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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (9)PSEeWEtllxiE A� oe D04/18 DDI13 CERTIFICATE OF LIABILITY INSURANCE Ol/1B/7013 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: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 center rights to the cerllRcate holder In lieu of such andorsemen s . PRODUCER 1-303-536-e567 CONTACT NAME: IO I,, Inc. - Colorado Division PHONE FAX AAIQ.N,,E,d),AK No: MORE", ; denyamSimacorP.com 1550 17th Street Suite 600 Denver, CO 80202 INSURERSA 01HINWOCOVERAGE NMCS INSURERA: TRAVRLERS INN CO 25650 10 INSURED INSURER B: TRAVELERS PROP CA$ CO OF AIBR 25676 Hydro Constructin Company, Inc. INBURERC: PINNIACOL ASSUA 61190 INSURER D: 301 East Lincoln Avenue INSURER E: Port Collins, CO 8052$ INSURER F: COVERAGES CERTIFICATE NUMBER: 33152995 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. a = LTR TYPEOFDISUR&IN ADDL U POLICY NUMBER POLICY EFF M POLICY EXP YIDD LIMIT$ A GENERAL LusaRY DTC08743RO161M12 09/30/1 09/30/13 EACH OCCURRENCE $ 1,000,000 E COMMERCIALGENERA.UABIDTY OAAU ET RENTED PREMISESEe $300,000 CMMS�MADE O OCCUR MED E am peaon $ 10,000 PERSONAL ADV INIURY $ 1,000,000 E PD Ded:$5,000 GENERALAGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS -cmpmP AGO $2,000,000 POLICY P' LOC E JFCT $ B AUTOMOBILE MSILDY MO IO8743RO16TIL17 3 COMBINED SINGLE LIMIT (Ea.P,WQ s 1,000,000 BODILYINJURY(PMPenon) $ E ANY AUTO ALLOMED SCHEDULED AUTOS AUTOS BODILY INJURY (Pa ecrJdeN) $ PROPERTY DAMAGE Peraa33aN $ E E NON-0MNEO HIRED AUTOS AUTOS $ B Z UMBRELULLVB N OCCUR DTSMCUP87$3RO16TIL12 09/30/1 09/30/13 EACH OCCURRENCE $ 2,000,000 AGGREGATE $2,000,000 EXCESS LIAD CLMMSMADE DED I E RETENTION li 10, 000 s C WORNERSCOMPENSATION ANDEMPLOYERS-=RJTY YIN PROPRIETORIPARTNERIEXECUTIVE OFFICERAIEMBER EXCLUDED NIA NIA 2091550 0e/01/1 Os/01/16 E WCSTATLL DTH- UM�SlANY -. EEACHACCIDEM $1,000,000 E.L. DISEASE - EA EMPLOYEd $1, 000, 000 (M-d"In NH) D yyeett,, daaw a DESCRIPTION OF OPERATIONS MIaw E.L. DISEASE - POLICY LIMIT I $1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAserN ACORD 101, Aa0RIonM R 8n Schulule, N Don eeew la r UOM) City of Port Collin is included as Additional Inured on the General Liability Policy if required by witten contract or afire—t subject to the Policy terms and conditions. RTP Installation of Anodes sad Rectifiers for odic Protection- JObCSCP-IITP-CP-O41513. of Port Collins Wood Street Collins, CO 8052$ 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. AUTHORED REPRESENTATIVE All elahra roeaeead ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD srm2012 33152995 Py3W✓JSNUS A� 0ATE 4/1 CERTIFICATE OF LIABILITY INSURANCE Drq Od/15/2012013 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. N 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 1-JUJ-n34-4bbT ^E'^ NANE IHA, Inc. - Colorado Division PHONE FAX .INC,Ny.ESU; _ INC. Nal— 1550 17th Street E-MAIL ADDRESS: den amBimaco P rD•com Suite 600 Denver, CO 80202 INSURER(S) AFFORDING COVERAGE NAICF INBURERA: TRAVELERS IND CO 25658 INSURED INSURER B: TRAVELERS PROP CAS CO OF ANER 25676 Hydro Construction Company, Inc. INSURER CPINNACOL ASSUR 61190 301 Tract Lincoln Avenue INSURERD: Port Collins, CO 80526 