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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (11)Pf2Ne2M2 q� A6OZ CERTIFICATE OF LIABILITY INSURANCE DATE IYYIOOM YY) L - o9/2412013 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 pollcy(iss) must be endorsed. It 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 andorsamenttsl. PRODUCER IVA, Inc. - Colorado Division 1550 17th Street Suite 600 Denver, CO 60202 INSURED Hydro Construction. Company, Inc. �094'2D 301 Rest Lincoln Avenue y/ Fort Collins, M 80526 FAX (AIQ Nog danpamOlmaCOrp.C® WSURER(S)AFFORDWDCDWE U A; PBOERIX INS 00 (Travelwa) f: TPAVX14M PROP CM 00 OF MMR PIN9ACOL ASOUR COVERAGES CERTIFICATE NUMBER: 35866525 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. 111$R ME OF WSAANCE POLICY MU R POLICY EFF .. POLICY UP LIMIT$ A GENERAL JAaa2rY DTC08743RO16PSK13 09/30/1 09/30/14 EACH OCCURRENCE s 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE 1XI OCCUR _ PA M SE T6 RENTED- $ 300, 000 MEDEXP " $2.0,000 Z PD Ded:$5,000 PERSONAL A ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE UNIT APPLIES PER pRODUCTS.COMPIOPAGG $ 2,000,000 POLICY = PR0 La $ B ADTOMOBILE WWIITY dl'83087d3RO16TIL13 COMBINED SINGLE LIMIT dent 11000,000 BODILY INJURY(PM posoo) $ X ANY AUTO ALLOWNED SCHEDULED _ AUTOS AUTOS BODILY INJURY (PwarddNd) f _ 2 HIRED AUTOS R AUTO OS ;:X43TYDAMAGE $ f B A UMBRELLA Use 2 OCCUR DTMIKMPS7431016SII33 09/30/ 09/30/14 EACH OCCURRENCE $ 3,000 000 AGGREGATE_ $ 1,000,000 EXCESS LIAR CLAIMS MAOE DEO 2 [RETENTION$ 10,000 _ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN IWY MOPRIETOWPARTNERIEXECUTIVI, OFFICERAAEMBER EXCLUDED' Q MIA 2091550 O6/01/1 04/01/14 R WCSTATLL OTRF ER _— a1,000,000 --'— E.L. EACH ACCIDENT E1. DISEASE - EA EMPLOYEE (MMMMmyInMR) $1,000,000 uadna uM. DESCRIPTION OF OPERATIONSbNoo E.L. DISEASEPOLICYLIMIT S1,000,000 DESCRIPTOR OF OPERATIONS I LOCATIONS VDNCLES (AIIN0 ACORD 101. AddIl Ramwta Sclwdula, If mom apace M mRukad) 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 FC,1y of Fart Co111ne THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 W. LaPorte Ave. AUTHORIZED REPRESEMATIVE /^ / Fort C011iea, CO 80522-0000 //;�// USA ✓�/� C 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SD= 35866525 I %]NNEXWl R, w ATE IMMIODIYYYTI ACORO CERTIFICATE OF LIABILITY INSURANCE F D , 09/2d/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 pollcy(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 certificate holder In lieu of such endorsament(s). PRODUCER 1-303-534-4567 CONTACT INA, Inc. - Colorado Division NAME. _ _ _ _. PHONE IF" W9. He. EMI: 1550 171h Street Ep ES ; denpmWimaO p.D Suite 600 Denver, CO 60202 __ INSURENgLkIWORDWISCOVERAGE ---MAN:4 INSURER A: PROMS7IX INS 00 (Travelers) 256" INSURED INSURER a: TRAVXIJW PROP CAB CO OF AMM 25674 Hydro Construction Company, Inc. INSURER c: PIdeLCOL A880A 11190 301 Best Lincoln Avenue INSURER D: Port Collins, CO 80524 INSURER E: INSURER F : rnVFOAGFS rFRMFIrATF NIIMRFR- 35866529 REVISION NUMRER: 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 REOUIRFMENT, 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. _ INM TYPE OF NSURMCE OL dUSA POLICY NUMBER -YML OY EFF Po OY EIIP rfm LSMT4 A OE3BIALLMM.Ry DTC08743RO16PHX13 09/30/1 09/30/14 EACH OCCURRENCE $ 1,000,000 X CSMERC GEEILV-LUBILITY DAMAGEf0 PREMISE $300, 000 MED EXP . fAAMgMAm Fil OCCUR $ 10, 000 PERSONAL 4 ADV INJURY X PI) Dods WOOD $ 1, 000, 000 GENERAL AGGREGATE $ 2, 000, 000 GENI. AGGREGATE UMIT APPLIES PER PRDOUCTS- CoMplop AGO $2,000,000 Pou, z PRo- LOG $ B AUTOMOMz UAMMIT DT810874311016TIL13 CONFINED SINGLE LIMIT Esscd oI 1,000,000 — EDGILY INJURY (PePs.) 8 -. X ANY AUTO soDBY INJI1RY(Pa a suaN) ALLOMED SCHEDULED AUTOS AUTOS X HIRED AUTOS H NIT 5 -. 8 PROPERTY DAMAGE B i IINNIFd1AIMA [I OCCUR 09/30/1 09/30/14 EACH OCCURRENCE $ 1,000,000 AGGREGATE S 1,000,000 EXCESS LW CLAIMS MADE �DTBILWO7433LO167XL13 1 DED I Is I RETENTION$ 10, 000 1 $ C WORNFAs COMPENSATION AND EMPLOYERS LM&MTY MYPROPwETORIPARTNERIEXECUTNE YIN OFFICERMEMBEREXCLUDED9 (MMdMaIY In NH) NIA 2091550 04/01/ 04/01/14 I WC STATU- OTH- ra -- - 51,000,000 _ S 1,000,000 E.L EACH ACCIDENT El. DISEASE -EA EMPL E.L. DISEASE - POLICY LIMIT If yu dsFFN6e OF OPERATIONS OeIpw DESCRIPTION OF O i 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (UapII ACORD 101. MOINontl R—m & aduduM, II m spP N I uM) PCOTICIr ATC Mnl nFR CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Opal P. Dick, CPPO, Senior Buyer THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Port Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Neaon St, 2nd Floor Port Colline, CO 80524 AUTHORIZED REPRESENTATNE //^q //# USA ACORD 25 (2010105) SD= 35B66529 W lU04•ZU1Y AUVRU t,URPUHAI IUM. All rlgma reswVins. The ACORD name and logo are registered marks of ACORD