUSTOMER ID I, Suite 600 Denver, CO 80202 INSURER $ AFFORDING COVERAGE NAIC Ii INSURED INSURER A: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER 0: Fort Collins, CO 80524 INSURER E : INSURER F : CnVFRARFS f:FRTIFICATF NUMRFR- 20078941 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE INRR Wun POLICY NUMBER MMIDDPOLICY EFF POLICMMIDDY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALUABIUI CLAIM&MADE rx] OCCUR X PD Ded:$5,000 DTC08743RO16INDIO 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED PREMISESTO Eaaccunenw $ 300,000 MED UP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENY AGGREGATE POLICY LIMIT APPLIES PER: PRO- LOG __x I PRODUCTS-COMPIOPAGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTO$ HIRED AUTOS NON-OWNEDAUTOS DT8108743RO16TILIO 09/30 10 09/30/11 COMBINED SINGLE LIMIT (Ea accident $ 11000,000 X BODILY INJURY (Per person) § BODILY INJURY (Per accident) $ 1 PROPERTY DAMAGE (Peracddent) $ X X $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE DTSMCUP8743RO16TIL10 09/30/16 09/30/11 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 X DEDUCTIBLE RETENTION $ 10,000 $ $ C WORKERS COMPENSATION ANDEMPLOYERTUABILITY YIN ANY PROPRIETOPJPARTNElLE%ECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If OE SCdescribe under RIPTION OF OPERATIONS below NIA 2091550 04/Ol/11 04/01/12 X we $Tnru- oTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEd $ 1,000,000 EL DISEASE -POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0000 f USA I — _ francine ACORD 25 (2009109) 20078941 © 1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3:4 I I CERTIFICATE OF LIABILITY INSURANCE DATE 03/08/2011Y7 03/OB/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: IRA of Colorado, Inc. PHONE FAX Nfall- INC,No): EMAIL ADDRESS: 1550 17th Street Suite 600 PRODUCER Denver, CO 80202 INSURERS AFFORDING COVERAGE NAIC0 INSURED INSURER A: TRAVELERS IND CO 25658 Hydro Construction Company, Inc. INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: ONEBEACON AMER INS CO 20621 Fort Collins, CO 80524 INSURER E NSURER F : COVERAGES CERTIFICATE NUMBER- 20078844 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER MM/DD MMIDD LIMITS A GENERAL LIABILITY DTC08743RO161ND10 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Eao¢urreace $ 300,000 CLAIMS -MADE � OCCUR MED EXP(Anyone Person) $ 10,000 PERSONAL 4 ADV INJURY $ 1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 2,000,000 POLICY PRO- F LOC - $ B AUTOMOBILE X LIABILITY ANY AUTO DT8108743RO16TIL10 09 30 10 09 30/11 COMBINED SINGLE LIMIT IF. accident) S 1, 000, 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Peraccident) $ $ X NON -OWNED AUTOS $ B X I UMBRELLA LIAB X OCCUR DTSMCUP8743RO16TIL10 09/30/10 09/30/11 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 LIAB CLAIMS -MADE RXEXCESS DEDUCTIBLE $ S RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTORY ANY PROPRIETOR/PARTNERIEXECUTNE Y/N OFFICER/MEMBER EXCLUDEDP (Mandatory in NH) NIA 2091550 04/01/11 04/01/12 X WCSTAT-1- OTH- LIMITS ER EL. EACH ACCIDENT $ 1,000,000 EL. DISEASE - EA EMPLOYEE $ 1,000,000 If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT E 1,000,000 D ns a a ion Floater 100302020000 Per DlsaS er , UMF— $1,000 Deductible SEC Form Any 1 Location 1,000,000 -Flood/Earth ake *$1 000,000 Sub -Limit *$25,000 *Ded. T /Transit 1, 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement andwithrespect to work performed by Insured subject to the policy terms and conditions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 580 AUTHOR12CO REPRESENTATIVE �i Fort Collins, CO 80524 / k USA �' I francine © 1988-2009 ACORD C1 AUUKU ZO (LUUB/UU) I ne AUVKU name anO logo are registereO marts Of ACUHU 20078844 3A ►CORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMMDNYYY) 03/08/2011 03/OB/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). - PRODUCER 1-303-534-4567 CONTACT NAME: PHONE FAX IAdC.N9. tid) AIC No: I14A of Colorado, Inc. E-MAILADDRESS: 1550 17t'h Street PRODUCER CUSTOMERID# Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE NAICIt INSURED INSURER A: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 20078913 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TRINSR rypE OFINSURANCE ADOL SUBR POLICY NUMBER MMIDDYEFF POLIMMIDD EXP MID LIMITS A GENERAL LIABILITY DTC08743RO16IND10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISESEa occurrence) $ 300,000 CLAIMSMADE � 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 COMPIOPAGG $ 2,000,000 $ P POLIGV X RO LOC E AUTOMOBILE LIABILITY DT8108743RO16TIL10 09/30/10 09/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULEDAUTOS HIRED AUTOS PROPERTYGE (Per accident) p $ $ X NON -OWNED AUTOS $ R X UMBRELLA LIAB X OCCUR DTSMCUP8743RO16TIL10 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYANY PROPRIETORIPARTNERIEXECUTIVE YIN OPFICERIMEMBER EXCLUDED] (Mandator, in NH) NIA 2091550 04/01/11 04/01/12 X WC STATU- DTH- E.L. EACH ACCIDENT $ 1, 000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE /� Fort Collins, CO 80521-0000 / ,/�J USA /�Y//� francine ACORD 25 (2009/09) 20078913 © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3:a T kc"R o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/08/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: INA of Colorado, Inc. PHONE FA% -(AIC.NaEXO' NC No: 1550 17th Street E-MAIL ADDRESS: Suite 600 PRODUCER CUSTOMER ID III Denver, CO 80202 INSURERS AFFORDING COVERAGE NAIC4 INSURED INSURER A: TRAVELERS IND CO 25658 Hydro Construction Company, Inc. INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 20078932 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER MMIDD MM1E0 LIMITS A GENERAL LIABILITY DTC08743RO16IND10 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rx] OCCUR DAMAGE TO PREMISES Ee6TTED occumence $ 300,000 MED EXP(An,, one person) $ 10,000 PERSONAL$ AOV INJURY $ 1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY rX I PRO LOC $ E AUTOMOBILE X LIABILITY ANY AUTO DT8108743RO16TIL10 09/30/10 09/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Par accident) E XI SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per actldent) $ X $ NON -OWNED AUTOS E E [IX OCCUR DTSMCUP8743RO16TIL10 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 NUMBRELLALIAB EXCESS LIAR CLAIMS -MADE HXDEDUCTIBLE $ $ RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICEWMEMBER EXCLUDED? N I A 2091550 04/01/11 04/01/12 X WCSTATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandator, in NH) It yea, describe under DE SCRIPTIONOFOPERATIONSbelow E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES (AnacN ACORD 101, Additional Remarks Schedule, 1l more apace Is required) City of Fort Collins, Ditesco Project 6 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 City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521-0000 �i /� I _ _ USA ` francine © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 20078932 3:4 �coRTO`" CERTIFICATE OF LIABILITY INSURANCE DATE 03/08/201YYY) 03/08/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: IMA of Colorado, Inc. PHONE FAX AC No: E-MAADDRESS: 1550 17 t11 Street PRODUCER Snits 600 Denver, CO 80202 rUSTOMERIDN INSURERIS) AFFORDING COVERAGE NAIL # INSURED INSURER A: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E INSURER F : COVFRAGFS CERTIFICATF NUMRFR- 20078942 - REVISION NUMBER - THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP INSR WAD POLICY NUMBER MMIDD MMIOD LIMITS A GENERAL LIABILITY DTC08743RO161ND10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea aor,nenre $ 300,000 CLAIMS -MADE FxI OCCUR MED EXP (Any one Person) $ 10,000 X PD Ded:$5,000 PERSONAL &ADV INJURY $ 1,000r000 GENERAL AGGREGATE $ 2,000rO00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 - $ POLICY F X PRO- LOC H AUTOMOBILE X LIABILITY ANY AUTO DT8108743RO16TIL10 09/30/1 09/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULEDAOTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ X $ X NON-OWNEDAUTOS H X UMBRELLA LIAR X OCCUR DTSMCUP8743RO16TIL10 09/30/10 09/30/11 EACH OCCURRENCE $ 1,001,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORJPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? [ (Mandatory in NH) N I A 2091550 04/01/11 04/01/12 X WC STATU- OTH- EL EACH ACCIDENT $ 1,000,000 EL USEASE-EAEMPILOYEq $ 1,000,000 Dyyes describe untler OE8 RIPTION OF OPERATIONS bona - EL DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - 700 wood Street AUTHORIZED REPRESENTATIVE / Fort Collins, CO 80521-0000 USA 6 francine © 1988.2009 ACORD CORPORATION. All riohts reserved. AUUKU LO tLUUUMV) I ne AGVKU name ana logo are regl$Terea ITI OT AGUKU 20078942 3.4 CERTIFICATE OF LIABILITY INSURANCE DATE MIMIDDI 03/08/2011 03/OB/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: IMA of Colorado, Inc. PHONE FAX NC No E4t1AILADDRESS: 1550 17th Street PRODUCER Suite 600 '_ Denver, CO 80202 CUSTOMERID# INSURERS AFFORDING COVERAGE NAIL 0 INSURED INSURER A: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURERC: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER- 20078943 REVISION NUMBER - THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP POLICY NUMBER MM/DO MMMD LIMITS A GENERAL LIABILITY DTC08743RO16IM10 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fi-IOCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED UP (Any one person) $ 10,000 X PD Ded:$5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGR LI MIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLIEGATE CY X PRO-171 LOC $ B AUTOMOBILE X LIABILITY ANY AUTO DT8108743RO16TIL10 09/30/10 09/30/11 COMBINED SINGLE LIMIT (Ea actidenl) $ 1,000,000 BODI LY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY(Pereocident) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE IPereccident) $ $ X NON-OWNEDAUTOS 8 B X UMBRELLA LIAB X OCCUR DTSMCUP8743RO16TIL10 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE $ HXDEDUCTIBLE $ RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDE D9 N 1 A 2091550 04/01/11 04/01/12 XI WCSTATU- OTH- EL EACH ACCIDENT $ 1, 000, 000 E L DISEASI E PLOYEE $ 1,000,000 (Mandatory in NH) If yes, descdbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS IVEHILLES (AnacM1 ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respec£ to work performed by Insured subject to the policy terms and conditions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE ^ Fort Collins, CO 80521-0000 ,✓ � & USA t / francine n 19RR.20(19 ACORD CORPORATION_ All rinhts raeervel ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 20078943 3:4 �I CERTIFICATE OF LIABILITY INSURANCE DATE 03/08/2011Yh 03/OB/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: PHONE FAX No Eat): A/C No), INA of Colorado, Inc. EMAIL ADDRESS: 1550 17th Street PRODUCER Suite 600 Denver, CO 80202 CUSTOMERID# ' INSURER S)AFFOROING COVERAGE NAICp INSURED INSURERA: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 20078944 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLSUBTYPE DIpYEFF MMIDD POLICYEXP INSR WD POLICY NUMBER MMI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T OCCUR X PD Ded:$5,000 DTC08743RO16IND10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY r X PRO- 7LOG PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS DT8108743RO16TIL10 09/30/1( 09/30/11 COMBINED SINGLE LIMIT (Ea a adem) $ 1, 000,000 BODI LV I NJURV(Per person) $ BODI LV I NJURV(Per accident) $ ]xx PROPERTYGE (Peraccitlenident)0NON-OWNEDAUTOS $ $ R X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE DTSMCUP8743RO16TILIO 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 X DEDUCTIBLE RETENTION $ 10,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETCR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If es describe under DE SCRIPTION OF OPERATIONS below N I A 2091550 04/01/11 04/01/12 XI WCSTATU- OTH- EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000 , 000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (AnacM1 ACORO 101, Additional Remarks Schedule, if more space Is recut red) 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. V CRIIrIVNIC RVLVCR VNIYVCLLNIIVIY RE: MWRF Communication and Security Project. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521-0000 USA ` ��{'!