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 33104624 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 ADOL SUER POLICY EFF POLICY UP TYPE OF INSURANCE POLICY NUMBER MMIODIYYYY MMIDDNY Y LIMITS A GENERAL LIABILITY DTCO8763RO16IND12 09/30/1 09/30/13 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occunerc) E 300, 000 CLAIMSWADE I X OCCUR MED UP (Any we prawn) S 10,000 X PD Ded:$5,000 PERSONAL d ADV INJURY S 1,000,000 GENERAL AGGREGATE_ S 2,000,000 PRODUCTS OOMPIOP AGO $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I X PRO- LOG $ B AUTOMOSILEUASIUTY DT8108743RO16TIL12 0 / 0/1; 09/30/13 COMBINED SINGLE LIMIT 000, 000 nn 51, X ANYAUIO BODILY INJURY(P., perwn) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per acudunO $ PROPERTY DAMAGE Pe, -, E X X NON -OWNED HIREDAUTOS AUTOS E B X UMBRELLA LIAR X OCCUR DTSICUP8763RO16TIL12 09/30/1 09/30/13 EACH OCCURRENCE S 2,000,000 EXCESS LMB CLAIMS -MADE AGGREGATE S 2,000,000 DEO I X RETENTIONS 10, 000 S C WORKERS COMPENSATION 2091550 Od/O1/1 Od/O1/16 X WC STATU- OTH- T RY I ER AND EMPLOYERS' LABILITY YIN - E.L. EACH ACCIDENT S 1,000,000 MY PROPRIETOIUPARTNEWE%ECUUVE OFFICERJMEMBER E%CLUOEOi FN I MIA E.L. DISEASE -EA EMPLOYEE S1,000,000 (Mandatory in MN) If es. describe under DESCRIPTION OF OPERATIONS bebw EL.DISEASE -POLICY LIMIT 5 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAN9GM1 ACORD ter, Atldilional Rvmarkv SCM1vduly, 11 moro vD+ce Iv nquirvdl 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. a,elrllrv-AIC NVLUCR UANGCLLAIIUN r TJwPD Digester Lid 611 Jobp13-01-297. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 wood Street Fort Collins, CO 80522 USA AU HORRED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ryan23 33104624 e N A✓ be ^04/lS D003 CERTIFICATE OF LIABILITY INSURANCE 0{/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(les) must be endorsed. N SUBROGATION IS WANED, subject to the terms and Conditions of the policy, certain polkin may require an endorsement A statement on this certificate does not Confer rights to the Certificate holder In lieu of such endorsemen s). PRODUCER 1-303-53{-{567 IISa, Inc. - Colorado Division CONTACT I'NON PHONE IFAC WC. Mg. LED, _L1A2. Not: REW denpemSimacorp.cm AEaD� 1550 1Street Suite 600 Suit600 Denver, 00 80202 YIWRER(9) AFFORDAB COVERAGE NAICe INSURER A: TRAVBLBRS IND CO 25658 INBIRFD Hydro Construction Company, Inc. WSURER 6: TRAVELERS PROP CAS Co OF AKER 25674 msulhEac: PINHIICOL ASSUR 41190 INSURER D: 301 Bast Lincoln Avenue INSURER E: Port Collins, CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER- 33107049 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. EFI LTR TYPE OF a19iJRAlICE ]= PoL1CYHU1®ER R F�QLICYvyvi Ins IN:YEYV r LWRS A OMEN uAmsnv D1'C08763R016uID12 09/30/1 09/30/13 EACH OCCURRENCE S 1,000,000 X CgIYERCML GENERAL IMmIfIY CLAIMbhUOE T OCCUR DAO To RENTED MEMIS�Uoox reJ S 300, 000 MED EAP V`^Y ae Pwwm) $10,000 Z PD Ded:$5,000 PERSONAL S ADV INJURY $ 1,000,000 GEN AGGREGATE $ 2,000.000 GENL AGGREGATE IaeT APPl1FS PER IRXXJCTS-CnAPIOP AGG $2,000,000 POLICY E PRD- LOC $ B AUfOYOeaE UARRHY DT8108743R016TIL12 COMBINED SINGLE UNIT _[Ea amOera�_-_ $1, 000, 000 BODILY IWURY(P. PNam( i Z ANY AUTO AU- W D SCHEDULED AUTOS AUTOS