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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (14)PUNAMUD ® DATE (MMIOOGYYYJ A ACORO CERTIFICATE OF LIABILITY INSURANCE AT I' M2014 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 he 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 CONTACT INA, Inc_ - Colorado Diviaion NAME: PHONE FAX INC,C, Ne, Enl): (AIC. No): 1705 17th Street Suite 100 Denver, CO 80202 INSURED Hydro Construction Company,Q Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 ADDRESS: den amLimcorP•cm MSURER(5) AFFORDING COVERAGE HAIC0 INSURER A. PHOENIX INS CO (Travelers) 25623 INSURER I. TRAVELERS PROP CAS CO OF AMEN 25674 INSURER C: PItIIiACOL ASSDR 41190 INSURER D. ATLANTIC SPECIALTY INS CO (One Beacon) 27154 INSURER E : COVFRA43FS CERTIFICATE NUMBER- 39097422 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. INBR SE TR TYPE OF INSURANCE AODL 6UD POLICY NUMBER MMIDDNLICY YYY MMN POLICY EXP D YYY LIMDs A OeNEset tuanury DT•C04E25124SPHX14 04/01/14 04/01/15 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 000 COMMERCIAL GENERAL LIABILITY PREMISES(E. acwnenm) 5300, CLAIMSANDE X OCCUR RED EXP(Am ene PeMm) S10,000 X PD Ded:$5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,ODO,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGO $2,000,000 POLICY X PRP LOC $ B AUTOMOSµE LIIiBIl1rY DTB104E216873TIL14 04/01/14 COMBINED SINGLE LIMIT (Eaa Xen0 $1, 000, 000 X ANY AUTO BODILY INJURY (Per Person) $ ALLOWNED SCHEDULED BODILY INJURY (Per ourted) $ AUTOS AUTOS X Y PROPERTY DUNGE E HIRED AUTOS AUTOWNED (Per a XSNn1)A 8 B X UMBRELLA LIAR X OCCUR DSHCUP4E216873TIL14 04/01/14 04/01/15 EACH OCCURRENCE s 2,000,000 EXCESS LJA9 CUUMSMADE AGGREGATE 5 2,000,000 DIED X RETENTION S 10, 000 S C WORN ERSCOMPENSATION 2091550 04/01/14 04/01/15 X WC STATU- CM+ TORY LIMITS ER AND EMPLOYERS' LIABIUD YIN ANY PROPRIETOPo ARTNEWEXECUTIVE E.L. EACH ACCIDENT S 1,000,000 OFFICERaAEMBER EXCLUDED' NIA ❑ (MmEMRry In NH) E.L. DISEASE - EA EMPLOYEE 61,000,000 II OawlEe under DESCRIPTION OF OPERATIONS OaIow E.L. DISEASE POLICY LIMIT $ 1,000,000 D BUILDERS RISE 7100302020004 04/01/14 04/01/15 Per Disaster $15,000,000 $5,000 Deductible SPC Form Any 1 Location $15,000,000 "Flood/Earthquake "$1,000,000 Sub -Limit "$25,000 "Ded. TeRp Loc/Transit $100,000 DESCRIPTION OF OP 710113 I LOCATIONS I VEHICLES (Allah ACORD 101. Ad4Bbnew Re n.A. Schetlele, R mwe III— M rRHAnn ) City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agr6e t 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 City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 580 AUTHORMED REPRESENTATIVE / ///'//^1/// Fort Collins, CO 80524 [ /,& USA rF 1aRR-9n1n ArAPn PnRISnRATInN A11 rinhlx reserve ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39097422 es.w.Itn,cl! a CERTIFICATE OF LIABILITY INSURANCE D03171IDOIYYYp ACORO 03/3/2010 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 INA, Inc. - Colorado Division 1705 17th Street Suits 100 Denver, CO 00202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Port Collins, CO 80524 PHONE FAX HUC, No, E.H: (Alt, No): EMAIL ADDRESS: denDamOimacorD.com INSURERIS) AFFORDING COVERAGE NAICF INSURER A. PHOENIX INS CO (TlaVeleI'S) 25623 INSURER B: TRAVELERS PROP CAS CO OF AVER 25670 INSURER Cr PINRACOL ASSUR 61190 INSURER D INSURER E rnwnmaeCQ rFRTIFICATF NIIMRFR• 39096720 REVISION NUMBER: [HIS 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 OF INSURANCE AODENVOSeen POLPOLICY NUMBER MMIDIDYyyy POLICY EXP LIMITS TRSR A GENERAL LIABILITY DTC06E251268PHX16 04/01/14 04/01/15 EACH OCCURRENCE S 1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISESiEammumema) S300,000 CLAIMSJMDE X OCCUR NED EXP (My me pe Irm) $ 10,000 X PD Dsd:$5,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GENE AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $2, 000, 000 POLICY X PRO LOC $ B A� CITY DTB100E216873TIL16 s COMBINED SINGLE LIMB (Ea acoriem) S 1,000,000 X ANY AUTO BODILY INJURY (Per Person) $ ALL OWNED 'SCHEDULED BODILY INJURY(Per wrXwH $ AUTOS X X NON OWNED PROPERTY S �AUTOS IDAMAGE HIRED AUTOS AUTOS (Per S B X ,UMBRELLA LW X OCCUR DSHCUP4E216873TIL10 Oe/01/10 04/01/15 EACH OCCURRENCE S 11000,000 EXCESS UJUS I CLAIMS -MADE AGGREGATE i 1,000,000 DED X RE TENTION S 10, 000 $ EH- C WORNERSCOMPENSATMN 2091550 04/01/14 04/02/15 X TOORRYLAPAT 5 ER AND EMPLOYERS' IJASAITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE E L. EACH ACCIDENT $ 1,000.000 OFFICERIMEMBER EXCLUDED' NIA (Nandamry M NHI EL DISEASE - EA EMPLOYEE i 1,000,000 It yea, M.Im mme, DESCRIPTION OF OPERATIONS Wiew E.L. DISEASE POLICY UNIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATWNS I VEHICLES (ANaph ACORD 101, Addlennal Remw** Schedule, it mma apace le n9ulmd) City of Fort Collins is included as Additional Insured on the General Liability Policy it required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. RE: Emergency Generator Installation. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE //^ ,/// Fort Collins, CO 80522-0000 l/,�// USA '�A'� ( 1nRA.7ntn ACnRn CTTRPORATff)N All rinHfs reSArvad- ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD cy,.23 39096720