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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (15)I.42W XLMXif ►co °° CERTIFICATE OF LIABILITY INSURANCE G03/31/2014ATE IMMIDDIYY YI L 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. 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 NAME: INA, Inc. - Colorado Division PHONE FAX INC. Nu. EA 1705 17th Street EMAIL Suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 Rant Lincoln Avenue Fort Collins, CO 80524 ADDRESS: denpamOimaCOrp• com INSURERIS) AFFORDING COVERAGE NAICN INSURER A. PHOENZX INS CO (Travelers) 25623 INSURER B. TRAVELERS PROP CAS CO OF AMER 25674 INSURER C: PINMACOL ASSUR 41190 INSURER D. INSURER E COVERAGES CERTIFICATE NUMBER: 39096707 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. POLICY EFF sIBR TYPE OF INSURANCE man PAID POLICY NUMBER MMIDOWYYY POLICY E IV MM 0 IMIRS A GENERAL LIABILITY DTCO4E251248PHX14 04/Ol/14 04/01/15 EACH OCCURRENCE $ 1,000,000 X I DAMAGE TO RENTED 300, 000 COMMERCIAL GENERAL LIABILITY PREMISES EappamanFe) _ f CLNMSMADE X OCCUR MEDEXP(Myonepwev) S 10,000 j i PI) Ded: $5, 000 IF PERSONAL a ADV INJURY S 1.000, 000 GENERAL AGGREGATE $ 2.000, 000 GENL AGGREGATE LIMIT APPLES PER. PRODUCTS-CCMPIOP AGO $ 2,000,000 POLICY X PRO LOC f B AUTOIN)BNE LIABILITY DT8104E216873TILll COMBINED SINGLE LIMIT (ES ameen0 $ 1,000,000 X ANY AUTO BODILY INJURY IPe, person) $ ALL OWNED SCHEDULED BODILY INJURY (Pe, er.denl) $ AUTOS AUTOS X NOFFOWNED X PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accow,I) s B X UMBRELLA LIAR I OCCUR D®ICUP4R216RI111RL14 04/01/1 04/01/15 EACH OCCURRENCE $1,000,000 EXCESS UAB CLAMS -MADE I AGGREGATE $ 1,000,000 OLD X RETENTION1110,000WC f C WORNERSCOMPENSATNIN 2091550 0410111 04/Ol TRY L/15 X ORYLIT ' ER -I LIMITS ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOIUPMITNERIEXECUTIYE E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N :N/A. (MM104my M MN) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 Il yec. tlna w wow DESCRIPTION OF OPERATIONS bebw E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESLRIPTX)M OF OPERATONS I LOCATIONS I VEHICLE$ (A1IaN ACORD /01, Atl4Monal RamarAa SCNa4uN, II nwra Ppaca la rpul,a4l City of Fort Collins is included as Additional Insured on the General, Automobile, and E=688 Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy tecOa and conditions. CtN I ItICA 1 C NULUtK L.AnbcLLA LIUN RE: Michigan Ditch 3/4 Mile lIDDrovements. 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. Attn: Jay Rose 700 Wood Street AUTHORIZED REPRESENTATIVE //�/^�$ Fort Collins, CO 80521-0000 / 4 USA U 19158.2010 ACORO CURPUNA I IUN. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096707 acoRD® CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDOIYYVY) L 03/31 /201d 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(iss) 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 1-JU3-]34-4561 IRA, Inc. - Colorado Division NAME: PHONE FAX (NC, No, ErO: (AIC, No): 1705 17th Street EMAIL ADDRESS: den]pam@i�corp.com p rp.COm Suite 100 Denver, CO 80202 INSURER(5) AFFORDING COVERAGE NAC0 INSURERA'. PNORNIY INS CO (Travelers) 25623 INSURED INSURER B: TRAVELERS PROP CAS CO OF AVER 25674 Hydro Construction Company, Inc. INSURER C'. PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D Fort Collins, CO 80524 INSURER E. INSURER F : CAVFRAGFR CFRTIFICATF NIIMRFR- 39096821 RFVICVTM wllEmCR. 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 REOUIREMENT. 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 IAIXXISU8R LTR. POLICY NUMBER POLICY EFf POLICY E%P LIMITS MMAIDIYYYY MMATDIYYYY A GENERAL LIABILITY DT004E25l248PKXI4 04/01/14 04/01/15 EACH OCCURRENCE S 1,000,000 Y COMMERCVA GENERAL LUUIILITY DAMAGE TO RENTED PREMISES(Eeott.) .S 300, 000 CLAIMSMADE X OCCUR MEDEXP(Anyode Person) $10, ODO Y PD Ded:$5,000 PERSONAL A ADV INJURY it$ 1,000,000 j GENERAL AGGREGATE '.$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS � COMP/OP AGG S2,000,000 E PRO POLICY LOC 3 B AUTOMOBILE IJABIRT DT8104E216873TIL14 / d 4 COMBINED SINGLE LIMIT 1,000,000 (Ea soars") $ Y ANY AUTO BODILY INJURY (Per person) 3 ALL $ I AUTSCHEDULED I j BOOILY INJURY (Per accident) $ Y X NON-0WNED PROPERTY DAMAGE 1 HIRED AUTOS AUTOS 3 B X UMBRELLA LIAR Y OCCUR 4s22,"72TII,3A 04/01/14 04/01/15 EACH OCCURRENCE S 2,000,000 EXCESS UAB CLAIMS -MADE 'AGGREGATE S2,000,000 DED Y I RETENTION 10, 000 3 L. MOBNERS COMPENBATM 20g1350. WCSTATU- OTH- OU 01/14 OU O1/15 Y TORY LIMITS ER east EMPLOWRS'LBSBILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE - E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBER E%CLUDEOi MIA - tMMldMely In NH) EL DI6EASE EA EMPLOYEE $ 1, 000, 000 OWr desorw uMer DESCRIPTION OF OPERATIONS DeIow El -DISEASE POLICY LIMIT $ 1,000,000 IACORD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aeach 101, Additional Remade Schedule, N Mwe space le r ulnd) City of Fort Collins is included as Additional Insured on the General Liability Polity if required by written contract or agreesent and with respect to work performed by Insured subject to the policy term- and conditions. ME: Rigden Water Storage Reservoir B-RWSR-2014-1. City of Port Collins 700 wood Street Port Collins, CO 80524 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. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ryaa23 39096821 a W w -' ►c - CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDtt17y' 03/31/2014 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. 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 NAME'. INA, Inc. - Colorado Division PHONE fAI (NC. NP. EXI)- am IF* - 1705 17Lh Street Suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Port Collins, CO 00524 ADDRESS, denpamNimaCorp.com INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A. PHOENIX INS CO (Travelers) 25623 INSURER B. TRAVELERS PROP CAS CO OF AMER 25674 INSURER . PINNACOL ASSUR 41190 INSURER D. INSURER E COVERAGES CERTIFICATE NUMBER• 39096823 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 ADOLSUBR POLICY EFF POLICY E%P CTR!TYPE OF NISURAMCE POLICY NUMBER MM OttYYY MMXJD= LMUS A 1 GEMERAL LIAMMJn jUrC04B251248PRX14 04/01/14 04/01/15S,EACHOCCURRENCE $ 1,000,000 'X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300,000 PREMISES (Es oco.) $ I CL.VMS MADE X', OCCUR MED EXP UN, one pe,awll j10,000 11 PD Ded:$5,000 PERSONAL 4 ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2.000,000 i GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS COMPIOP AGG $2,000,000 X PR0. S POLICY LOC e AUTOMOME LNBILRY 137111041111216873TIL14 04101Y14 4 COMBINED SINGLE LIMIT (CEO. Am0en0 $ 1, 000, 000 X ANY AUTO BODILY INJURY IPw p NoU $ ALL OWNED SCHEDULED SODLLY INJURY (Per exneiN) S AUTOS AUTOS X X NON-0WNED PROPERTY DAMAGE $ HIRED MIT0.4 AUTOS j (Pm ecc t) $ B X (UMBRELLA LIAR X OCCUR DSMC7UPdE216873TILlA 04/01/14 04/01/15 EACH OCCURRENCE s 2,000,000 EXCESS LW CLAIMSAAADE_ AGGREGATE S 2,000,000 DID 1 RETENTION 10, 000 C WOREMSCMPENUTMN 2091550 0,/01114 04/01/15 % WCSTATLL — TOIiY LIMITS. ER ANDEMPLOYERS'LIABILRY YIY ANY PROPRIETONPARTNEWfXECUTIVE E.L EACH ACCIDENT S 1,000,000 OFFICERAIEMBER EXCLUDED? MIA (M 410A In NH) E L DISEASE EA EMPLOYEE $ 1,000,000 II"yn de Iew DESCRIPTION OF OPERADONSImbw EL DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aa hACORD101,AddMo..IR.m*.SRhWUI.,IImor..pa.I.nq.lr.dl City of Port 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 Cases and conditions. CFOTIFICATF Unt n00 CANCFI I ATinhl RE: DWRP - Carbon Ph III and Drying Bed H-WRF-2014-2. 