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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (78)10/3/2011 13:47 Remote ID Imprint ID ❑ 2/2 ACORO® CERTIFICATE OF LIABILITY INSURANCE ( � V DATE10/03/2011 DDI 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: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. N 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 I14A of Colorado, Inc. CONTACT NAME: PHONE FAX AIL No Exti JAUC, No): EMAIL ADDRESS: 1550 17th Street Suite 600 Denver, CO 80202 INSURERS) AFFORDING COVERAGE "Co INSURER A: TRAVELERS IND CO 25658 INSURED INSURERS: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER CPINNACOL ASSUA 41190 INSURERD: 301 Fast Lincoln Avenue INSURERE: Fort Collins, CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: 23449020 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 OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MMIDDNYYTI POLICY EXP (NUsmoffYYYI LIMITS A GENERAL LIABILITY DTCOB743RO16IND11 09/3011 09/30/12 EACHOCCURRENCE $ 1,000,000 X COMMERCALGENERALLIABILTY CLAIMS MADE MOCCUR PREMISES Ea ocmrmnce b 300,000 MEO EXP one perms) $10,000 X PC II PERSONAL S ALI INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2,000,000 POLICY X PRO- LOC $ B LIABILITY DT8108743RO16TIL11 9 0 09 COMBINED SINGLE LIMIT Ea acddanl $ 1,000,000 BODILYNJURY(Par perms) $ MY AUTO POMOBILE ALL OWNED SCHEDULED AUTOS AUTOS BOOILY INJURY Per Solihull $ X NONOWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Paraccidmt $ $ B X UMBRELLA LIAR % OCCUR DTSMCUP8743RO16TIL11 09/30/1 09/30/12 EACH OCCURRENCE $21000,000 AGGREGATE $2,000,000 EXCESS LIAR CLAIMS WIDE OLD X RETENTION810,000 $ C WORKERS COMPENSATION AND EMPLOYERSLIABILITY YIN 2091550 04/01/1 04/01/12 X WC STAID OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRFJORJPARTNERIEXECLTI E OFFICER,WEMBER EXULDED? N❑ NIA E.L. DISEASE EA EMPLOYEE S 1,000,000 (Mandmory In NH) tlesaDe antler If Lim DESCRIPTION OF OPERATIONS Nebw E, L. DISEASE - POLICY LIMIT S1,000,000 DESCRIPTIONOFOPERATIONSILOCATIONSIVERICLES (Mach ACORD 101, AddlBanal RemarYa Schedule, it more 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. RE: P1007 Water Wastewater Treatment R Site Infacture. of Fort Collins James B. O'Neill 215 North Mason Streeet Collins, CO 80522 USA 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 N All einh}R rlaclaruorl ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD nataaha 23449020 10/3/2011 13:47 Remote ID Imprint ID ❑ 1/2 I AW Fax City of Fort Collins TO: Fax: 1-970-221-6707 ACM: James B. O'Neill Hydro Construction Company, Inc. FROM Phone: IMA of Colorado, Inc. Agency: Phone: 1-303-53a-as67 Subject: Delivery by CertificatesNow If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. cc: 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 CwificatesNav-vnv LwfirmNet.mm-677.669.6600