/� francine © 1988-2009 ACORD CORPORATION. All rights AL;UKU Zb IZUU9/U9) I he ACUKU name and logo are registered marks OT ACUKU 20078944 3:4 CERTIFICATE OF LIABILITY INSURANCE 0 3/OB/1 3/08/DDIr2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: IMA of Colorado, Inc. PHONE FAX N AIC Nc - E-01AIL ADDRESS: 1550 17th Street PRODUCER Suite 600 Denver, CO 80202 CUSTOMER ID INSURERS AFFORDING COVERAGE NAIC a INSURED INSURERA: TRAVELERS IND CO 25658 Hydro Construction Company, Inc. INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 20078916 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP POLICY NUMBER MMIDD MMIDD LIMITS A GENERAL LIABILITY DTC08743RO16IM10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CI-AIMS-MADEn �1 OCCUR DAMAGETOR NT D PREMISES Ea owunenw E 300,000 MED EXP(Any one person) $ 10,000 X PD Ded:S5,000 PERSONAL BADV INJURY E 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY X PROJECT- LOC E E AUTOMOBILE X LIABILITY ANY AUTO DT8108743RO16TIL10 09/30/1 09/30/11 COMBINED SINGLE LIMIT (Ea acdden0 $ 1,000,000 BODI LY I NJU RY(Per person) $ ALL OWNED AUTOS - BODILY INJURY (Per accident) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) S X $ - NON -OWNED AUTOS E X UMBRELLA LIAR X OCCUR DTSMCUP8743RO16TIL10 09/30/10 09/30/11 EACH OCCURRENCE § 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE § $ X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORJPARTNERIEXECUTIVE YIN OFFICERIMEMSER EXCLUDED? NIA 2091550 04/01/11 04/01/12 X WC STAPLE OTH- E.L.EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYE $ 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT § 1,000,000 DESCRIPTION OF OPERATIONS ILOCATIONS IVEHICLES (ANach ACORO 101, Atltlltlanal Remarks Schedule, it more apace is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Opal F. Dick, CPPO, Senior Buyer THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason St, 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 �R USA /' francine © 1988-2009 ACORD CORPORATION. All rights reserved. — 2007891tar,va,va) 1rr0 MV iniV....a.0Vr r1V..U. GrC rClJr�ICrCV rrrGrni ryVVRV 3:a �� " CERTIFICATE OF LIABILITY INSURANCE MMIDDNY TE18/2011YY) 0 3/0/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-303-534-4567 CONTACT NAME: PHONE FAX AlG No: INA of Colorado, Inc. E-MAIL ADDRESS: 1550 17th Street PRODUCER CUSTOMER ID Suite 600 Denver, CO 80202 INSURERS) AFFORDING COVERAGE NAIC # INSURED INSURER A: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D : Fort Collins, CO 80524 INSURER E : INSURER F COVFRAr;FS CFRTIFICATE NUMBER- 20078926 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRINSIR TYPE OF INSURANCE ADDL SUER POLPOLICY NUMBER MMIDIDYEFF POLICMWDDVEXP MID LIMITS A GENERAL LIABILITY DTC08743RO16IND10 09/30/10 09/30/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE PREM I SES ERENo ence I $ 300,000 CLAIMS -MADE FXI OCCUR MED EXP(Anyone person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 X PD Ded:85,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000r000 $ POLICY FX7 PRO- JECT LOG H AUTOMOBILE LIABILITY DT8108743RO16TIL10 09/30/10 09/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODI LY I NJURY(Per person) $ ALLOWNEDAUTOS BODI LY I WILEY(Per accident) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY AGE (Per accdeirt)dent) $ $ X NON -OWNED AUTOS $ B X UMBRELLA LIAR X OCCUR DTSMCUPS743RO16TIL10 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ X RETENTION $ 10,000 C WORKERS COMPENSATION 2091550 04/01/1)I 04/01/12 XI WCSTATU- OTH- R AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N OFFICERIMEMBER EXCLUDED' (Mandator, in NH) N/A E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 It yes, descdM1e under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins and NEW 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. xa: muinerry ♦ncermearare xepiacemenr rro3ecr - enase N. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0000 USA t A / & / francine ACORD 25 (2009/09) 20078926 © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3A