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Home My WebLink About109420 HYDRO CONSTRUCTION COMPANY - INSURANCE CERTIFICATEPSEOWENUE n A�� ® DATE IMMIODIYYYYI L , CERTIFICATE OF LIABILITY INSURANCE 04/30/2012 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(tes) 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 endorsemenl(s). PRODUCER 1-303-534-4567 CONTNAME: ACT IMA, Inc. - Colorado Division PHONE FAX 1550 17th Street , 6i VV Suite 600 Deaver, CO B0202 INSURED Hydro Construction Company, Inc. 301 Beat Lincoln Avenue Fort Collins, CO 80524 INSURERS) AFFORDING COVERAGE NAICN INSURERA: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 waIlRFac PINNACOL ASSOR 41190 COVERAGES CERTIFICATE NUMBER: 26933281 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, INSfl ADDLSUBR POLICY EFF POLICYEXP LTR TYPE OF INSURANCE POLICY NUMBER MM DI YYY M MDD YYY LIMITS A GENERAL LIABILITY DTC08743RO16INIll 09/30/1 09/30/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO NTED PREMISES IEaEoccunerce) $300,000 CLAIMS -MADE I X OCCUR MED EXP(My ane Person) $ 10,000 X PD Ded:$5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMPIOP AGO S2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY I X PRO- JFFT LOC $ B AUTOMOBILE LABILITY W8108743RO16TIL11 09/30/1 COMBINED SINGLE LIMIT $1,000,000 X ANYAUIO BODILY INJURY (Per Person) $ ALL OWNED SCHEDULED BODILY INJURY (Per acWen0 $ AUTOS _ AUTOS PROPERTY DAMAGE $ X X NON-0WNED HIRED AUTOS AUTOS Per accident B X UMBRELLA LAB X OCCUR DTSMCTTP8743R016TILll 09/30/1 09/30/12 EACH OCCURRENCE $ 11000,000 EXCESS LAB CLAIMS -MADE AGGREGATE $ 1,000,000 DIED I X RETENTION$ 10, 000 S O WORKERS COMPENSATION 2091550 04O1/1 04/O1/13 XWCSTATU- OTH- TORY LIMITS ANDEMPLOYERS' ABILITY YIN EEACH ACCIDENT .L. $ 1,000,000 ANY PROPRIETORIPARTNEPUEXECUTIVE OFFICE"EMBER EXCLUDED? � NIA EL DISEASE - EA EMPI-OYEE $ 1,000,000 IMandatory In NH) If yes done ibe under DESCRIPTION OF OPERATIONS beta E.L. DISEASEPOLICYLIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101. Addaioml Remarke Schedule, if more space la rpuimd) RR: Job 9H-WTF-2012-2; TS-T6 Channel Improvements. City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by written contract or agreement and witb respect to work performed by Insured subject to the policy terms and conditions. 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. Wood Street AUTHORIZED REPRESENTATIVE /J Collins, , CO 80521-0000 & , USA [[[ CJ 1988-2010 ACORD CORPORATION_ All drihfB reeerve ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD natasha 26933281 PSl1AM1314M1$ A� �® CERTIFICATE OF LIABILITY INSURANCE °A4/"0{/23/2012/2012 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 pollcy(les) must be endorsed. N 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 endorsemen s . PRODUCER 1-303-53{-{567 D`dA, Inc. - Colorado DSvleloG CONTACT NAME:PHONE FAIL No: HI,UL ADORE 1550 17th Street Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE NAICIT INSURERA: TRAVELERS IND CO 25658 INSURED Hydro Construction Company, Inc. INSURER a: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: FINNACOL A880R 41190 INSURER D: 301 East Lincoln Avenue INSURER E: Port Collins, CO 80524 INSURER F: COVERAGES CERTIFICATE NUMRFR- 26776542 RFVIRIOM MIIMRFR- 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 TYPE OF INSURANCE AWL SUB POLICY NUMBER POLICY Err Y POLICY FJIP UNIT$ A GENERAL LIABUJI DTC00743RO16IND11 09/30/1 09/30/12 EACH OCCURRENCE S 1,000,000 E BOMMERGmI GENERAL LIABILITY CWMS.E rXIOCWR PREMI$E$iEa. S 300,000 MEU E%P one PemPn) 610,000 Z PD Ded:$5,000 PERSONAL S ADV INJURY S 1,000,000 GENERA -AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - LOMPIOP AGO S2,000,000 POLICY Z PRO- LOG S B AUTOMOBILELIAMLITY M8108743RO16TIL11 COMBINED SINGLE LIMIT Ea OaN 1,000,000 BODILY INJURY (Rw Pwaon) $ E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILYINJURY(Pas^vOaL) S E NON-0NNED HIREDAUTOS Z AUTOS PROPERTY DAMAGE Par S S B Z UMBREILALMB i OCCUR DrONCUP8743R016TIL11 09/30/1 09/30/12 EACH OCCURRENCE $1,000,000 11,000,000 EXCESS LAB CLAIMSMADEAGGREGATE DED I E I RETENTION$ 10, 000 $ C WORKERS COMPENSATION MDEMPLOYERS'LIABILITY YIN ANY PROPMETORIPARTMERIEXEGUTIVE OFFICERAIEMBER EXCLUDED! � NIA 2091550 0{/O1/1 0{/O1/13 E WCSTATU- OTH- El. EACH ACCIDENT i 1, 000, 000 E.L. DISEASE -FA EMPLOYE f1, 000, 000 „inN ym DESCRIPTION OF OPERATIONS 41Pa E.L. DISEASE -POLICY LIME I S1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD TOt, Aeamanal Remits SchesuN, I mom aaaIa IB rpubl) Ra: 7220 water/wastewater Treatment a Site Infrastructure Design Construction Contractor (6/1/12 - 5/31/13). City of Port Collins is included as Additional Insured on the General and Automobile Liability Policies if required by mitten contract or agreement and with respect to work performed by Insured subject to the policy terns and conditions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE r of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN :basing Division ACCORDANCE WITH THE POLICY PROVISIONS. Wood Street AUTNORRED REPRESENTATIVE /'/^% Collins, CO 80521 // i g8A e/# ®1988-2010 ACORD CORPORATION. All rights reserves ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Reasons 26776542 RM