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Home My WebLink About109420 HYDRO CONSTRUCTION COMPANY - INSURANCE CERTIFICATE (2)Pfi(aniYu,i R ''� a CERTIFICATE OF LIABILITY INSURANCE DDNYY ATED10/103I2011Y) l0/o1/2ou 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 INSURERS), 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(a). PRODUCER 1-303-534-4567 I]KA of Colorado, Inc. CONTACT NAME; PHONE FA% (AJC.No. E.tl:__ _ A". No): --- — 1550 17th Street Suite 600 ADDRESS: -___- - -- Denver, CO 80202 AFFORDING COVERAGE NAICI --____INSURER(S) _ INSURER A: TRAVRLRRS IND CO _ _ 25658 INSURED INSURER a: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. WSURERC: PINNACOL ASSUR 41190 INSURER D: 301 East Lincoln Avenue INSURE E: Fort Collins, CO 80524 INSURER F : COVERAGES CERTIFICATE NUMBER: 23448977 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. EFFI(MMVE)POUCY WLTIR SR EXP TYPE OF INSURANCE IADDLSUm POLICY NUMBER MMMDYO7YY YYYI LIMITS A GENERAL LIAeanr DTCO8743RD161ND11 09/30/1 09/30/12 EACHOCCURRENCE f 1,000,000 Y COMMERCIAL GENERAL_ LABILITY _ -DAMAGES(Ea N rr PREMISES RENTurrmcel_ f 3001000 _ CLAIMS WIDE X OCCUR _MED EXP(MY one pawn)_ _ S 101000 Y PD Ded:$5,000 PERSONAL 4 ADV INJURY S 1,000,000 GENERALAGGREGAIE $2,000,000 PRODUCTS - COMPIOP AGO f 2,000,000 GEN1AGGREGATELIMITAPPLIESPER: POLICY % PRO- -- LOG ---- B AUTOMOBMELUIRILnv DTB10B743RO16TIL11 COMBINED SINGLE LIMIT (Ea apP00nq_ .1 1, 000, 000 S X ANY AUTO BODILY INJURY(P. perwnl ALL SCHEDULED AUTOS AUTOS _ _ BODILY INJURY IPaswidenl) $ VRAUTOSwOP ne $ X X WIN OWNED HIRED AUTOS I'AMAGE S B Y UYBRELLAUAB % OCCUR D9'SMCUP8743RO16TIL11 09130/11 01/30/12 EACH OCCURRENCE ss 1,000,000 AGGREGATE $1,000,000 EXCESS LAB CLNMS-MADE 1 I 1 DED % RETENTION S 10, 000 1 C WORKERS COMPENSATION 2091550 04/01/1 Ol/O1/12 WOSTATU OTH % TORYUMRS ER_— AND EMPl0YE3'LUSBaITY YIN E L. EACH ACCIDENT S 1,000,000 ANYPROPRIETORIPASTNER,HXECUTIVE OFFICERAJEMBE EXCLUDED? R NIA EL. DISEASE - EA EMPLOYE — S 1,000,000 (MyUNN1worylnNH) 0ESCRIPTION OF OPERATIONSWIow E.L. DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. AddltionJ R..&. Bch.d.w, N won PPP.. it rpuiM) City of Port Collins is included as Additional Insured on the General Liability Policy if rewired by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. RE: Emergancy Generator Installation. 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 BOa 580 AUTHORIZED REPRESENTATIVE /% Fort Colli,//& ns, CO 80522-0000 USA 111 r/�I(L @ 1988-2010 ACORD CORPORATION. All rinhts reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD nataaha 23448977 R oM CERTIFICATE OF LIABILITY INSURANCE D10/03VDOr1 to/o3/sou 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 terns 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 i NAME: INIL of Colorado, Inc.PNONE FA% (AIC, No. E.1):—_— 1550 17th Street E-MAIL ADDRESS: Suite - Denver, COC80207 -_ _INSURER(S)AFFORDING COVERAGE _ NNCI INSURER A: TRAVELERS IND CO 25658 INSURED INSURER B: TRAVELBRS PROP CAS CO OF AVER 25674 Hydro Construction Company, Inc. INSURER C: EINNACOL ASSUR 41190 INSURER D- ONEBEACON AMER INS CO 20621 301 Bast Lincoln Avenue INSURERE FOIL Collins, CO 80524 INSURER F : COVERAGES CERTIFICATE NUMBER: 23449121 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 BYfPAID CLAIMS. LTR TYPE OF INSURANCE IADDLISUBRIe POLICY NUMBER MM OCYEFF YYY MM DO YYY LIMITS A GEMERALLABILIIY DTC08743RO16INDII 09/30/1 09/30/12 EACHOCCURRENCE § 1,000,000 x COMMERCIAL GENERAL LABILITY CLAIMS WIDE FxIOCCUR PRMAGETORENTED PREMISES Its RENT rrelrz) _MEDEXP(An,..persan)_ S 300,000 s 10,000 $ 1,000,000 % PD Ded:$5,000 PERSONAL A ADV INJURY GENERAL AGGREGATE § 2,000,000 PRODUCTS - COMP/OP AGO 5 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY I x l PRO- LOC s B AUTOMOBILE LIABILITY W8108743RO16TIL11 COMBINED SINGLE LIMIT (Ea accdent)_ _$1,000,000 $ x MY AUTO BODILYINJURY(Per Person) ALL OWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY (Per accident) 1 x HIREDAUTOS % NOTOSOWNED PROPERTY _ s s B X UMBRELLA LIAR x OCCUR MSMCUP8743RO16TIL11 09/30/13 09/30/12 EACH OCCURRENCE s 2/000/000 AGGREGATE s2,000,000 EXCESS LIAR CLAIMS MADE DED x RETENTION $ 10, 000 § C WORKERS COMPENSATION AND EMPLOYERSLABILITY ANYPROPRIETOWPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N NIA 2091550 oa/Di D4/ol/1z WCSTATU- OT& xD __T-Eft-YIN E.L. EACH ACCIDENT 1,000,000 ___s E L. DISEASE=EA EMPLOYE 5 1,000,000 (Yandabr, In NH) It yes tleso6e moor DESCRIPTION OFOPERAIIONS Uolow E.L. DISEASE -POLICY LIMIT -- 11,000,000 D Installation Floater 7100302020001 09/30/11 09/30/12 Per Disaater 1,000,000 $1,000 Deductible SEC Form My 1 Location 1,000,000 •Flood/Earthquake 1 1 e$1,000,000 Sub -Limit e$25,00 'Ded. Temp/Transit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Scheduls, N more apace Is re9uired) 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 y of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0. Box 580 AUTHORIZED REPRESENTATIVE / //JJ t Collins, CO 80524 ! //.�ii USA 111 .✓/��/((�t n 4gRR_9nin ACnRn RnRPnRATInIU All einhee .uae,veA ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD natasha 23449121 z W