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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (5)PszauxPuz 3 '`� �® CERTIFICATE OF LIABILITY INSURANCE 05/24/so12 DIDDI os/2a 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(les) 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, Inc. - Colorado Division CONTACT NAME: PHONE FAY .1A14. N0 fA1I 1550 17th Street Suite E-MAIL ADDRESS: Denver,, COC80202 INSURERISI AFFORDING COVERAGE NAKQ INSURER A: TRAVELERS IND CO 25658 1 INSURED l D Hydro Construction Company, Inc. INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: PINNACOL A93UR 41190 INSURER O: 301 East Lincoln Avenue INSURER E: Port Collins, CO 8052d INSURER F: COVERAGES CFRTIFICATF NIIMRFR- 27258759 RFVIQ,nu MMMRFR- 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. INSa TYPE OF INSURANCE ADDL SUER POLICY EFf POLICY EXP Lm POLICY NUMBER IM D MMIDDIYYYY LIMITS A GENERAL LIABROY DTC00743RO16IM11 09/30/1 09/30/12 EACH OCCURRENCE S 1,000,000 COMMERCIAL GENERAL LIABILITY _DA% LEE, EO PREMISES_L occunence7 PREMISES S 300,000 MED EXP(Any one Person) $ 10,000 _ _I CLAIMS -MADE 1�1OCCUR % PD Ded:$5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2,000,000 POLICY % PRO'IOC S B AUTOMOBILE LIABILITY DT8108743RO16TIL11 09/30/12 COMBINED SINGLE LIMIT (Ea accident 1,000,000 BODILY INJURY(Perpe.) S X ANY AUTO ALLOWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY (Per acddenl ) $ X VIREO AUTOS % AUOT OWNED PROPERTY DAMAGE LPeracci0enf $ $ B % UMBRELLA LIAR X_ OCCUR MSMCUP8743RO16TIL11 09/30/1 09/30/12 EACHOCCURRENCE $ 11000,000 $ 11000,000 EXCESS LIAR CLAIMSMADEAGGREGATE DED X I RETENTIONS 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PHOPRIETORIPARTNEWEXECUTIVE PA OFFICEREMBER EXCLUDED? N❑ NIA 2091550 Od/O1/1 Od/O1/1J WCSTATU- OTH. X 19RY1IMIIS. _Eft E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 IMandafury In NH) If yef. denabeM uer DESCRIPTION OF OPERATIONS rrmov EL DISEASE POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Afnch ACORD 10. MiNflonal Remarks schedule, If more space is re9Ylrsd) RE: Laporte Ave - Valve Replacement Project. City of Port Collins is included as Additional Insured on the General and Automobile Liability Policies if repaired by written contract or agreement and with respect to work performed by Insured subject to the policy terma and Conditions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Jay Rose 700 Wood Street AUTNORgED REPRESENTATIVE Port Colli�a/ no, CO 80521-0000 / / k i USA � ®1988-2010 ACORD CORPORATION. All rights reserve ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD mweecce 27258759