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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (71)P52WULNU2
® CERTIFICATE OF LIABILITY INSURANCE DATE 09102 12
ACORO l0/09/DO-
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 eadorsement(s).
PRODUCER
INA, Inc. - Colorado Division
1550 17th Street
Suite 600
Denver, CO 80202
INSURED
Hydro Construction Company, Inc.
301 East Lincoln Avenue
Fort Collins, CO 80524
INSURER(S) AFFORDING COVERAGE NA1611
INSURERA: TRAVELERS IND CO 25658
INSURERS: TRAVELERS PROP CAS CO OF AMER 25676
,-ma PINNACOL ASSUR 41190
once. PCOTlnlr ATR NIJaXRFR- 29597167 RFVISION 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
ADDLSUBR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
MMIDDfYYYY
POLICY UP
MMIDOIYYYY
Loans
A
GENERALUABILRY
DTC08743RO16IM12
09/30/1
09/30/13
EACH OCCURRENCE
S 1,000,000
X
DAMAGE TO RENTED
000
IAL
COMMERCGENERAL LIABILITY
PREMISES mmurn i
$300,
ICLAIMS -MADE I X OCCUR
MED UP (Any one amean)
$ 10,000
X PD Ded:$5,000
PERSONAL A ADV INJURY
S 1,000,000
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/GP AGO
1, 2,000,000
GEN'L AGO RELATE IT APPLIES PER:
POLICY X PLIMRO LOC
$
B
AUTOMOBILE LIABILITY
DT8108743RO16TIL12
09/ 0 1
09/30/13
COMBINED SINGLE LIMIT
(Ea accident)
b 1,000,000
X ANY AUTO
BODILY INJURY (Per remon)
8
BODILY INJURY (Per acadan)
S
ALL OWNED SCHEDULED
AUTOS AUTOS
X X NONUWNED
PROPERTYDAMAGE
Par acodanl
S
HIRED AUTOS AUTOS
S
S
X UMBRELLA LIAR X OCCUR
WSMCUP8743RO16TIL12
09/30/1
09/30/13
EACH OCCURRENCE
S 1,000,000
EXCESS LU,B CLAIMS -MADE
AGGREGATE
$ 1,000,000
DED X RETENTIONS 10, 000
$
C
WORKERS COMPENSATION
2091550
04/01/1
04/01/13
X WC STATU- OTH -
TORY ER
AND EMPLOYERS' LIABILITY YIN
E.L. EACH ACCIDENT
$ 1,000,000
ANY PROPRIETORPARTNERIEXEOUTIVE
OFFICERIMEN N NIA
(Mandatory in NH)
E.L DISEASE - EA EMPLOYEE
$ 1,000,000
Ifyes desoihe under
DESCRIPTION OF OPERATIONS...
EL DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atmch ACORD 101, Addbwl Remarks Schadula, If mar. aWra 6 ra9eirad)
City of Fort Collins is included as Additional Insured on the General E AUCOMObile Liability Policies if required by
written contract or agreement a with respect to work performed by Insured subject to the policy terms 6 conditions.
CFRTIFICATF HOLDER CANCELLATION
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 80521-0000
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USA
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(` `ram
(0 19BB-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
kuusk
29597167
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eszolrozaxu
® CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDnrrr)
ACORO 1D/09/2012
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(ies)l 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(sj.
PRODUCER 1-303-534-4567 CONTACT
NAME:
IMA, Inc. - Colorado Division PHONE FAX
1550 17th Street
Suite 600
Denver, CO 80202
INSURED
Hydro Construction Company, Inc.
