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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY - INSURANCE CERTIFICATE (3)P12NU3tlWl ® CERTIFICATE OF LIABILITY INSURANCE OIODn q`v �oRp 03 0312G /20/2013 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 N REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. O 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 PRODUCER IMA, Inc. - Colorado Division 1550 17th Street Suite 600 Denver, CO 80202 INSURED `O `� V _ Hydro Construction Company, Inc 301 East Lincoln Avenue Fort Collins, CO 80524 INSURER(St AFFORDING COVERAG E NAIC0 INSURER A: TRAVELERS IND CO 25658 INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 PINNACOL ASSUR 41190 r CIVFDAn Fe CFRTIFIrATF NIIMRFR- 32569234 REVISION NUMBER: THIS. IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD 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. INBR TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY POLICY NUMBER NNNDIYYYY NNDnYYY LIMITS R A GENERAL LABILITY DTC08743RO16IMD12 09/30/1 09/30/13 EACH OCCURRENCE E 1,000,000 X DAMAGE TO RENTED 300, 000 COMMERCIAL GENERAL LIABILITY PREMISES(Earxcr. a) $ CLAIMS -MADE I X OCCUR NED EXP(My we person) $ 10,000 X PD Ded:$5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 PRODUCTS COMPIOPAGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRb LOC $ B AUTOMOSILEUAeILTTY DT8108743RO16TIL12 09/30/1 09/30/13 COMBINED SINGLE LIMIT (Ea am rt) $ 1,000,000 X ANY AUTO BODILY INJURY (Per Person) $ BODILY INJURY (Per acclden0 $ ALL OWNED SCHEDULED _ AUTOS AUTOS X X NON OWNED PPROPERTY DAMAGE $ HIRED AUTOS E B X UMBRELLA LUB X OCCUR IYPSMCIP8743RO16TIL12 09/30/12 09/30/13 EACH OCCURRENCE $ 11000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE $ 1,000,000 FED I X RETENTION$ 10, 000 $ C WORKERS COMPENSATION 2091550 04/01/1 04/01/13 X WC STATw OTH- TORV LIMITER_ AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOWPARTNERFJ(ECUTIVE OFFICERIMEMBER E%CLVOEO? NIA (Mandatory in NNl E.L. DISEASE - EA EMPLOYE $ 1,000,000 Ityes describe ender DESCRIPTION OF OPERATIONS bekw E.L. DISEASE - POLICY LIMB E 1, 000, 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Adddionel Remarks Schedule, It more space a requimd) City of Fort Collins 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. RE: Chlorine Dioxide Feed System Replacement and Improvements JobAH-WIF-2013-2 City of Fort Collins 700 Wood Street Fort Collins , CO 80521 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 M 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD kiplingiony 32569234