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. 700 Wood Street AUTHORIZED REPRESENTATIVE Port Collins, CO 80522 //'.AA' //✓& USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096823 Y�tWv„NXi. ,ace M CERTIFICATE OF LIABILITY INSURANCE °ATE3RAID014 03/31/2014 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. 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 RAYS: IMA, Inc. - Colorado Division PHONE FAX (AK. W. EaO: (AIC, NPI. 1705 17th Street EMAILASS, denpamPimacorp. cm Suite 100 Denver, CO 80202 INSURERISI AFFORDING COVERAGE NAIL/ INSURERA: PHOBNIE INS CO (Travelers) 25623 wwm INSURERS: TMVELERS PROP CAS CO OF AMEN 25674 Hydro Construction Company, Inc. INSURER C : PINRACOL ASSUR 41190 301 Mat Lincoln Avenue INSURER O: Port Collins, CD 80524 INSURER E', INSURER F COVFRAGFB CFRTIFICATF MIIMRFR- 39D96824 RFVISION NIIMRFR- 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. WM Lm TYPE OF INSURANCE ADOL SUBR POLICY NUYBER M L OY EFi POLICY EXP UNITS A GENEJTAL LIABILITY DTC0411251248PHX14 04/01/14 04/01/15 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 300,000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea Pauneoce) ,f CLAIMSAIADE X OCCUR MED EXP (My one Pa.) $ 10- 000 X PD Dad:$5,000 PERSONAL 4 ADV INJURY S 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATELI IITAPPLIESPER PRODUCTS-CONWOP AGO $2,000,000 POLICY X PRO. LOC B AUTOMOBILE LABILITY DT8104E216873TIL14 / 'CCUI1NEDSINGLELnW1 1,000,000 IEa accMenq j X MAY AUTO BODILY INJURY (Per P nl $ ALL OWNED SCHEOULED BODILY INJURY(P., arc,denll S AUTOS AUTOS X X NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS, (Per accMenQ 3 B X UMBRELLA LAB X 'OCCUR DSMCOPILE216873TIL14 04/01/14 04/01/15 EACH OCCURRENCE i 2,000,D00 EXCESS LIAR CLAIMS -MADE AGGREGATE s 2,000,000 OLD X RETENTION510, 000 S C WORKERS COMPERSATMN 2091550 04/01/14 04/01/15 E WC TORY IALIRS ER AND ENPLOYERS' LABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACHACCIDENT It1,000,000 OFFICERAIEMNER EXCLUDED? NIA (Mandatory In NN) EL DISEASE - EA EMPLOYEE It 1, 000. 000 It ye defake enter DESCRIPTION OF OPERATIONS INAW, E.L. DISEASEPOLICYLIMIT s 1,000,000 DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES IARach ACORD 101. AddNlonal RamaAa SCh"I,W. H mwa asap H ra9PNad) City of Port 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. CFRTIFICATF HOLDER CANCELLATION RE: OWN? - Centrifuge Peed Pump Replacement Equipment Procurement H-IN P-2014-1. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Part Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORUED REPRESENTATIVE Port Collins, CO 80522 / ///,/A(T�/ /& USA ( / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096824 A`O/RD CERTIFICATE OF LIABILITY INSURANCE DATE31/2014 03/31/201{ 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. 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 1-303-536-4567 CONTACT NAME'. IMA, Inc. - Colorado Division PHONE FAX 1705 17th Street Suite 100 Denver, CO 80202 WWRED Hydro Construction Company, Inc. 301 Rant Lincoln Avenue Fort Collins, CO 00524 (A6. No. EXIT: LAIC, MP): E-MAIL "DRESS den am810acorD•c00 INSURERS) AFFORDING COVERAGE NAIC0 INSURER A'. PHOENIX INS CO (Travelers) 25623 INSURER B. TRAVELERS PROP CAS CO OF AVER 25676 INSURER C: PINNACOL ASSDE 61190 INSURER D'. INSURER E COVERAGES CERTIFICATE NUMRFR• 39096825 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. I1,10 N9R TYPE OF IMBURANCE Aam pOL,9UD POLICY WY R 11MMtIDIYEYYY LMNCDIYWY LIMITS A GENEMLL ITY DTCG{92512{BPHXIA 04/01/14 04/01/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea.) S 300,000 CLAIMS MADE X OCCUR MEUEXP(AAyonel,w&I $10,000 X PD Ded:$5,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGO S2,000,000 POLICY X PRpECT LOC $ B AUTOMOBILE LIABILITY DT81 AR216873TIL16 I COMBINED SINGLE LIMN (Ea a idirt0 1 1,000,000 X ANY AUTO BODILY INJURY (Per p ) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per w:cmenN $ X I MCN400INED PROPERTY DAMAGE S HIRED AUTOS AUTOS (Per armen) $ B X UMBRELLA LIAR I X OCCUR DSMCUP4E216873TIL14 04/0111 04/01/15 EACHOCCURRENCE 1$ 2,000,000 EXCESS LAB CLAIMS -MADE AGGREGATE $ 2,000,000 DED X RETENTIONS 10, 000 $ C WORKERS COMPENSATION 2091550 0{/Ol/1 O{/O3/15 X WC STATE. I 'OTR TORYLmIT$ ER. AND EMPLOYERS' LIABILITY YIN µY PROPRIETOPoPARTNEIaE%ECUTN'E E.L. EACH ACCIDENT S 1,000,000 OFFICERIMEMBER EXCLUDED? NIA flemis" Iwo MR) E1. DISEASE - EA EMPLOYEE S 1, 000, 000 ga0notm mde, DESORPTION OF OPERATIONS Eebw E L DISEASE - POLICY LIMIT S 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATICINS I VENICLES (µsoh ACORD 101, Addkb al Remiss Schaduk, H man spec. Is reauind) City of Port Collins is included as Additional Insured GO the General Liability Policy if required by written Contract or agreement and with respect to work performed by Insured subject to the policy texma and Conditions. Grandview Avenue Valves Phase 1 HCO0114 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 //^/// // w fcl 1eRA.D010 ACbRO (`.ORPORATION All rinhiw rwservwd ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096825 Yf!IAX!aXII 1 ® DATE MA)DNYYYI ACORO CERTIFICATE OF LIABILITY INSURANCE 031 IN 112014 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 PRODUCER NAME:;; ^ INA, Inc. - Colorado Division PHONE FAX IMC, No, LL11: INC. Nol'. 