HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (8)�®
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CERTIFICATE OF LIABILITY INSURANCE
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(Iea) must be endorsed. H SUBROGATION IS WANED, 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
No:
1550 17th $CIEs[
Suite 600
"TIRE denpan imaccry.c00
ADDRE98:
Denver, CO 80202
V �{�
INSURE S AFFORDWGCOVERAGE
NAIC0
INSURERA: TRAVELERS IND CO
25658
INSURED
INSURER B: T yalJmS PROP CAB CO OF AMER
25674
Hydro Construction Company, Inc.
INSURER C: PINNACOL AeSOR
61190
INSURER D: ONEBBACON AMER INS CO
20621
301 Best Lincoln Avenue
INSURER E:
Fort Collins, CO 80524
INSURER F :
COVERAGES CFRTIFICATF MIIMRFR• 32771692 RFVISIOM MI IMRFR.
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 OFINSUAANCE ADGLSUBR POUCYEFF P0UCYEYP
LTR POLICY NUMBER 1"Oft'" imMn1orffm UNITS
A
GENERAL UABILRY
DTC08743RO161M12
09/30/1
09/30/13
EACH OCCURRENCE
f 1,000,000
Y COMMERCIAL GENERAL LIABILITY
CLAIMS-IMDE ff] OCCUR
OAIM ETOEaRENTEDommeNe
PREMISES
S 300, 000
MED EYP (Arty erw Penn)
S 10,000
X PD Ded:$5,000
PERSONAL S ADV INJURY
S 1,000,000
GENERA -AGGREGATE
$ 2,000,000
GEN'L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS-COMPIOPAGG
$2,000,000
POLICY
X PRo- L.
$
B
AUTOMOSILELMAILDN
UT8108763RO16TIL72
9
COMBINED SINGLE LIMIT
Ea e»tlenl
1,000,000
BODILY INJURY (Per P )
S
Y
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per acdtleM)
$
A
HIRED AUTOS Y NON-0WNED
AUTOS
PROPERWDAMAGE
(Pew ntl
.S
f
B
X
UMBRELLA LIA
E
OCCUR
DrIDECUF8743R016TIL12
09/30/1
09/30/13
EACHOCCURRENCE
f 2, 000, 000
AGGREGATE
S 2,000,000
EXCESS LWa
CLAIMSMADE
DIED I E I RETENTION f 10, 000
$
C
WORKERS COMPENSATION
ANDEMPLOYERS'LMBILT' YIN
ANY PROPRIETORIFARTNER�EXECUTIVE
OFFICERIMEMBER EXCLUDED?
NIA
2091550
Ol/O1/1
04/01/14
OTH-
Y WCSTATU- E�
El. EACH ACCIDENT
f 1,000,000
E.L.DISEASE-EAEMPLOYE
f 1,000,000
(MenaHwy In NH)
uZe uM
E.L. DISEASE -POLICY LIMIT
S1,000.000
Uea.E
SCRIPIONOFOKRKTIONSO
D
BUILDERS RISK
7100302020001
09/30/1
09/30/13
Per Disaster $151000,000
$1,000 Deductible SPC Form
Any 1 Location $15,000,000
•Flood/Earthquake
a$1,000,000 Sub -Limit
a$25,00
-Dad.
Temp Loc/Tranelt $100,000
DESCRIPTION OF OPERATIONS I LOCAnoms I VEHICLES (Much ACORD 101, Aldlrbnal Rwnwas ScJwdU , It mwa apao Ia m9uhatl)
City of Fort Collins is included as Additional Insured on the General Liability Policy 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
y Of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
O. Boa 580
AUTHORIZED REPRESENTATIVE / /]
t Collins, CO 80524 USA 111 i/�/� (// ,�if
LE 1QAR.7nln ACnRn CORRnRAT1nM
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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32771692