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Home My WebLink About109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (3)P32.2.2 B R A� CERTIFICATE OF LIABILITY INSURANCE DATE29/2 I12 03/]9/]Ol] 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 lama and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the PRODUCER I-JuJ-oJa-4b0Y �w NAME INA of Colorado, Inc. PHONE FAX 1550 17th Street E-MAIL ADORE39: Denver, CO 80202 _--,--_---_INSURER(S)AFFOROINGCOVEUGE _ _ _ MAICI _ �- - - _-- -- -- INSURER A: TRAVELERS IND CO 25658 --- -- INSURED INSURER PROP CAS CO OF AREA 25674 Hydro Construction Company, Inc. INSURER C: PINUACOL ASSUR E1190 _ INSURER D: 301 Beet Lincoln Avenue INSURER E: Port Collins, CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER: 25897297 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. NSR ADDVSUBR POUCYEFF POLICYEXP LTR TYPE OF INSURANCE INSR wn POLICY NUMBER IMMMDMYYI (MMIDDITYYY17—LIMITS A GENERAL LIABILITY DTCOS743R016IND11 09/30/1 09/30/12 EACHOCCURRENCE $ 1,000,000 X I COMMERCIAL GENERAL LIABILITY __ ICLAIMS MADE FXl OCCUR DAMAGE TORENTED PREMISES(Eaomunence)__ NED EXP(My we person)_ $ 300, 000 S 10,000 S ADV INJURY $ 1,000,000 X PD Ded:$5,000 _ _PERSONAL GENERAL AGGREGATE S 2,000,000 GEHL AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $2,000,000 I POLICY I X I IO- F-1 Loc ' $ ----- B AUTOMOBILE UABA" DT0108743RO16TIL11 COMBINED SINGLE UNIT _(Ea..di,n0 __; 1,000,000 _- X ANY AUTO BODILY INJURY IPiv person) ALL SCHEDULED AUTOS _ AUTOS IPer BODILY INJURY aaieenq $ $ X X NOOWNED HIRED AUTOS N -- AUTOS PROPERTY DAMAGE MA TPin eXiJenO § --- E B X UMBRELLA LIAB B OCCUR WSMCUP8743RO16TIL11 09/30/13 09/30/12 EAQIOCCURRENCE $ 1,000,000 _ AGGREGATE 1,000,000 EXCESS LIAB CLAIMS MAUE DED I X RETENTIO_N $ 30, 000 - _$ — $ C WORN ERSCOMPEMSATION ANDEMPLOYERS'LIABILITY yIM 2091550 Oa/01/11 0l/O1/12 X WCSTATU IOERH_ — TO"LIMITS L — E L EACH ACCIDENT ANY PROPRIETORA MINERIEXECUTIVE ❑ OFFICERAEMBER EXCLUDED? N NIA $ 1,000,000 - E L. DISEASE - EA EMPLOYEE $ 1,000,000 plyaeassWa,n, In NM) O[BCRIONOFOPERATIONSOW E. L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRVTN2N OF OPERATIONS I LOCATIONS I VEHICLES IANcA ACORD 101, MEMIonsl RamaM1e SCMdulo, N men space is,pulnd) City of Port Collins is included an Additional Insured on the General and Autoeobile Liability Policies if required by written contract or agreealent and with respect to work performed by Insured subject to the policy terms and conditions. MSR Wells/Phoenix House Demo. of Port Collins Wood Street Collins, CO 80521-0000 ACORD 25 (2010/05) nfmoreno 25897297 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 //',/T USA / / n 19RR_9n1n aCnRn Cn1oP 2ATInM All einMa ens—d The ACORD name and logo are registered marks of ACORD estwu:Nux A� oa/16/26/aCERTIFICATE OF LIABILITY INSURANCE DATEo12I 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. p 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 CONTACTNAME ^ h INA Of Colorado, Inc. FRONT FAX O I/UC No Exn (Alp No): 1550 17th Street > Z EMAIL ADDRESS: Suite 600 OJ Denver, CO 80202 INSURERIS) AFFORDING COVERAGE NAIC4 INSURER A: TRAVELERS IND CO 25658 INSURED INSURERB: TRAVELERS PROP CAS CO OF AHER 25674 Hydro Construction Company, Inc. INSURER C . . PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: INSURER E: Fort Collins, CO 60524 INSURER F : COVERAGES CERTIFICATE NUMBER- 25600935 REVISION NHMRFR- 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 rADDL SUER TYPE OF INSURANCE LTR2M Phil POLICY NUMBER MHNDNYYY MWODMYY LIMITS A GENERAL LIABILITY DTC08743RO161ND11 09/30/11 09/30/12 EACHOCCURRENCE $ 1,000,000 X DAMAGETORENTED 300,000 COMMERCIAL GENERAL LIABILITY PREMISEREN PREMISES (Ea currence) $ CLAIMS-MADE X OCCUR NED UP (My one person) $10,000 X PD Ded:$5,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE OMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,00D POLICY X I PRO- LOG $ B AUTOMOBILE LIABILITY DT8108743RO16TIL11 09/30/11 3 / 2 COMBINED SINGLE LIMIT 1,000,000 4INJURY X ANY AUTO BODILY (PV Person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (PeraaEen) $ X X NITOS D PROPERTY DAMGE $ HIRED AUTOS ALIROG IPer acciden0 f e X UMBRELLA UAB X OCCUR DTSHCUP87d3R016TIL11 09/30/11 09/30/12 EACH OCCURRENCE $ 11000,000 EXCESS UAB QAIMS-MADE AGGREGATE $1,000,000 DED X RETENTIONS 10, 000 $ C WORKERS COMPENSATION 2091550 04/01/11 04/01/12 X WCSTATU OTH- iOHY LIMIT$ ER AND EMPLOYERS' L6IBILRY YIN AWPROPRIETORPARTNERAE ECUDVE E.L. EACH ACCIDENT $ 1,000,000 OFFICE2MEMOER B%CLUOEO? N NIA (Mandatory In NHI E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, dmnbe undm DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addhionai RehwdEs Schedule, If mere apace Is u9ulred) RE: DWRF - Odor Control Equipment - Jobe12-01/254. 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 term& and conditions. 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. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA [[[ a/�//l //fk n 19RR.2111n ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD IRweecce 25600935 All rinhee r.eArvAd