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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION - INSURANCE CERTIFICATEPSEwluExueE A� �® CERTIFICATE OF LIABILITY INSURANCE O12/02/201YY) 1a/Da/moll 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(iss) 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 IMA of Colorado, Inc. CONTACT PHONE I1r FNf (A/C, No. 1550 17th Street Suite 600 E#I)AIL ADDRESS' Denver, CO 80202 _____INSURERS) AFFORDING COVERAGE _NAICI INSURER A: TRAVELERS IND CO 25658 INSURED Hydro Construction Company, Inc. INSURERS: TRAVELERS PROP CAS CO OF AMER _ _--------- 25674 ' INSURER C: PINNACOL ASSUR 41190 INSURER 301 East Lincoln Avenue INSURER Fort Collins, CO 80524 INSURER F U t,KIIFIUA1t NUMBER: Le.t1]U2U 9 yYl LVbI: ■!111 r,19SD 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 TADDLISUBR I POLICPOLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDY EYFFY I MMIDDflYYY LIMITS A GENERAL LIABILITY X _ COMMERCIAL GENERAL LIABILITY CLAIMSMADEOCCUR DTC08743RO16IND11 09/30/11 09/30/12 _EACH OCCURRENCE NTED PREMSES(GE ToEa aavnmce)_ NED EXP(Any meperson) f 1, 000, 000 $ 300, 000 _ f 10, 000 X PO Ded:$5, 000 PERSONALS ADVINJURY g 1, 000 _ GENERALAGGREGAIE _ $ 2,000,000 GEMLL AGGREGATE LIMIT APPLIES PER : PRODUCTS-COMPIOPAGG I S 2,000,000 POLICY X PRO, ICI LOC FrT Is B AUTOMOBILE LIABILITY M8108743RO16TILII COMBINED SINGLE LIMIT (Eaaaidon, __$ 1,000,000 $ X ANY AUTO BODILYINJURV IPCr person) AUTOS SCHEDULED AUTOS AUTOS BODILY INJURY (Per eccdem) $ X HIRED AUTOS X AUTOSWNED X PROPERTY DAMAGE $ s B X (UMBRELLA LIAR II �yr �.I MSMCUP8743RO16TILI1 09/30/11 09/30/12 _EACH OCCURRENCE _If 11000,000 EXCESS LIARS OCCUR VADE l AGGREGATE I� 1, 0001000 j �DED I X RI ETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERTUABILUY YIN ANY PROPRIETOR EXCLUDED? EXCLUOEDi O OFFICEtoq NIA 2091550 D4/DI/u o4/o1/1z WC STATU- I OTR- IORY LIMITS(—L EB'j E 1, 000, 000 H1, EACH ACCIDENT EL DISEASE EA EMPLOYEE$ 1, 000, 000 In NH) Ifyes,dory In NHI EL DISEASE -POLICY LIMIT 1 -- s 1, 000, 000 Nenter DESCRIPTION D[SCRIPTIONOFOPERATIDNStmbw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mtach ACORD 101, AddlDonal smocks Schedule, N mom apace is nquimd) 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. A Waiver of Subrogation is provided in favor of Additional Insured on the Workers Compensation 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: DWRF - Mulberry Redundancy (NPT Improvements) JObk 12-01-250. City of Fort Collins 100 Wood Street 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 O 1988-2010 ACORD rinhm men,vnA ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD natasha 24313820