No preview available
HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (73)w�® CERTIFICATE OF LIABILITY INSURANCE F DATE 03/11/201YYV 03/11/2011 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 A/C No E-MAILADDRESS: 1550 17th Street PRODUCER CUSTOMER ID 0' Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE NAICa INSURED INSURER A: TRAVELERS IND CO 25658 Hydro Construction Company, Inc. INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: PINNACOL ASSOR 41190 301 East Lincoln Avenue INSURER D: FOIL Collins, CO 80524 INSURER E : INSURER F : COVFRAGFS CFRTIFICATF NIIMRFR. 20114935 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 LR OF INSURANCE ADDTYPE INSR MDSUBR POLICY NUMBER MWDDPOLINYY MMLDD ICY EXP LIMITS A GENERAL LIABILITY DTC08743RO16IND10 09/30/10 09/30/11 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO ED PREMISES (Ed oceurence $ 300,000 DI -AIMS -MADE Fi_] OCCUR MED EXP(My one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG s 2,000,000 $ POLICY X PRO-JECT El LOG B AUTOMOBILE LIABILITY DT8108743RO16TILIO 09 30/10 09/30/11 COMBINED SINGLE LIMIT (Ea ecciden0 $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODI LY INJURY (Per amiden0 $ X I SCHEDULEDAUTOS HIRED AUTOS PROPERTY DAMAGE (Permeadent) $ $ X NON -OWNED AUTOS R X UMBRELLA LIAR X OCCUR DTSMCUPS743RO16TILIO 09/30/1 09/30/11 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ x RETENTION $ 10,000 C WORKERS COMPENSATION ,., AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Myandm.,1. NH) NIA 2091550 04/01/1 04/01/12 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMP.OYE $ 1,000,000 DE SCdoricnIoe under RIPTION OF OPERATIONS We. E.L. DISEASE -POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ALORO 101, Additional Remarks Schetlule, it mom spew Is required) City of Fort Collins, Colorado 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, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4316 LaPorte Avenue, AUTHORIZED REPRESENTATIVE //�� Fort Collins, , CO 80522 j / k I USA ( �✓vim !!///^/ ghondrogiannis © 1988.2009 ACORD CORPORATION. All AI.UKU LO t4UUNlUe) I ne AUUKU name ana logo are reglsterea marks Or AUUNu 20114935 3:4 IMA of Colorado, Inc. 1550 17th Street Suite 600 Denver, CO 80202 USA City of Fort Collins, Colorado 4316 LaPorte Avenue, Fort Collins, , CO 80522 USA 9:282:360 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. cc: -Sarah Finley @ Hydro (EMAIL) The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow -w .ConfirmNet.com-877.669.8600 1:4