BODILY INJURY(PN aai0a11) S Z NONOVMED HIPWAUTOS Z AUTOS PROPERTY DAMAGE $ S a Z UYSPELlA LL1B Z NX:Qm DTMOLVP8743RO16TIL12 09/30/1 09/30/13 EACH OCCURRENCE S 2, 000, 000 AGGREGATE $2,000,000 EXCESS DAB CLAIMS# DED Z RETENTION 10,000 1 C 001OERS COMPFNSATRN AND EMPLOYERS'UABRnY YIN 2091550 06/01/1 04/01/14 E WCSTATU- OTH- TDRY LMRS _ ER__ S1,000,000 ANY MCMETORNMTNEPoEXECUTIVE OFFICERNENEER EXCLUOEDI NIA El. EACH ACCIDENT E.L. OISEME-EA EMPLOYEE S 1,000,000 (I1--buNyI^M10 B pysm aIPTION , F OPERATIONS peke E.L DISEASE -POLICY LIMIT $1, 000, 000 OESCRVnON OF OPERATIONS I LOCATIONS I VEHICLES(Aash ACORD 101. AOBawW RwI SchaAYM, Hmvn yr b��VI�S) City of Port Collins in included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Inured aubjact to the policy terms and conditions. DWRP 2013 Nino Imljurovemente- ,Tob813-01-298. of Port 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 / 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 331070{9 CERTIFICATE OF LIABILITY INSURANCE D0ATE (MMJ 4/15/2013 DDI 04/15 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 INA, Inc. - Colorado Division CONTACT NAME: PHONE FAX IC N. Fell 'AIC NO EMAIL ADDRESSdenpaID®SvtaCO[p.COm 1550 17th street Suite INSURERS AFFORDING COVERAGE NAICp Denv¢[, C CO 80202 INSURERA: TRAVELERS IND CO 25658 INSURED Hydro Construction Company, Inc. INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: PINNACOL ASSUR 41190 INSURER D: 301 East Lincoln Avenue INSURER E: Fort Collins, CO 80524 INSURER F : COVERAGES CERTIFICATE NUMBER: 33104624 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 LTR rypE Of INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIODYYYY POLICY EXP MMIDOfYYYY I LIMITS A GENERAL LIABILm DTCO6743ROI6IND12 09/30/12 09/30/13ME.,,ence RRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY OCCUR ERENTED Ea occurence 300,000 $CUIMSMADEI-XI ny one erson) 510,000 X PD Ded:$5,000 AOV INJURY 51,000,000 GREGATE S2,000,000 GENT AGGREGATE LIMIT APPLIES PER: -COMPIOP AGG S2.000,000 POLICY X PRO- LOC S B AUTOMOBILE LIABILDY DT8108743RO16TIL12 09 3D 1 091307131 COMBINED SINGLE LIMIT Ea acddcru s1,000,000 X ANY AUTO BODILY INJURY (Per person) S ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) 5 X HIRED AUTOS NON -OWNED X AUTOS PROPERTY DAMAGE I Per acedenl S S B X UMBRELLALME1 X OCCUR DTSMCUP8743RO16TIL12 09/30/1 09/30/13 EACH OCCURRENCE 52, 000, 000 (AGGREGATE 5 2, 000, 000 EXCESS LinesCWM&MADE DED IX I RETENTI01,IS101000 I Is C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNDEDI CUTIVE YIN E%ClUOED? NIA 2091550 09 /Ol /1 09 /Ol/19I % WC STATU OM I E.L. EACH ACCIDENT 51,000,000 I E.L. DISEASE - EA EMPLOYE S 1, 000, 000 I anclatc, In NMIMBER (Mandatory In xN) B DESyyORIPDCRIPcdeeON OF OF O OPERADON$Oelo. IEL, DISEASEPOLICY LIMN I 51.000,000 DESCRIPTION OF OPE"nONS I LOCATION$ I VEHICLES (ANach ACORD 101, AddiliOnal Remark. Schedule, if more .pace i. rec uiled) City of Port Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement mld with respect to work performed by Insured subject to the policy terms and conditions. DNRP Digester Lid fill ,Tob813-01-297. of Port 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 MR ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 33104624