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Home My WebLink About109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (7)P53WAUWN,] AC6 he ATE (MMIDDIYYYYJ °02/21/ CERTIFICATE OF LIABILITY INSURANCE 013 o2/u/ao13 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. U SUBROGATION IS WAIVED, subject to the terns 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 IM, Inc. - Colorado Division CONTACT NAME: PHONE FAX AAIC�NI.EnllAIC No): 1550 17th Street Suite 600 EJ AA ADDRESS: Denver, CO 80202 (% Vv INSURERS AFFORDING COVERAGE MAICa INSURERA: TRAVELERS IND CO 25658 INSURED INSURER a: TRAVELERS PROP CAS CO OF AMER 25676 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSOR 41190 INSURER D: 301 East Lincoln Avenue INSURER E: Port Collins, CO 80524 INSURER I: COVFRAGFS CFRTIFICATF NIIMRFR• 32103931 RFVISION NIIMRFR- 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. INSN L TYPE OF WSURANCE ADUL SU80. POLICY NUMBER POLICY EFF MMIOD POLICY EIP MMIDO LIMITS A GENERALLUIBUTY DTC08743RO16IM12 09/30/1 09/30/13 EACH OCCURRENCE f 1,000,000 E COMMERCIALGENERALLIABILITY CLAIMS -MADE OCCUR DAMAGE T RENTED PREMISES Eeoavicence f 300, 000 MEDEXP(M mnmpanon f 10,000 E PD Ded:$5,000 PERSONAL S ADV INJURY f 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO S2,000,000 POLICY E PRO, LOC f B AUTOMOBILE LIABILITY DT8100743RO16TIL12 COMBINED SINGLE LIMIT Ea as enl 1,000,000 BODILY INJURY (Pw Person) f Y ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Pw awJ0en1) S E NON -OWNED HIREDAUTOS E AUTOS PRPROPERTY OPERN DAAUGE S f B Z UMBRELLA DAB E OCCUR DTSRCDP8743RO16TIL12 09/30/1 09/30/13 EACH OCCURRENCE $ 11000,000 AGGREGATE 1 11000,000 EXCESS LUIB CLAIMS -MADE DED I E I RETENTION 1110, 000 f C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY VIM ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? IN I NIA 2091550 06/01/1 04/01/13 Y WC STATU DTH- E.L. EACH ACCIDENT f 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (IN.&W, In NM) DESCRIPTION OF OPERATIONS polOw DySCRIPrOa OFF ELDISEASE-POLICY LIMIT S1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A h ACORD 101. A00R]a" R..SmMOUN, N men rPwn III rpulMl Rai FVP Presed-Hydro-2013-1- Pleasant Valley Pipeline Forebay Sedimentation Pond -Phase 1. City of Fort Collin is included as Additional Insured on the General 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Wood Street AUTHORIZED REPRESENTATIVE Collins, CO 80526 USA !!! 01988-2010 ACORD CORPORATION. All rights reftAmA, ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD zrm2012 32103931 -- r PSlGMi]RUl$ ''� a CERTIFICATE OF LIABILITY INSURANCE D02/15IDDI13 02/15/2013 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 I§IA, Inc. - Colorado Division CONTACT NAME:_ _ PHONE IrrI FAX Ai No, EaO:_ _ ..—LINC, No):.___ 1550 17th Street Suite 600 EMAIL ADDRESS: _—""-- '--- ___ F—_NAID Denver, CO 80202 ___ _ INSURERS) AFFORDING COVERAGE p INSURER A: TRAVELERS IND CO j25658 _ INSURED Hydro Construction Company, Inc. _INSURER B: TRAVELERS PROP CAS CO OF AMER 125674 INSURER C: PINNACOL ASSUR 41190 INSURER D:_ I 301 East Lincoln Avenue INSURER E: Fort Collins, CO 80524 INSURER F COVFRAGFR CFRTIFICATF MIIMRFR 32042969 mcsmm�M unuocm. THIS IS TO CERTIFYTHAI' 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. C;RI TYPE OF INSURANCE MOLISUD POLICY NUMBER MM 0I DIIYYY YEM) MMIODYI LIMITS A GENERAL LIABILITY X _COMMERCIAL GENERAL LIABILITY _ J CLAIMS -MADE f -X OCCUR % PD Ded:$5.000 DTC08743Ro16IND12 09/30/12 09/30/13 EACH OCCURRENCE DAMAGE TO PREMSES(Eaottu enca)_ MEp EXP (Any one person) __$ PERSONALBADV INJURY § 1, 000, 000 8 300, 000 __ 10, BOB § 1,000,000 IIIjL GENERAL AGGREGATE f 2, 000, BOB__ GENT AGGREGATE LIMIT APPLIES PER. GE POLICY 1 X! PROT h LOC PRODUCTS-COMPIOP AGO __ _ E2, 000, 000 E B AUTOMOBILE LIABILITY .X ANY AUTO IALL OWNED SCHEDULED AUTOS h HIRED AUTOS X AON SWNED W8108743RO16TIL12 09/30/12i 09 30/13 COMBINED SINGLE LIMIT (Ea acc,denll_____ BODILY INJURY (Per person) 000, 000 _51, $ PI BODILY INJURY (Per accident PROPERTY DAMAGE - _(Per_accad $ _ $ _ f B LIAB EXCESS LWB pEDREXLA REON $� 00000 DE� TENT DTSHCUP8743R016TIL12 09/30/12 09/30/13 EAGRO�A ERRENCE Ir f 11000,000 Is C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCWDEOP (Mandatory in NH) H 9 deso,be Under DESCRIPTION OF OPERATIONS below NIA 2091550 04/O1/1 04/O1/13 WC STATU- I IOri X TORYI-MITSI_J_ER_ EL EACH ACCIDENT $1,000,000 E.L.. DISEASE - EA EMPLOYEE $ 11000,000 E.L. DISEASE - POLICY LIMIT I S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, II more space is required) City of Fort Collins is included as Additional Insured on the General, Automobile, and Umbrella Liability Policies if required by written contract or agreement and with respect to work performed by Insured Subject to the policy terms and conditions. Poudre Pipeline WO #3 - Phase I Construction. of Fort Collins Wood 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. AUTHORIZED REPRESENTATIVE All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD zrm2012 32042965