301 East Lincoln Avenue
Fort Collins, CO 80524
COVERAGES
CFRTIFICATF NUMBFR- 29598040
INSURER($) AFFORDING COVERAGE
NAIC0
INSURERA: TRAVELERS IND CO
25658
INSURER B: TRAVELERS PROP CAS CO OF AMER
25674
IN9URFRC• PINNACOL ASSUR
41190
79TIF9[41; �:IQF1:7 � 171
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN$R
ADDL—GLTYPE
YYY
POLICY UP
R
OF INSURANCE HISS We
POLICY NUMBER
MMIODIYPOLICY
YNIDDIYYYY
LIMITS
A
GENERAL LIABILITY
DTC08743RO16IND12
09/30/1
09/30/13
EACH OCCURRENCE
$ 1,000,000
X
DAMAGE TO RENTED
000
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea axunenca)
S300,
CLAIMS MADE I X OCCUR
MED EXP (Any one person)
$ 10,000
X PD Ded:$5,000
PERSONAL B ADV INJURY
S 1,000,000
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOP AGO
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- LOU
Fr
$
B
AUTOMOBILE LABILITY
DT810874311016TIL12
09/30/1
09/30/13
COMBINED SINGLE LIMIT
(Ea accitlml)
$ 1,000, 000
X ANY AUTO
BODILY INJURY (Per person)
8
BODILY INJURY (Per ecdden0
$
ALL OWNED SCHEDULED
AUTOS AUTOS
X X NONAWNED
PROPERTY DAMAGE
Per accitlem
$
HIRED AUTOS AUTOS
S
B
X UMBRELLA LIAS X OCCUR
DPSNCUP8743RO16TIL32
09/30/1
09/30/13
EACH OCCURRENCE
$ 11000,000
EXCESS LIAR CLAIMS -MADE
AGGREGATE
$1,000,000
DEO I X RETENTIONS 10,000
$
C
WORKERS COMPENSATION
2091550
04/O1/1
04/O1/13
TA- OTH -
Y T WCSY IMTUR
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOWARTNEPIEXECVTIVE
E.L. EACH ACCIDENT
$ 1,000,000
OFFICERIMEMBER EXCLVOEDt N❑ NIA
(MandMM in NH)
E.L. DISEASE -EA EMPLOYE
$ 1,000,000
DESCRIPTION OF OPERATIONS bebw
DESCRIPTION
EL. DISEASE - POLICY LIMB
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AhACORD10/,Addilimul RammOs Schadula,itmoMspew4r uirad)
City of Fort Collins is included as Additional Insured On the General E Automobile Liability Policies if required by
written contract or agreement S with respect to work performed by Insured subject to the policy terms A conditions.
CFRTIFICATF wni iI r.ANCFI I ATHERY
Installation of HOPE for Poudre
Pipeline rehab.
Poudre Pipeline NO 82 - Phase I
Construction
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 Co111no, CO 80521-0000
/(^
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USA
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ACORD 25 (2010/05)
kuusk
29598040 I.-
©1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
YSLIAXIIXIXIL
a
ACORDe
DATE DDf12
CERTIFICATE OF LIABILITY INSURANCE
09/1{
09/ld /20
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: N the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. N SUBROGATION IS WANED, subject to
the tome 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 endorsements .
PRODUCER 1-303-53{-{567
INA, Inc. - Colorado Divlalon
CONTACT
NAME:
PHONE FAX
No. Eros AK NO),
1550 17th Street
Suite 600
E'M'uL
ADDRESS:
Denver, CO 80202
INSURERS AFFOROINGCOVERAGE
NAIC9
INSURER A: TRAVELBRS IND CO
25658
INSURED
Hydro Construction Comps y, Inc.
INSURER B: TRAVELERS PROP CAS CO OF AMSR
25674
INSURER CPINNACOL ASHUR
41190
INSURER D:
301 Beat Lincoln Avenue
INSURER E:
Port Collins, CO 00524
INSURER F:
COVERAGES CERTIFICATE NUMBER: 29064759 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.
INSR
L
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFF
mi
POUCYEXP
N D
UYITS
A
GENERAL LABILITY
DTC08743RO16IND11
09/30/1
09/30/12
EACHOCCURRENCEf
1,000,000
Z COMMERCIAL GENERAL LABILITY
DUIMS-MApE I -XI OCCUR
OAMA ETET RENTED
PREMI ES Ee oc rr n
f 300,000
MEDEXP"One Penon)
f10,000
Z PD Dedl$5,000
PERSONAL S ADV INJURY
f 1,000,000
GENERA-AG(3REGATE
f 2,000,000
GERI AGGREGATE
LIMIT APPLIES PER:
PRODUCTS -COMPK)P AGG
$2,000,000
POLICY
Z PRO- LOC
JFGT
f
B
NU"
OMOBILE LABILITY
DT8108743RO16TIL11
COMBINED SINGLE LIMIT
Ym
E t
1,000,000
BODILYINJURY(Pw PBnPP)
S
Z
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per eca0e,l I
f
Z
NON-0VJNEO
HIRED AUTOS H AUTOS
PROPERTY DAMAGE
re Ual
$
$
B
Z
UMBRELLA LAS
N
OCCUR
DTSUCUP8743RO16TIL11
09/30/1
09/30/12
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
511000,000
EXCESS LIAR
CI-NMS MADE
DED I Z I RETENTION 6 10, 000
f
C
WORKERS COMPENSATION
S'L
AND EMPLOYERIABIIJrY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERRAEMBER EXCLUDED? a
NIA
2091550
O{/O1/1
0{/O1/17
WCSTATLL OTH-
ZORY
E.L. EACH ACCIDENT
S 1,000,000
E.L. DISEASE - EA EMPLOYE
S 1,000,000
(Ynuad In NH)
11 yyeeFF &NRYII ,u
El. DISEASE - FOLICY LIMIT 1
f 1,000,000
DESCRIPTION OF OPERATIONS Detnv
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES PLtlech ACORD 101, A00NNmS1 R.ee. ScA .W. Ifmon upuwbrpuNutl)
City of Port Collins in included an Additional Insured on the Ganerel and Automobile Liability Policies if required by
written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions.