1705 17th Street EAKmL DRESS: denpapiimacorp.com suite 100 Denver, CO 80202 INSURER(S) AFFORDING COVERAGE NAIC P INSURERA: PHOENIX INS CO (Travelers) 25623 NWRED INSURERS: TRAVELERS PROP CAS CO OF A R 25674 Hydro Construction Cospany, Inc. INSURER C PINHACOL ASSUR 41190 301 Heat Lincoln Avenue INSURER 0: Port Collins, CO 80524 INSURER E'. INSURER F'. COVERAGES CERTIFICATE NUMBER: 39096826 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. LTRi TYPE OF INSURANCE lD SUM NUMBER POLICYIEFF POLICY EFF PODCYE%P immmomwi LIMIT A GENERAL LABILITY DTCO4E251248PHZ14 04/01/lq 04/01/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LABILITY DAMAGE TO RENTED PREMISES (Ea Occueence) $ 300,000 1 CLAIMSAADE X OCCUR N ED EAP (Am.. per0pnl $ 10,000 X PC Ded:$5,000 PERSONAL A ADV INJURY S 1,000,000 _ GENERAL AGGREGATE S 2,000,000 CE NL AGGREGATE LIMIT APPLE$ PER PRODUCTS COMPIOPAGG S2,000,000 POLICY X PRO LOC f B AUTOMOBILE LABILITY IYf8104E216873TIL14 (EA WDSlI LELIMR f1, 000, 000 X ANYAUTO BODILY INJURY(P., Person) S ALL OWNED SCHEDULED GODLY INJURY (Per emmanO.S AUTOS AUTOS X X PROPERTY I $ HIREDAUT09 ALTOS _ICicadenlDAMAGE f B X UMBRELLA LAB X OCCUR DSHCUP4E216B73TIL14 04/Ol/3, 04/01/15 EAOH OCCURRENCE S 2, 000, DOB EXCEss LUB CLASASAIADE i AGMIEGATE f 2,000,000 MO X RETENTIONII10,000 S C wosNERS CorPENaAIgM 2091550 M/Ol/I 04/01/15 8 TINC � TILu 8. ER AND EMPLOYERS' LABILffY ANY PROPRIETORPARTNERIEMECUTNE a E L. EACH ACCIDENT f 1,000,000 OFFICERAMEMBER EXCLUDED? N NIA (IsndWory A WN) E L. DISEASE - EA EMPLOYEE f 1, 000. 000 II SCRIPTIOYSCRIPTIOe urcNr DEN OF OPERATIONS INNw I EL DISEASE -POLICY LIMIT f 1,000,000 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aeaph ACORD 101. AddW..1 R.&*. Sc6adula, If mwe apace la rWul.d) City of Port Collins in included aB Additional Insured on the General Liability Policy if required by written contract or a0rearant and with respect to work performed by Insured subject to the policy terms and conditions. RE: Laporte Avenue Water Transmission rain Rehabilitation- Phase 1. City of Port Collins 700 Wood Street Port Collins, CO 80524 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. All rinhtR rnewrvaA_ ACORD 25 (2010106) ryan23 39096826 The ACORD name and logo are registered marks of ACORD r.e.0 •w.v A6o e CERTIFICATE OF LIABILITY INSURANCE DATE03 /31/20111/20 4 r 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 LL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 7 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 `V PRODUCER 1-303-D34-45e/ NNE. IRA, Inc. - Colorado Division NN FAX INC, (Q No, EMI'. IUL, Nal: 1705 17th Street ADDRESS ADDRESS denpanPiwcorp• com Suite 100 Denver, C, 80202 INSURERIS) AFFORDING COVERAGE NAIC8 INSURER A: PHOENIX INS CO (Travelers) 25623 INSURED INSURER IT TRAVELERS PROP CAS CO OF AVER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSDR 41190 301 Mat Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E: CnVFRAr.FS CFRTIFH:ATF NUMRFR• 39096827 RFVI.SInN NUMRFR- 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. WTI TYPE OF INSURANCEN�,EUBF "MY NUYBEAIppYrcE YFyPoL/CY EYP LIMITS A GENEMLL619am 'DTC04E251248PEX14 04/01/14 06/01/15 EACH OCCURRENCE E1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Eaoccunence) E 300, 000 CLAIMS MADE X OCCUR MED EXP(My arc pmsrn) E10,000 X PD DSd:S5,000 PERSONALgADVINJURY E 1,000,000 GENERAL AGGREGATE E 2.000,000 GENT AGGREGATE LIMIT APPLIES PER, PRODUCTS CONINOPAGG $2,000,000 POLICY I X PRO LOC E B AUTOMOrBL1ARLRY DTB104E2l6S73TILl4 04/01/14 COMINEO SINGLE UMR (E. asMesO E 1,000,000 X ANY AUTO BODILY MURY (Per parson) E ALL OWNED 'SCHEDULED SOOAY INJURY IPer awwIrnl),E AUTOS X X NONOVMED PROPERTY DAMAGE E HIRED AUTOS AUTOS (Px 4dpderit) E B X UMBRELLALINE X OCCUR DSNCUP4E216873TIL34 04/01/3. 04/01/15 EACH OCCURRENCE E2,000,000 "CUB LW CLAA154MDE AGGREGATE E2,000,000 DED X I RETENTION 10, 000 I E C IVOMfiRS COYFEMSAi1DM 2091550 04/01/' 04/Ol/15 X WL STATu OTR. TORYTA ER AND EMPLOYERS' LIABILITY' VIM MY PROPRIETORAPARTNERIEXECUTIVE E.L. EACH ACCIDENT S2,000,000 OFFICER EC EREXCLUDEO7 O N/A I(MuNIMM M NH) EL. DISEASE - EA EMIPtOYEE 51,000,000 IIy Ieu eunder DESCRIPTION OF OPERATIONS WIS. E.L. DISEASE-POLICYLMIT E1, 000, 000 I Ii DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, AddhWnel RarearAs Sc6MYla. Breen sewn N ns"I City of Fort Collins in included as Additional Insured on the General Liability Policy it required by written contract or e0reesant Subject to the policy terms and conditions. WTP Installation of Anodes and Rectifiers for odic Protection- JObOSCP-WTF-CP-041513. of Fort Collins 100 Wood Street Collins, CO $0524 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 //w ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD rym23 39096827 L,L,,.,fNnt !'� AL ORO� DATE 31 /2014 YI lllV I� CERTIFICATE OF LIABILITY INSURANCE 03/31/2014 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. aV IMPORTANT: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to 0 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 NAME. IMA, Inc. - Colorado Division PHONE FAX INC. No. ExO: (AK, NP1. 1705 17th Street E-MAIL ADOREW denpaR2imscorp.com Suite 100 Denver, CO 80202 INSURER(S) AFFORDING COVERAGE NAIC F INSURER A: PHOENIX INS CO (Travelers) 25623 INSURED INSURER B: TRAVELERS PROP CAS CO OF AMER 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSVA 41190 301 Mat Lincoln Avenue INSURER O: Port Collins, CO 60524 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 39096628 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. Mae, TYPE OF INSURANCE 'AOOL SIISRI, POLICY muI POLICY EFF POLICY EXP LIMITS MMIDD/YYYY YMIOD/ YYY A ]GENERAL MAeAITY DrOOdR151248PEX14 04/01/14 04/01/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMSESIDAMAGE ERIENu..) $300,000 CLAIMS MADE XiOCCUR MED EXP(A.. one pemon) $10,000 X PD Ded:$5,000 PERSONAL 4 AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENt AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOPAGG $2,000,000 POLICY X PRO- LOC $ B AUTOMOBILE tMeeITY DT8104E216873TIL14 4 1 14 04/01/15 COMBINED SINGLE LIMIT 1,000,000 (Ea aociaen0 $ X ANY AUTO BODILY INJURY (Per perwn) $ ALL OWNED SCHEDULED AUTOS AUTOS SOOAY INJURY (Per.,IM ) $ X Z NONOWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Pwacaoeo0 S B X UMBRELLA I" X '.,OCCUR OSHCUP4E216873TILIA pA/01/1 04/01/15 EACHOCCUIRRENCE $ 2,000,000 EXCE98 LIAB CUIMS4NOE AGGREGATE $ 2, 000, 000 DED X RETENTION 10, 000 1 $ C WORMERS COMPENSATIg1 7091550 0001/1 OA/01/15 I WCSTATLL OTHI TORY LIMITS I ER AND EMPLOYERS' LIABILITY YIN' ANY PRORMETOIUPARTNEREXECUTIW E.L. EACH ACCIDENT S 1,000,000 OFFICERAIEMSER EXCLUDED] NIA Ibnd*l In NH) El. DISEASE- EA EMPLOYEE S 1,000,000 Iyea ,MW ,MN DESCRIPTION OF OPERATIONS bWoo El. DISEASE POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Amch ACORD 101, Ad4Nona1 RomI Scmduia, N more %pan M r"wred) City of Fort Collins is included as Additional Insured on the General Liability Policy if required by Britten contract or agreement and with respect to rlork performed by Insured subject to the policy terms and conditions. : DYJRP 2013 