No preview available
HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (69)P52(AM12NIMU ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ ACORO 1o/31/ao11DDIYYYY' 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 NAM...._E:^ IMA of Colorado, Inc. - PHONE - - -- - - -- - -- ""--- -- �- FAX I - --- ---- 1550 17th Street E-MAIL Suite 600 ,ADDRESS. Denver, CO 80202 _ _ _ _ __ INSURERAFFORDING COVERAGE I _ NAIC0 INSURERA: TRAVELERS IND CO 25658 INSURED INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURERC: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: FOIL Collins, CO 80524 INSURERE: rnurDACCe rGDTI[Ir ATC MIIIIIDCD• 23887922 DFVISIr1N IJIIIJIRFD• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TC TI'IE- INSURED NAMED ABOVE"FOR THE POLICYPERIOD INDICAf ED. NOTWI fHST ANDING 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 ADOLISUBR POLICY EFF POLICY EXP I LTR I TYPE OF INSURANCEINSR Vivo POLICY NUMBER MMIDDIYYYY MMIDDNYYYI LIMITS A GENERAL LIABILITY DTC08743RO161NDII 09/30/1 09/30/12 EACH OCCURRENCE $ 1, 000, 000 R DAMAGE TO RENTED 300, 000 COMMERCIAL GENERAL LIABILITY PREMISES [Ea occurrence) $ _ I CLAIMS -MADE �� OCCUR ME_D_ EX_P (Any one person) _ $ 10, 000 X PIT Dedc$5,000 PERSONAL S ADV INJURY_ - $ 1,000,000-- I ----- GENERAL AGGREGA I E $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS _COMPIOP AGG $ 2,000,000 _X I PRO- !-'-I $ POLICY LOG B AUTOMOBILE LIABILITY DT8108743RO16TIL11 COMBINED SINGLE LIMIT 1,000,000 T _ _ X ANY AUTO I (Ea accident)_ BODILY INJURY (Per person) __ $ ALL OWNED SCHEDULED .. BODILY INJURY accident) - - -- - — -- $ _I AUTOS AUTOS X_ X NON -OWNED . Ir A.G PROPEident) AGE i HIRED AUTOS _I gUTOS .(Peraccident) _ _ _ _E I I B X UMBRELLA LIAB X OCCUR ICLAIMS-MADE mSMCUP8743RO16TIL11 09/30/11 09/30/12 EACH OCCURRENCE_ _ $ 1_,000,000_ EXCESS LIAAB _ AGGREGATE $1,000,000__ � DED I X RETENTIONS 10, 000 _ C• WORKERS COMPENSATION 2091550 Od/O1/11 104/01/12 XI WCSTATU� IOTH, AND EMPLOYERTUABILITY YIN _ TORYLIMITS ER_ ANY PEOPRIETORIPARTNER/EXECUTIVE E L. EACH ACCIDENT $ 1, 000, 000 I OFFICER/MEMBER E%CLUDEO? N❑ N / A -- - ---"" - - - - - - - -- - -— (MandatorylnNH) EL DISEASEEAEMPLOYEE $ 1, 0011, 000 If yes, desuibe udder DESCRIPTION OF OPERATIONS below E.L. 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. AMI Meter Replacement Phase II. 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. 700 Wood Street AUTHORIZED REPRESENTATIVE ,�/1 ,/ Fort CollinsI USA d�fl, CO 80521-0000 /// �// ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD mrkorus 23887922