Purchase of critical path MPH Pipe materials -
e Pipeline NO S1 Pre -Purchase ®PB Pipe
of Port Collin
Nord 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.
AUTWASUED REPRESENTATIVE
IA
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
ghondrogiemisl
29064759
dnhla ...d
P52d 2")2
of
o�
Hydro Construction Company, Inc- Policy Number: DTCO8473R016IND11 Effective: 9/30/2011 - 9/30/2012
COMMERCIAL GENERAL LIABILITY
w
0
2. This insurance does not apply to damage to S. This Provision B. does not apply if coverage
premises while rented to you, or temporarily for Damage To Premises Rented To You of
occupied by you with permission of the COVERAGE A. BODILY INJURY AND o
owner, caused by: PROPERTY DAMAGE LIABILITY (Section I —
a. Rupture, bursting, or operation of pres- Coverages) is excluded by endorsement. >
sure relief devices; C. BLANKET WAIVER OF SUBROGATION w
b. Rupture or bursting due to expansion or
swelling of the contents of any building or
structure, caused by or resulting from wa-
ter;
C. Explosion of steam boilers, steam pipes,
steam engines, or steam turbines.
3. Paragraph 6. of LIMITS OF INSURANCE
(Section III) is deleted and replaced by the
following:
Subject to 5. above, the Damage To Prem-
ises Rented To You Limit is the most we will
pay under COVERAGE A. for the sum of all
damages because of "property damage" to
any one premises while rented to you, or
temporarily occupied by you with permission
of the owner, caused by: fire; explosion; light-
ning; smoke resulting from such fire, explo-
sion, or lightning; or water. The Damage To
Premises Rented To You Limit will apply to all
'property damage" proximately caused by the
same "occurrence", whether such damage
results from: fire; explosion; lightning; smoke
resulting from such fire, explosion, or light-
ning; or water; or any combination of any of
these causes.
We waive any right of recovery we may have
against any person or organization because of
payments we make for injury or damage arising
out of: premises owned or occupied by or rented
or loaned to you; ongoing operations performed
by you or on your behalf, done under a contract
with that person or organization; "your work"; or
.your products". We waive this right where you
have agreed to do so as part of a written contract,
executed by you before the "bodily injury" or
"property damage" occurs or the "personal injury'
or "advertising injury" offense is committed.
D. BLANKET ADDITIONAL INSURED — MANAG•
ERS OR LESSORS OF PREMISES
WHO IS AN INSURED (Section II) is amended to
include as an insured any person or organization
(referred to below as "additional insured") with
whom you have agreed in a written contract, exe-
cuted before the "bodily injury" or "property dam-
age' occurs or the "personal injury" or "advertis-
ing injury' offense is committed, to name as an
additional insured, but only with respect to liability
arising out of the ownership, maintenance or use
of that part of any premises leased to you, subject
to the following provisions:
The Damage To Premises Rented To You 1. Limits of Insurance. The limits of insurance
--- --- - -- ---- -Limit twill be the higher of: afforded to the additional insured shall be the — -
a. $300,000; or limits which you agreed to provide in the writ-
ten contract, or the limits shown on the Decla-
b. The amount shown on the Declarations rations, whichever are less.
for Damage To Premises Rented To You 2. The insurance afforded to the additional in -
Limit. sured does not apply to:
4. Paragraph a. of the definition of "insured con-
tract" (DEFINITIONS — Section V) is deleted
and replaced by the following:
a. A contract for a lease of premises. How-
ever, that portion of the contract for a
lease of premises that indemnifies any
person or organization for damage to
premises while rented to you, or tempo-
rarily occupied by you with permission of
the owner, caused by: fire; explosion;
lightning; smoke resulting from such fire,
explosion, or lightning; or water, is not an
"insured contract";
a. Any "bodily injury" or "property damage"
that occurs, or "personal injury" or "adver-
tising injury" caused by an offense which
is committed, after you cease to be a ten-
ant in that premises;
b. Any premises for which coverage is ex-
cluded by endorsement; or
c. Structural alterations, new construction or
demolition operations performed by or on
behalf of such additional insured.
