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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (74)P12UUbYU2 br CERTIFICATE OF LIABILITY DATE JMM1DD � INSURANCE Ol 12 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 II4A Of Colorado, Inc. NAME_ _PHONE FA% _ IAIC, No, Extl'. (kQNe):___ 1550 17th Street E-MAIL --- Suite 600 ADDRESS:. Denver, CO 80202 ___ INSURER(S)AFFORDING COVERAGE_ NAICa MSURERA: TRAVBLHRS IND CO _ 25658 INSURED INSURER B. TRAVBLiRS PROP CAS CO OF ANRR 25674 Hydro Construction Company, Inc. -- INSURERC: PINNACOL ASSUR --- — 41190 301 Beat Lincoln Avenue INSURER D: INSURER E: Fort Collins, CO 80524 INSURER F -=-TILLS iS TO CERTIFY -THAT THE POLICIES.OF INSURANCE.LISTEDBELOW. HAVE BEENASSUED TOITHEANSUREC NAMED ABOVE: FORQHE' 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. INSRI �ADDUSUBR'— I POLICY EFF POLICY EX -- LTR TYPE OF INSURANCE I POLICYNUMBER MN_ YYY (NMIDDIYYYY I- LIMITS A GENERAL LIABILITY _ DTC08743RO16IND11 09/30/11 09/30/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY �CLUAS�MADE CI OCCUR X PO Ded:$5, 000 _ -DAIMGE TO RENTED PREMISES (Ga,w mm.)_ MED EXP(My we person)_ 300, 000 $ _ S10,000 PERSONAL S ADV INJURY 1 11000,000 GENERAL AGGREGATE $2,on,-000 GEN'L AGGRErGAATTE POLICY LIMIT APPLIES PER: PR0. LOC PRODUCTS -COMPIOP AGG S2.000,000 I _ f — — $ B AUTOMOBILE X LIABILITY ANV AUTO DT8308743RO16TIL11 (COMBINED SINGLE LIMIT (Ca acwdwn)_ _ BODILY INJURY(Perpemw) S 1,000,000 S _ �X, ALL OS SCHEDULED AUTOS AUTOS N NON OWNED HIRED AUTOS I^ (AUTOS I BODILY INJURY (Per amiden) $ PROPER DAMAGE (Per accitlenl --_-- $ B JX IUMBRELLALMS EXCESS LIAR___ X OCCUR CLAIMS MADE I MSMCUP8743RO16TIL11 09/30/11 09/30/12 EACH OCCURRENCE_ $ 1, 000, 000 AGGREGATE $ 11000,000 ME D �X TRETENTION $ 10, 000 i C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPMETORIPARTNEWEXECUTIVE OFFICERIMEMBE%CLUDED? � NIA 2091550 04/01/11 04/01/12 X-L ORYLIMITS LIER_ E I. EACH ACCIDENT — _ ____ _ S 1, 000, 0 00 E.L. DISEASE - EA EMPLOYEE! __ S 1, 000, 000 (Mandatory In NH)H) tyS RIPTdm�IOe OFO DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 i DESCRIPTION of OPERATIONS I LOCATIONS I VEHICLES (Adach ACORD 101, AddWorel Remarks, Sdudule, H more space Is nquhed) RS: WTF - Cathodic Protection Raw Water. 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 terse and conditions. City -of Fort Collins 700 Wood Street Fort Collins, CO 80521 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 ©1988-2010 ACORD Cl ACURU 25 (2010105) The ACORD name and logo are registered marks of ACORD mweacoe 25296753 All riahts reserved.)