Electrical Replacements Job# H-WRF-2013-5. of Fort Collins Wood Street Collins, CO 80524 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. all Hrihta recervsd ACORD 2S (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096828 Yt2dMIi.WM,: A� CERTIFICATE OF LIABILITY INSURANCE D03/31IDDn4 1 03 /31/2016 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If 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 PRODUCER 1-JUJ-534-456/ ^�^ NAME. IBA, Inc. - Colorado Division FA% C.N W (A/C. No, EF11: WC, Nol 1705 17th Street EMAIL ADDRESS: den amPimeco com D rp. Suite 100 Denver, CO 00202 INSURER(S) AFFORDING COVERAGE NAIC $ INSURER A. PHOENIX INS CO (Traveler&) 25623 INSURER B. TRAVELERS PROP CAS CO OF ANISR 25674 Sydro Construction Coapany, Inc. INSURER C: PZNNACOL ASSAIL 41190 301 East Lincoln Avenue INSURER D: Port Collins, CO 80524 INSURER E: INSURER F. COVERAGES CFRTIFICATF MIIMRFR- 39096829 RFVISIOM BIIMRFR- 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. "'Be TYPE OF INSURANCE AOOL.SUBR LTR POLICY NUMBER POLICY EFF POLICY EXP MM DIYYYY MMR LIMITS A GENERAL UAINITY DTCO4R251248PHX14 04/01/14 04/01/15 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LABILITY DAMAGE TO PREMISES (EN RENTED $ 300, 000 CLAIMS MADE X OCCUR APED EXP (Arty PM rNe xt) S 10,000 X PD Ded:$5,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGG $ 2,000,000 POLICY X PR6 LOC $ B WTOMOeLE IIAeIIlY MBl04R2l6B73TIE16A / 1 COMBINED SINGLE LIMIT (Ea en,odme) $ 1, 000, 000 X ANY AUTO BODILY INJURY (Per Person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par ecc,deni $ X X NON OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS (Pw awOent) S B X UMBRELLA LIAR X OCCUR DSUCUP42216873TIL14 04/01/14 04/01/15 EACH OCCURRENCE $ 21000,000 EXCESS LAB CLAIMS4LVDE AGGREGATE $ 2,000,000 DED X RETENTION 10,000 $ C WORMERS COMPENSATION 2091550 04/01/14 04/01/15 X WC STATD I OTW TORY LIMITS ER AND EMPLOYERS LIABILITY YIN . ANY PROKUETORrPARTNER,EXECUTIW EL EACH ACCIDENT S 2,000,000 OFFICERMEh EXCWDED7 p❑ NIA (WA AMmy IO.1 EL DISEASE - EA EMROYEE S 1,000,000 Il yes. da DESCdeNOaN,nRIPTION OF OPERATIONS UNION E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AaacN ACOW 101, AddNIONM Rwrewke SC6w1uM. N eras 4WD Is n9ulred) City of Port 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 Carve and conditions. DIVRP Digester Lid 611 .Tob1113-01-297. of Port Collins 700 Wood Street Fort 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 /Z& All rinhlc r^aerved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096829 Y�INXIWXI: $ � m GATE (NMIODIVYYY) AcoRo CERTIFICATE OF LIABILITY INSURANCE 03/31/201d 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: It the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 CONTACT DM. Inc. - Colorado D1V1eion NAME: PHONE FAX IAc, No, EMp. -Arc, Hal: 1705 17th Street E NAIL ADDRESS: de emBimaco nD rp•Com Suite 100 Denver, CO 80202 INSURERIS) AFFORDING COVEMGE NAIC0 INSURER A. PHOENIX INS CO (Travelers) 25623 INSURER S. TRAVELERS PROP CAS CO OF AIORR 25674 Hydro construction Company, Inc. INSURER C PINNACOL ASSDR 41190 301 Zest Lincoln Avenue OISURERD. Fort Collins, CO 80524 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER- 39096830 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. WSR TYPE OF INSURANCE AWLSIIBA POLICYEFF LTR POLICYHNOER MMNDIYYYY) POLICYEXP OMUVOLogs A GENERAL IUUMI-ITY DT'CO4E251248PHX14 04/01/14 04/01/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LABILITY PREMISES JEa ED PREMISESOEa NTED nm) $ 300,000 CI -AIMS -MADE X I OCCUR m MED E%P (My r psson) $ 10,000 X PD Dad: S5, 000 PERSONK 4 ADV INJURY S 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS COMPA)PAGG $2,000,000 POLICY X PNO ! LOC I $ B AUTOMOBILE LIABILITY DT8104E216873TIL14 / 1 COMBINED SINGLE LIMIT (Ea accWenq 1$ 1,000,000 X ANYAUTO BODILY INJURY (Per Pwwn) $ ALL OWNED SCHEDIREO AUTOS AUTOS BODILY INJURY (Per a Wwle $ X NC1N4WNED X PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per wn,w,) $ B X UMBRELLA LIAR X -OCCUR DSICUME216873TIL14 04/01/1 04/01/15 EACHOCCURRENCE iS 2,000,000 EXCESS---- 'LMN, DE AGGREGATE S2,000,000 DIED X RETENTION 10,000 $ C WORKERS COMPENSATION ANDEMPLOYERS' 141eNDY 04/Ol/1 2091550 04/01/1$WL STATLL H . X TORYUMITS OER - , YIN ANY PROPRETORMARTNEREXECUTME E.L. EACH ACCIDENT S 1,000,000 OFFICERAIENBER EXCLUDED? � MIA (Mandatary In NN) 1 EL. DISEASE- EA EMPLOYEE $ 1,000,000 II yes, deecthe udder DESCRIPTION OF OPERATIONSheIaN E.L. DISEASE -POLICY LIMIT S 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (-each ACORD 101, Addhional RwFw1U; Schedule, It mue aaua H r"UWN ) RE: Rigden Water Storage Reservoir Pump Procurement 7ob#H-RWSR-2013-1. City of Fort Collins is included as Additional Insured on the General Liability Polity if required by written contract or agreement and with respect to work performed by Insured subject to the policy temme 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. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 USA ////,/^/S �# n 1GRR-7nin ACORn CORPORATION All Hnhea romrved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096830 P W 1112.a.. rr F'; acoROe CERTIFICATE OF LIABILITY INSURANCE DA1E(MMIDDIYYYY) L — 03/31/2016 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 certificate holder in lieu of such endorsement(s). PRODUCER 1-303-534-4567 CONTACT IMA, Inc. - Colorado DiVision NAME: PHONE FAX 1705 17th Street suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 Met Lincoln Avenue Port Collins, Co 80524 INC, No, En): (AIL, No): E MUUL ADDRESS: denpam@im corp•Com INSURER(S) AFFORDING COVERAGE NAIC4 INSURER A: PHOENIX INS CO (Travelere) 25623 INSURER B: TRAVELERS PROP CAS CO OF ANER 25674 INSURER PINSACOL ASSUR 41190 INSURER D'. INSURER E: COVERAGES CERTIFICATE NUMBER: 39096032 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 SUER TR TYPE Of INSURANCE POLICY NUMBER POLICYAOOI � POLICY Err POLICY EXP " MMDMYYY DIYYYY LIMITS A GENERAL LIAR'M DrC049251248PR114 04/01/14 04/01/15 EACH OCCURRENCE f 1,000,000 X COMMERCIAL GENERAL LIABILITY E DAMAG PET RNTED DAMAGE RENTED me) S 300,000 CLAIMS -MADE I OCCUR MED EXP(Any one Pwoon) $ 10,000 Y PITDad:$S,000 PERSONAL a ADV IWURY f 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER :PRODUCTS -COMPRIP AGG S2,000,000 POLICY I PRO LOC S B AUTOMOBILE W81041216873TIL14 COMBINEOSINGLE LIMIT (Ea emlden0 $ 1, 000, 000 I ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDI1lE0 AUTOS AUTOS BODILY INJURY (Per acaden0 $ I I NON{IWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS '.(Per arcMem) f E 'X UMBRELLA LIM I OCCUR DSMCUP4E216873TIL14 04/01/1 04/01/15 EACHOCCURRENCE S 2,000,000 EXCESS LIAR CWMS#WDE AGGREGATE ,S 2,000,000 DED X RETENTIONS 10, 000 S C WORKERS COMPENSATION 2091550 04/01/1 04/01/15. I' WCSTATU- OTN TORY LIMITS. ER AND EMPLOYERS. LIABILITY YIN ANY PROPRIETORIPARTNEREXECUTIVE EL. EACH ACCIDENT S 1,000,000 OFFICERAAEMBER EXCLUOEW NIA (Manknow, In NN) E.L. DISEASE - EA EMPLOYEE S 1,000,000 It yes. deeaibe undm DESCRIPTIONOFOPERATIONSbelow - - E.L.DISEM-POLICYLA&T S 1,000,000 DESLRWT M OPEMDONS I LOCATIONS I VEHICLE. (Aaecb ACORD tot, Addkoml Remarks ScM ule. Nnm,e spew h r ukedl City of Port Collins is included as Additional Insured on the General Liability Policy if required by written contract or a0reeaent and with respect to work performed by Insured subject to the Policy terme and conditions. CERTIFICATE HOLDER CANCELLATION RI: DWRF 2013 Minor Improvements- Joba13-01-298. 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. 700 Wood Street AUTHORIZED REPRESENTATIVE Port Collins, CO 80524 / /,/^7 / & USA ( �/� © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096832 : IMA, Inc. - Colorado Division 1705 17th Street Suite 100 Denver, CO 80202 Electronic Service Requested MIXED ADC 800 1519 7.0930 M8 2.235 I�ul�ldl�"II11"II���IJ�'lu"II'�"1�"III'Ill'��1'�I��I��u City of Fort Collins 93 700 WOOD STREET FORT COLLINS, CO 80521-1945 EBIX BPO If you have Questions regarding the content of this document, please contact - the Producer/Agent listed on the certificate of insurance. - cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by Cert ficatesNow - www.ContimNet.com - 877A69.8600 ac - CERTIFICATE OF LIABILITY INSURANCE DATE (MWODnrrrl L 03/31/201, 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 CONS17TUTE 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 policyjles) 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 CONTACT INA, I.C. - Colorado Division NAME'. PHONE FAX 1705 17th Street Suite 100 Denver. CO 00202 sIS11RE0 Hydro Construction Company, Inc. 301 test Lincoln Avenue Port Collins, CO 80524 (MC. No, Eet): (AIL, Nd): ADDRIESS: denPamiRimacorp.CORI INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A'. PHOENIX INS CO (Travelers) 25623 INSURER S. TRAVELERS PROP CAS CO OF ANER 25674 INSURER C: PINNACOL ASSUR 41190 INSURER D : INSURER E : COVERAGES CERTIFICATE NUMBER: 39096633 REVISION NUMRFR- 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. eust TYPE OF WSIIRANCE AOOL SUER lR POLICY MUYBER roLICY EFF roLN:Y EXP MMNOTYYYY LWBs A GENERAL LMsIHY D1C04E251248PHXIA 04/01/14 04/01/15 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LWBILRY NTED PREMISES(EA TO Barur 1 _S 300,000 CLAIMSAMDE X OCCUR MEDEXP (Any.. W.) $ 10,000 X PD Ded:$5,000 PERSONAL S ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2, D00, 000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS CCMPIOP AGG $2, 000, 000 POLICY X PROIT LOC S R AUTOMORAE LIARRRY DT81041216873TIL14 COMBINEDISINGLE LIMB 51, 000, 000 X ANY AUTO BOOLY INJURY (Par pendn) S ALL OWNED SCHEDULED AUTOS AUTOS BOOBY INJURY (Per amoenl) i X X NONOWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS .(Per O'XIde ) S B X UMBRELLA LIAR X OCCUR DSNCUP4E216873TIL14 04/01/14 04/01/15 EACH OCCURRENCE $2,000,000 EXCESS LAO ICLUMSMADE AGGREGATE S 2,000,000 MO X RETENTION 10, 000 s C WORKERS COYPENSATNIR 2091550 04/01/14 04,01/15 X. WCST , ! ER AND EMPLOYERS' LMRILDY YINTORY ANY PROPRIET"ARTNER,EXECUTIVE E.L. EACH ACCIDENT 51,000,000 OFFICERIMENBER EXCLUDE09 ul NIA ISbndeidry in NN) E1. DISEASE - EA EMPLOYEE $ 1,000,000 11y PTIONaMw DESCRRIPTION OF OPERATIONS MIvw iE.L. DISEASE -POLICY LIMIT g1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Asech ACORD 101, AddNlunel Remarks SCMdub, 11 more seace N necked) City of Port Collins is included as Additional Insured on the General Liability Policy if required by written contract or agrer t and with respect to work performed by Insured subject to the policy terms and conditions. RE: NET Aeration Line Repair Job# H-WRP-2013-13. of Port Collins 700 Wood Street Port Collins, CO 80522 ACORD 25 (2010/05) ryan23 39096833 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, USA ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I't.iaxi. YAx. ACO ® DATE IMMIDDIYYYYI 1 CERTIFICATE OF LIABILITY INSURANCE 03 /31/2010 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 INSURERS), 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 PRODUCER 1-JUJ-]JII-eeti/ NAME,4 IMA, Inc. - Colorado Division PHONE FAX INC, No, EM): INC, Nop 1705 17th Street EMAIL ADDRESS: denpase0imacorp.Com suite 100 Denver, CO 80202 INSURER(S) AFFORDING COVERAGE NAICS INSURER A: PHOENIX INS CO (Travelers) 25623 INSURED INSURERS: T'RAVELRRC PROP CAS CO OF AMER 25676 Hydro Construction Company, Inc. INSURED C PINNACOL ASSUR 01190 301 llset Lincoln &Vane INSURER D. Fort Collins, CO 80524 INSURERE: INSURER F : r:r3VFRAnPA r F:QTIFIr:ATF NIIMRFR- 39096034 RFVISMN NIIMRFR- 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. POLICY EFF POLICY E%I sn'LTR TYPE OF INSURANCE Mom Mak POLICY NUMBER MMIDDA"YYY LIMITS A GENERAL LABILITY Dl'C06T151248PHXle 0e/01/14 00/01/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENLRAL LIABILITY DAMAGE TO RENTED 300, 000 PREMISES(Eaaeounenw) $ CLAIMS MADE X (OCCUR MED EXP(My om person) $ 10,000 PD Ded:$5,000 PERSONAL A ADV INJURY s 1,000,000 �X GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE UNIT APPLES PER: PRODUCTS - COMPIOP AGG $ 2, 000, 000 POLICY = PN6� LOC S E AUTOMOBILE LIIImL11Y DT81046216873TILld l/01/11 04/01/15 COMBINED SINGLE LIMIT . CEA a ') $ 1, 000, 000 X ANY AUTO BODILY INJURY )Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per eccideM) $ AUTOS AUTOS X 2 ! �TYIDAMAGE ', s HIRED AUTOS AAJTOSWNED IPwR f B X UMBRELLA LAB I OCCUR DOYCUP6E216873TIL16 00/Ol/1 04/01/151 EACHOCCURRENCE s 2,000,000 EXCESS LAB CIAWSAMDE (AGGREGATE s 2,000,000 DIED X RETENTION 30,000 $ C WORKERS COMPENSATION 2091530 0e/01/1 04/01/15 X WCSTATLL I TORY LIMITS TH- ANDEMPLOYERS'LABILITY YIN ANY PROPRIETORIPARTNERIEXECUTNE E.L. EACH ACCIDENT $1,000.000 OFFICERRAEMBER EXCLUDED? rm� MIA IMandstcry His E.L. DISEASE - EA EMPLOYE It 1,000,000 II thname umbr DESCRIPTION OF OPERATIONS fielpw EL. OISUBE-POLICY LIMIT $ 1,000.000 DES WMN GF OPERATNCMS I LOCAMMS I VEHICLES (AMacI ACORD 101, Addhional Remarks ScIwduN, 11 mom apace h m9olrmn City of Port 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. RE: Lewetone Creek. City of Fort Collins 700 Wood Street Fort Collins, CO 80522 ACORD 25 (2010105) ryan23 39096834 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 USA / Z& (0 1988.2010 ACURD CURPURAI IUN. All rigms resenrea. The ACORD name and logo are registered marks