3. The insurance afforded to the additional in-
sured is excess over any valid and collectible
Page 2 of 6 Copyright, The Travelers Indemnity Company, 2004 CG D316 07 04
Hydro Construction Company, Inc. Policy Number: DTCO8473R016IND11 Effective: 9/30/2011 - 9/30/2012
COMMERCIAL GENERAL LIABILITY
0
O
b. "Bodily injury" or "property damage" in-
cluded in the'productscompleted opera-
tions hazard'.
OTHER INSURANCE CONDITION
A. COMMERCIAL GENERAL LIABILITY CON-
DITIONS (Section IV), paragraph 4. (Other
Insurance) is deleted and replaced by the fol-
lowing:
4. Otherinsurance
If valid and collectible "other insurance" is
available to the insured for a loss we
cover under Coverages A or B of this
Coverage Part, our obligations are limited
as follows:
a. Primary Insurance
This insurance is primary except
when b. below applies. If this insur-
ance is primary, our obligations are
not affected unless any of the "other
Insurance* is also primary. Then, we
will share with all that "other Insur-
ance" by the method described in c.
below.
b. Excess insurance
This insurance is excess over any of
the "other insurance", whether pri-
mary, excess, contingent or on any
other basis:
(1) That is Fire, Extended Coverage,
Builder's Risk, Installation Risk,
or similar coverage for "your
work";
(2) That is Fire insurance for prem-
ises rented to you or temporarily
occupied by you with permission
of the owner;
(3) That is insurance purchased by
you to cover your liability as a
tenant for "property damage' to
premises rented to you or tempo-
rarily occupied by you with per-
mission of the owner, or
(4) If the loss arises out of the main-
tenance or use of aircraft,
"autos", or watercraft to the ex-
tent not subject to Exclusion g. of
Section I — Coverage A — Bodily
Injury And Property Damage Li-
ability; or
(5) That is available to the insured
when the insured is an additional
insured under any other policy,
including any umbrella or excess
policy.
When this insurance Is excess, we
will have no duty under Coverages A
or B to defend the insured against
any "suit" If any provider of "other in-
surance" has a duty to defend the in-
sured against that "suit". If no pro-
vider of 'other insurance" defends,
we will undertake to do so, but we will
be entitled to the insured's rights
against all those providers of "other
insurance".
When this Insurance is excess over
other insurance", we will pay only
our share of the amount of the loss, if
any, that exceeds the sum of:
(1) The total amount that all such
"other insurance" would pay for
the loss in the absence of this in-
surance; and
(2) The total of all deductible and
self -insured amounts under that
"other insurance".
We will share the remaining loss, if
any, with any "other insurance" that Is
not described in this Excess Insur-
ance provision.
c. Method Of Sharing
If all of the "other insurance" permits
contribution by equal shares, we will
follow this method also. Under this
-approach each provider of insurance'
contributes equal amounts until it has
paid its applicable limit of insurance
or none of the loss remains, which-
ever comes first.
if any of the "other insurance" does
not permit contribution by equal
shares, we will contribute by limits.
Under this method, the share of each
provider of insurance is based on the
ratio of its applicable limit of insur-
ance to the total applicable limits of
insurance of all providers of insur-
ance.