of ACORD A� CERTIFICATE OF LIABILITY INSURANCE O03/31ATE 2014 I 03/31/zo14 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(iss) 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 CONTACT NAME: IHA, Inc. - Colorado Division PHONE FAX INC. No. Ent: (Ac. He" 1705 17th Scree[ EMAIL ADDRESS. denpaal@LmacorP.com Suite 100 Denver, CO B0202 INSURER(S)AFFORDING COVERAGE NAILa INSURED Hydro Construction Company, Inc. 301 Mot Lincoln Avenue Port Collins, CO 80524 INSURERA. PHOENIX INS CO (Travelera) 25623 INSURERB. TRAVELERS PROP CAS CO OF AMER 256)4 INSURERC: PINWACOL ASSUR 41190 INSURER D: INSURER E : nee PCOTICIPATP UMUQCD- IQA96727 RFVIRMN NIIURFR- 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. Well ADDL 9UBR KP N �IOIYYEYYY MMIDOIYYY Wits LIR TYPE OF WSURANCE POLICY NUMBERU A GENERAL LIABILITY DTCO4E251248PEIXI4 04/01/14 04/01/15 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED = 300, 000 COMMERCIAL GENERAL LIABILITY PREMISES(Eaoaurmme) $ CLAIMSd1ADE X OCCUR MED EXP IMF. pmamp $10,000 X PD Ded:$5,000 PERSONAL A ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER. PRODUCTS COMPIOP AGO $ 2,000,000 POLICY I X : 7"6 LOC S B AUTOM U MA&lRy DT8104E216873TIL16 1 COMBINED SINGLE LIMB (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per Pelson) $ ALL OWNED SCHEDULEO BODILY INJURY (Per accmem) S AUTOS OS NED PROPERTY DAMAGE NON-OWPE X X S MIRED AUTOS AUTOS (Per recceml $ B X UMBRELLA ILAB X OCCUR DSHCUP4E216873TIL14 04/01/14 04/01/15 EACH OCCURRENCE S 11000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE s 1,000,000 OLD X RETENTON$10,000 $ WORKERS COMPENSATION 04/01/15 $ WC SUTUf 'OTH- C 2091550 04/O1/14 TORY LIMIT$ ER YIN ANY EMPLOYERS' LIABMERV ANY E.L. EACH ACCIDENT 51, 000, 000 EMBERIPARTNDEIE%ECUTIVE OFFICEPor, In SeR EXCLUDED' O NIA (Mantlmory In NN) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 Il yes,deacnlm OFO DESCRIPTION OF OPEMTIONS BabN E.L. DISEASE POLICY LIMB $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aduch ACORD 101, Additional Rimarha Schedule. If more apace is repaired) 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 Carlos and conditions. GCK I Ir R,A I t of Fort Collins 300 W. LaPorte Ave. Fort Collins, CO 80522-0000 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. l /ram 41 ICAR-2nin Arnon rr1RPDRATIT$N All rinhis reserved_ ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ryii 39096727 ATE CERTIFICATE OF LIABILITY INSURANCE I 003/1312014 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(les) 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 1-303-53{-{567 CONTACT NAME: INA, Inc. - Colorado Division PHONE F/,x INC. No, Eat: WC, No): E MALL 1Street ADDRESS. denpamLAimacozp. CodsSuit Suite 100 Denver, GO 80202 INSURERISI AFFORDING COVERAGE itADB INSURER A: PHOENIX INS CO (Travelers) 25623 INSURED INSURER B: TRAVELERS PROP CAS CO OF ABBE 25674 Hydro Construction Company, Inc. INSURER C: PINNACOL A39VR 41190 301 East Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E. INSURER F : COVERAGES CERTIFICATE NUMBER- 39096711 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 TYPE OF INSURANCE �ABBLIam POLICY INAIIBER Gm POLICY EFF NLN' E%P LAIRS A GENEIIAL IIABARY 0TC0{E2512{8PIll 04/01/14 04/01/15EACH OCCURRENCE $ 1,000,000 % COMMERCW.GENERALLUBILITY DAMAGE TO RENTED PREMISES (Eac ccoence) $ 300,000 CLAIMS -MADE I X OCCUR MED EXP(Any one IN.) I $ 10,000 % PC Ded:f5, 000 PERSONAL A ADV INJURY '$ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLES PER: PRODUCTS - COMPIOP AGO 32,000,000 POLICY = PRO LOC $ B AUTOMOBILE LMBMIIY W1110{E216873TIL1{ COMBINED SINGLE LIMB Ea ecctled) $1,000,000 % ANY AUTO BODILY INJURY (Per peroon) $ ALL OWNED I SCHEDULED BODILY INJURY (Per Alcate $ AUTOS 1 AVT09 X X NON-0WNED PROPERLY DAMAGE S HIREUAUTOS AUTOS (Per accaen0 S B % UMBRELLA LWB X OCCUR DSNCUP4E216873TIL14 04MI 04/01/151 EACH OCCURRENCE S 11000,000 EXCESS LU1B CLkMSIAADE AGGREGATE $1,000,000 DIED X RETENTION 10,000 �i L, FrORHERS COMPENSATION 12091550 041=J 04/01/1$ X1 WC 51ATIY I OU& ITORY LIMITS. ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOPIPARTNEILEXECUTIVE EL. EACHACCIDENT $ 1,000,000 OFFICERMEMBER ExCLUDE09 T NIA (Yowl yIn AN) E.L DISEASE- EA EMPLOYEE $ 1,000,000 M dewed under rIPTION OF OPERATIONS heMe EL DISEASE -POLICY LIMIT S1,000,000 OESCRp1gM OF OPERATIONS I LOCATIONS I VEHICLES (flame ACORD III. AddIrlonwl Rwnl Schedule, R mon Ruler is reiukedl City of Port 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 tenEs and condition. RE: Emergency Pipeline Repair Mobilization. City of Port Collins Attn: Jay Rose 700 Mood Street Port Collins, CO 80521-0000 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096711 ,.,,,..,,N.,. A� a CERTIFICATE OF LIABILITY INSURANCE °03/31/2014ATE Y' 03/31/201E 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: It 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 INA, Inc. - Colorado Division 1705 17th Street Suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 Mot Lincoln Avenue Port Collins, CO 80524 PHONE FAX (AM, NO. Enl): PUC, No): E-MAADDRESS ADDRESS: deD lmaco Dame ty-Conn INSURER(S) AFFORDING COVERAGE NAICC INSURER A: PHORNIX INS CO (Travelers) 25623 INSURER B. TMVZLRRS PROP CAS CO OF ANBR 25670 INSURER C'. PINNACOL ASSOR 41190 INSURER n : INSURER E'. COVERAGES CFRTIFICATF MIINI 39096713 RFVISION MIINRFR- 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. WSR ADDL SUER Tp TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP MM DD Y MNUDO LIMOS A GENERAL LWILT' DTCO4B251248PHX14 04/01/14 04/01/15i EACHOCCURRENCE S 1,000,000 COMMERCIAL GENERAL LABILITY DGE TOX NTED PREA NI$ S(Easouunmwe) S 300,000 CLAIM!#IAOE X'i OCCUR MED EXP(An, one person) S10,000 x PD Ded:$5,000 PERSONA SADV INJURY S 11000,000 I GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LINT APPLES PER: PRODUCTS COMPIOP AGG S 2,000,000 POLIcY X 'm F I LOC S S AUTOYOSLE L,,AI DT110{8216871TIL1{ 01/01/14 04111115 COMBINED SINGLE LIMIT (Ea oaPdwl) $1, 000, 000 X ANY AUTO BODILY INJURY(Pw perroN) $ AUTOOS AUTOS SCHEDULED BODILY INJURY (Pis amdenl). $ X Z NDN-OWNED PROPERTY DAMAGE S HIRED ALTOS AUTOS (Pwamdanl) i S B X uMSRELU i OCCUR IDSOMP{2216873TIL1{ 0{/Ol/1{ 04101/15; EACHOCCURRENCE $ 1,000,000 EXCE!! LAD CLhNS-MADE ; AGGREGATE $ 1, 000, 000 DED X '.RETENTION S 10, 000 1 1 $ C WORKERS COMPENSATION 12091550 OUO1/1 0{/OS/1S ZWC STATU- OTH : TORY LIMITS, IER, AND EMPLOYERSL LHY YIN ANY PROPRIETORIPARTIIEREXECUTIVE OFFICERNEMGINt"CLUDED7 N� N/A E.L EACH ACCIDENT $ 1, 000, 000 Wood" IN 104 ' E.L. DISEASE - EA EMPLOYEE S 1, 000, 000 I ee. 6swnbe uer RITON OF OPERATIONS tedw DESCd EL DISEASE - POLICY LIMIT $1, 000, 000 I DESCRIPTION OF OPERATIONS I LOCATION! I VEHICLES (AearA ACORD 101, "dNlonal Remarks S[Mdula, If Mon NmKo N ra9ukwd) RE: Job $H-WTF-2012-2; T5-T6 Channel Improvements. City of Fort Collin. 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 sublect to the policy temme and conditions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. : Jay Rose Wood Street AUTHORIZED REPRESENTATIVE Collins, CO 80521-0000 // //,/^/f& USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ryan23 39096713 P)11iM,2MM11 k / � GATE IMMIpDrV(YYI i - CERTIFICATE OF LIABILITY INSURANCE D3/31/2D IE 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. 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 1-303-534-6567 CONTACT IMA, Inc. - Colorado Division NAME: PHONE FAX 1705 17th Street Suite 100 Denver, CO 80202 WWRED Hydro Construction Company, Inc. 301 Rest Lincoln Avenue Collins, CO 8052e LUC, No, EnI: Art, No): EMAIL ADDRESS: denpan0imacorp. com INSURER(S) AFFORDING COVERAGE NAIC F INSURERA. PHOENIX INS CO (Travelers) 25623 INSURER B. TRAVELERS PROP CAS CO OF ANER 25674 INSURER C. PINNACOL ASSUR 41190 INSURER D . INSURER E'. COVERAGES CERTIFICATE NUMBER- 39096714 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 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. "aR TYPE Of INSURANCE ADDL.6UBR TR POLICY NUMBER POLICY EFF POLICY EXP MMIDDNYril (MMUDDRITTI LIMITS A GENERAL LIABILITY DTC049251248PHX14 04/01/14 04/01/15 EACH OCCURRENCE $ 1,000,000 � X COMMERCIAL GENERAL LIABILITY ED DAMAGEsrnm) oc PREMISESS(Ea mmm $ 300,000 I CLAIMS -MADE XIOCCUR i MED EXP(My mePersm) $10,000 X PD Dedi$5,000 PERSONAL a AOV INJURY $ 1,000,000 GENERAL AGGREGATE S 2.000,000 GENT AGGREGATE LSAT APPLIES PER PRODUCTS COMPIOP AGG $2,000,000 POLICY I X PR4 LOC $ B AUTOMOBILE IMr.RY 'DT810eR21 873TIL1e 4/ 1 1 COMBINED SINGLE LIMIT 1,000,000 (Ea.c rdem) $ X ANY AUTO BODILY INJURY (Per Pelson) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per eccidenl) $ X = MON-0NMED PROPERTY DAMAGE $ HIRED AUTOS AUTOS :(Per amoNo) S B X UMBRELLA LIB X OCCUR IDSMCUPEE216873TIL14 04/01/14 04/01/15 EACH OCCURRENCE S 11000, 000 EXCESS LIB CLAIMSMADE1 AGGREGATE s 1,000,000 DIED X '. RETENTIONS 10, 000 1 1 It C WORNERSCOMPENSATION 2091550 0e/01/14 06 /O1/15 WC STATU- UTH, I TORY LIMITS ! ER AND EWLOYERS' LIABILITY YIN ANY PROPMETOWPARTNER,EXELUTIVE ELEACHACCIDENT S 1,000,000 OFFILERWEMBER EXCLUDED? NIA (M.NdAwy In NH) E.L. DISEASE - EA EMPLOYEE $ 1, 000, 000 Il yyee SCRN'TIOIPTIOeN OF OO '. f1EOPERATIONS Oebw - E.L DISEASE - POLICY LIMIT - $ 1,000,000 DESCRIPITDN OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ALORO 101, Addlllrnal Ramarka Sctw Rhi. N mare you I. ra9PUad) City of Port Collins is included as Additional Insured on the General Liability Policy if required by written contract or a0re t and with respect to work performed by Insured subject to the policy terse and conditions. 7220 Water/Wastewater Treatment E Site Infrastructure 0n/Construction Contractor. of Port Collins Wood Street Collins, CO 80521-0000 UAY' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. rinhta rsaarvad ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ryan23 3909671E YS$IAMILNXI! 1 DATE (MMIDDIYYYYI ACORD CERTIFICATE OF LIABILITY INSURANCE 03/31/2014 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: H 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 an this certificate does not confer rights to the certificate holder in lieu of such Endorsement(s). PRODUCER 1-303-534-4567 CONTACT IMA, Inc. - Colorado Division NAME: PHONE FA% 1705 17th Street Suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 Beet Lincoln Avenue Fort Collins, CO 80524 INC. No, Erm: (AC, No): E-MAIL ADDRESS: denpar Lairnacom. Cons INSURER(S) AFFORDING COVERAGE NAICe INSURERA. PHOENIX INS CO (Travelers) 25623 INSURER B: TRAVELERS PROP CAS CO OF AVER 25674 INSURER C: PINNACOL ASSUR 41190 INSURER 0: INSURER E : COVERAGES CERTIFICATE NUMBER: 39096716 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. R. SVAID AID LTTYPE OF INSURANCE INSR POLICY NUMBER MMNDIYYYY RANDYE%P LIMITS A GENERAL LIABILITY DTC04E25l248PI1Xl4 04/01/1d 04/Ol/15 EACH OCCURRENCE '4 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea ens .) f 300, 000 CLAMS—AOE X I. MED EXP(Any me Panon) $ 10,000 X PD Dedr$5,000 PERSONAL4ADVINJURr s 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS COMPIOPAGG $2,000,000 POLICY X PRO IOC S B AUTOMOBILE LABanY DT8104E216873TIL14 04/01/14 COMBINED SINGLE LIMIT $ 1,000,000 X IWYAUTO BODILY INJURY(P. NFon) S ALL OMED SCHEWLEO AUTOS AUTOS BODILY INJURY IPmu aamtf $ X X NON{yWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS (Par Ronson) 3 B X UMBRELLA LAB X OCCUR DSMCUP49216073TIL14 04/01/14 04/01/15 EACH OCCURRENCE i 1,000,000 EXCESS LAB CLAIMS -MADE AGGREGATE S 1,000,000 DED X RETENTH)N310,000 $ C WORKERS COMPENSATION 2091550 04/01/14 04/01/15 X WCSTATU- Ono iptY LINT$ FR AND EAPLOYERW LWBLLTTY YIN . ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMENBER EXCLUDED? NIA (Mandwery in NEI) E L. DISEASE - EA EMPLOYEE $ 1,000,000 If Yes, Eesoi6e uMm OrOF OPERATIONS lwb i E.L. DISEASE - POLICY LIMIT $ 1,000,000 OESCRBRIDN lyF OPERAIgMB/ LOCATIONS l VEIBCLEs (A4RMI ACORD 101. Ad4Nonal RwnaAla SCM4uN, II moo apace Is ra9uira4) City of Port 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 Carney and conditions. CERTIFICATE HOLDER CANCELLATION Pleasant Valley Pipeline Porebay Sedimentation Pond e II, PVP Preyed-Hydro-2013-2 of Port Collins 700 Wood Street Collins, CO 80521-0000 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 39096716 IF- AC DKO oe CERTIFICATE OF LIABILITY INSURANCE oO'J"loo" l L — 03/31/20L 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 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 CONTACT "ME' INA, Inc. - Colorado Division PHONE FAX 1705 17th Street Suite 100 Denver, CO 80202 NSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 IAIC, No, EA: (ADC, No): E-MAIL ADDRESS: denpam8imacorp.com INSURERIS) AFFORDING COVERAGE NAIC0 INSURER A. PHOENIX INS CO (Travelers) 25623 INSURERS. TRAVELERS PROP CAS CO OF AIER 25674 INSURERC. PINNACOL ASSUR 41190 INSURER D : INSURER E . Cf1VFRARFS CFRTIMCATF NIIMRFR- 39096721 RFVISIOM MIIMRFR• 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. IMSR AWL;SUBR POLICY EFF POUCYEXP TYPE Of INSURANCE POLICY NUMBER M WYYYY OIYYYY LIMITS A GENERAL MERRY DT004E251246PHX14 04/01/11 04/01"S5 EACHOCCURRENCE '. $ 1, 000, DOD X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300,000 PREMISES (Ea oau..) . $ CLAIMS MADE X OCCUR MED EXP (My mis Pomm) $ 10,000 X PD Ded:$5,000 PERSONAL S ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMPIOP AGO $2.000,000 POLICY X PRO- - LOC JFCT $ B AUTOMOBILE LMBRITY DT8104E216873TIL14 04/01/1 04/01/15 COMBINED SINGLE LIMIT (Ea acceent S 1,000,000 X ANY AUTO BODILY INJURY (Per For.) 4 ALL OWNED SCHEDULED BODILY INJURY (Par aua ism) $ AUTOS AUTOS X X NON.OWNEi PROPERTY DAMAGE S MIRED AUTOS AUTOS (PIN sod'ort) $ B X UMBRELLA LIAS X OCCUR DSMCOP4E216873TIL14 04/01/14 04/01/1511 EACH OCCURRENCE $ 11000,000 EXCESS LAB !CLAIMS -FADE AGGREGATE $1,000,000 DED X RETENTION 10, 000 $ C WORKERS COMPENSATNM 12091550 04/01/14 04/01/15I X WC STATU. OTH TORY LIMITS OR AND EMPLOYERSLIABILDY YIN ANY PROPRIETOWARTNER,EXECUTNE EL. EACH ACCIDENT $ 1,000,000 OFFICERMEMBER EXCLUDED? OjNIA p4mosmr M MN) 1 I E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS aglow EI. OISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AMMO ACORD 101, AEtllllolul Remoras Schis uie, It mom Noics Is m ulrsm RE: PVP Presed-Hydro-2013-1- Pleasant Valley Pipeline Forebay Sedimentation Pond -Phase 1. 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. 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. 700 Wood Street AOTNORRED REPRESENTATIVE / ///,/A/7 // Fort Collins, CO 80524 L /'# USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORO 25 (2010/05) The ACORD name and logo are registered marks of ACORD ryan23 39096721 rr:,.x,•wxu A� M CERTIFICATE OF LIABILITY INSURANCE D03/31/ATE DOI14 03/31/rota 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: It 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 INA, Inc. - Colorado Division 1705 17th Street Suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Port Collins, CO 80524 PHONE FAX INC. He. Eal: INC, Nep_ ADDRESS. den ampimac0 rp. Com INSURER(S) AFFORDING COVERAGE NAICN INSURER A: PROENIX INS CO (Travelers) 25623 INSURERS: TRAVELERS PROP CAS CO OF ANER 25674 INSURER C: PINNACOL ASSDR 41190 INSURER D: INSURER E. COVERAGES CFRTIFICATF NUMRFR• 39096728 RFVLCIOSI NIIIMI 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 Of INSURANCE AOOL.SUas POLICY EFF POLICY E%P LIYRS TR POLICY MUYBER MMNDIYYYY MMN A GENERAL LIABILITY DTCO46251248PBX14 04/01/14 04/01/15 EACH OCCURRENCE S 1,000,000 '. X COMMERCIAL GENERAL LIABILITY PREMISES(EsAIVGE TO ocwnence) $ 300,000 CLNMSNADE X OCCUR MED EXP(AM one person) $10,000 Y PD Dad:$5, 000 PERSONAL a AOV INJURY 6 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE UNIT APPLIES PER. PRODUCTS-CCMPIOPAGG $2,000,000 RO- POLICY X P 1AC $ B 'AUTO*OBM,tLMSLW DT8104E216873TIL14 Ot 1 14 04/01/151 COMBINED SINGLE LIMIT 1, 000, 000 E. elert) (BODILY Y ANY AUTO IWURY(Per Pemn) S ALL OWNED SbIE1wLED AUTOS AUTOS BODILYIWURY(PerecGJaN) S X Y NOWOWNED PROPERTY DAMAGES HIREDAUT08 AUTOS (Per ecduen0 S B IX UMBRELLAUAS X OCCUR DMU=4=3.6877TX6i4 04/01/1 04/01/15 SACHOCCURRENCE 'S 11000,000 i EXCESS L W CLMMSMADE AGGREGATE $1,000,000 DED X RETENTION 10,000 S C SgRNFA8 C01MENEATION IO91650 04/01/1 04/Ol/15 i WC STATU- OTH TORY LIMBS, ER AND EMPLOYERS' LIABILITY YIN ANY PROPRN:TORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMSER EXCLUDED? O MIA - memestaq, In NI" E.L. DISEASE- EA EMPLOYEE S 1, 000, 000 It yes, dreams under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICYLNIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Alach ACORD 101, AddI iaW Ramada SchsduM, N Rude space Is required) 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 Insured subject to the policy terms and conditions- This Insurance d Primary and Mon -Contributory on the General Liability Policy subject to the policy terms and conditions. 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. 700 Wood Street AUTHORIZED REPRESENTATIVE / ///,(A/T Fort Collins, CO 80524 ! /,& USA l ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ryan23 39096728 =r C -Y53tlM11,YX11 - ACI(�® CERTIFICATE OF LIABILITY INSURANCE DATEINAIDDfYY�03/31/2011/201rr) d 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 k W BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(5), AUTHORIZED � REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. LL IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to 0 the terms and conditions of the policy, certain policies may require an endorsement. A statement o r this certificate does not confer rights to the certificate holder in lieu of such endorsementfsl. PRODUCER INA, Inc. - Colorado Division 1705 17th Street suite 100 Denver, CO 80202 we m Hydro Construction Company, Inc. 301 East Lincoln Avenue Port Collins, CO S052d PHONE INC, No. EMI: FAX (". NRI: ADDRESS: denpamCa imacotp. corn INSURERS) AFFORDING COVERAGE INSURER A: PHOENIX INS CO (Travelers) INSURER B: TRAVELERS PROP CAS CO OF AMER INSURER C: PINNACOL ASSUR INSURER D INSURER E COVERAGES CERTIFICATE NUMBER- 39096020 REVISION NUMRFR- a N 7 Z NAIC a w 25623 25674 41190 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. INS TYPE OF INSURANCE AOOL SIIBR ETA POLICY NUMBER POLICY EFF POLICY UP LIMBS MMIDWYYYY MMIDWfYYY A GENERAL U&SAITY DTCO4Z251248PHX16 04/01/14 04/01/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea ocrusere) $ 300, 000 CLAIMSIMDE X OCCUR MED EXP(My Nw PelSaa) $ 10,000 X PD Ded:$5,000 PERSONN.aADVVUURY $ 1,000,000 GENERAL AGGREGATE $ 2, 000, 000 GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS COMPIOPAGG s2,000,000 POLICYIFCT X PRO LOC $ E AUTOMOBILE LIABILITY DT6100E216073TIL14 d/ COMBINED SINGLE LIMB (Ea IRnd I) $1,000,000 X MY AUTO BODILY INJURY (Per Pweae) $ ALL ONMIED SCHEDULED AUTOS AUTOS BODILY INJURY(PW aoxbN) S X X NONAWNED PR E RTYDVMGE f WREOAUTO5 a S B X UMBRELLAUNIS X OCCUR DSNCUPdE216873TIL16 04/01/14 04/01/15'' EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CWMS-MADE AGGREGATE $ 2,000,000 DED X RETENTION$ 10, 000 $ C MRNERSCOMPENSATNIN 2091550 04/01/14 04/01/15 X WC STATU- OTH TORY LINT$ ER AND EMPLOYERS' LABBRY YIN ANY PROPRIETONPARTNEAEXECUrME El. EACH ACCIDENT $ 1,000,000 OFFICERARMBER EXCLUDED? B❑ NIA (MrtlNay M NN) E L DISEASE - EA EMPLOYEE $ 1, 000, 000 IIyea Oasaee wNlw DESCRF'TION OF OPERATION$ Oeb. E L DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATNNIS I VERMLES IAeacA ACORO IF, A NNanew Nmewt. feMNM, 9 mwe a Roy N nepdredl City of Port Collins is included Y Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by IOBured subject to the policy tereu and condition. GCR I Ir IUA I t HULUtt$ GAN"LLA I IVIN RE: ONRP Digester Lid 611 Replacement - Demolition H-NRP-2013-15. 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. Wood Street Collins, CO 80524 USA AUTHORIZED REPRESENTATIVE r) tORR_2050 ACnRn CORPORATION All rinhfa ra.rund ACORD 25 (2010705) The ACORD name and logo are registered marks of ACORD ryan23 39096820