B. The following definition is added to DEFINITIONS
(Section V):
"Other insurance":
a. Means insurance, or the funding of losses,
that is provided by, through or on behalf of:
Page 4 of 6 Copyright, The Travelers Indemnity Company, 2004 CG D316 07 04
1121XW..2
Hydro Construction Company, Inc. Policy Number: DTCO8473RO16IND11 Effective: 9/30/2011 - 9/30/2012
COMMERCIAL GENERAL LIABILITY
sumed in the same 'insured contract"; N. BLANKET ADDITIONAL INSURED - LESSOR
and OF LEASED EQUIPMENT
(b) Such attorney fees and litigation ex-
WHO IS AN INSURED (Section II) is amended to
penses are for defense of that party
include as an insured any person or organization
against a civil or alternative dispute reso-
(referred to below as "additional insured") with
lution proceeding in which damages to
whom you have agreed in a written contract, exe-
which this insurance applies are alleged.
cuted before the 'bodily injury" or "property dam-
2. Paragraph 2.d. of SUPPLEMENTARY PAY-
age" occurs or the "personal injury" or "adverbs-
MENTS - COVERAGES A AND B (Section I
ing injury' offense is committed, to name as an
- Coverages) is deleted and replaced by the
additional insured, but only with respect to their li-
following:
ability for "bodily injury", "property damage", "per-
sonal injury" or "advertising injury" caused, in
d. The allegations in the "suit" and the in-
whole or in part, by your ads or omissions in the
formation we know about the "occur-
maintenance, operation or use of equipment
rence" or offense are such that no conflict
leased to you by such additional insured, subject
appears to exist between the interests of
to the following provisions:
the insured and the interests of the in-
demnitee;
1. Limits of Insurance. The limits of insurance
afforded to the additional insured shall be the
3. The third sentence of Paragraph 2 of SUP-
limits which you agreed to provide in the wdt-
PLEMENTARY PAYMENTS - COVERAGES
ten contract, or the limits shown on the Decla-
A AND B (Section 1 - Coverages) is deleted
rations, whichever are less.
and replaced by the following:
2. The insurance afforded to the additional in -
Notwithstanding the provisions of Paragraph
sured does not apply to any "bodily Injury" or
2.b.(2) of Section I - Coverage A - Bodily In-
property damage" that occurs, or "personal
jury And Property Damage Liability, or the
injury' or "advertising injury' caused by an of -
provisions of Paragraph 2.e.(1) of Section I -
fense which is committed, after the equipment
Coverage B - Personal Injury, Advertising In-
lease expires.
jury And Web Site Injury Liability, such pay-
ments will not be deemed to be damages for
3. The insurance afforded to the additional in -
"bodily injury" and "property damage", or
sured is excess over any valid and collectible
damages for "personal injury", and will not re-
"other insurance" available to such additional
duce the limits of insurance.
insured, unless you have agreed in the writ-
ten
ten contract that this insurance must be pri-
_ This provision M. does not apply if coverage
mary_ to, or non _contributo_ry with, such "other
. --for 'personal "injury" liability is excluded by -
- -
insurance".
endorsement.
Page 6 of 6 Copyright, The Travelers Indemnity Company, 2004 CG D316 07 04
YS14N131MM1]
a I
Q
Hydro Construction Company, Inc. Policy Number: DTC08743RO16IND11 Effective: 9/30/2011 - 9/30/2012
COMMERCIAL GENERAL LIABILITY
1. How, when and where the "occurrence"
or offense took place;
If. The names and addresses of any Injured
persons and witnesses; and
III. The nature and location of any injury or
damage arising out of the "occurrence" or
offense.
b) If a claim is made or "suit" is brought against
the additional insured, the additional insured
must:
L Immediately record the specifics of the
claim or "suit" and the date received; and
ii. Notify us as soon as practicable.
The additional insured must see to it that we
receive written notice of the claim or "suit" as
soon as practicable.
c) The additional insured must immediately
send us copies of all legal papers received in
connection with the claim or "suit", cooperate
with us in the investigation or settlement of
the claim or defense against the "suit', and
otherwise comply with all policy conditions.
d) The additional insured must tender the de-
fense and indemnity of any claim or 'suit" to
Page 2 of 2
any provider of "other Insurance" which would
cover the additional insured for a loss we
cover under this endorsement. However, this
condition does not affect whether the insur-
ance provided to the additional Insured by
this endorsement is primary to 'other insur-
ance" available to the additional insured
which covers that person or organization as a
named insured as described in paragraph 3.
above.
5. The following definition is added to SECTION V.
— DEFINITIONS:
"Written contract requiring insurance" means
that part of any written contract or agreement
under which you are required to include a
person or organization as an additional in-
sured on this Coverage Part, provided that
the "bodily injury" and "property damage' oc-
curs and the "personal injury" is caused by an
offense committed:
a. After the signing and execution of the
contract or agreement by you;
b. While that part of the contract or
agreement is in effect; and
c. Before the end of the policy period
® 2005 The St. Paul Travelers Companies, Inc.
CG D2 46 08 05
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