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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (17)YRdxitwxit S ACC> h® CERTIFICATE OF LIABILITY INSURANCE D06/24/2014ATE YI 06/24/20L 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 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 UME: INA, Inc. - Colorado D1V1B100 PRONE FAX (MC, No, Eal): 1705 17th Street EMAIL ADDRESS: den amgimaco P rp. c0m Suite 100 Denver, CO 80202 INSURERS) AFFORDING COVERAGE NUCe INSURER A: PHOENIX INS CO (Travelers) 25623 INSURED INSURER B: TRAVELERS PROP CAS CO OF AVER I25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 301 Met Lincoln Avenue INSURER D: Fort Collins, CO 80524 INSURER E: INSURER F : r..IIVFRA(%FC r.FRTIFIr.ATF NIIAI 40354854 RFVICION NIIMRFo. 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 ADDL'SUM I POLICY EFF POUCYEXP ; LTR TYPE OF INSURANCE I POLICY NUMBER MMIDDITYri MMIDOM" LIMITS A GXENERAL LIABILITY DM04E25l248PH%14 04/01/141 04/01/151 EACH OCCURRENCE 1,000,000 ! COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED I$ PREMISES(Eaoccunewe) 5300, 000 I CLAIMSMADEX I OCCUR MED EXP (Any one person) E 10,000 X PD Ded:$5,000 PERSONAL& ADV INJURY IE 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 2,000,000 POLICY X PRO IFC;TLOC $ B AUTOMOBILE LIABILITY DT8104E216873TIL14 /1 4 COMBINED SINGLE LIMIT (Ea awaenl) I E 1,000,000 X MY AUTO BODILY INJURY IPe, person) IS ALL OWNED •.SCHEDULED AUTOS j AUTOS BODILY INJURY (Pe, arcNenl)! S ix X IANWNOOSW'NED .I f HIREDAUTOS I, ;RROPPEERaT nI,AMAGE S B IX UMBRELLAL'AB X OCCUft �DSECUPIIE216E73TIL14 04/01/14 04/01/I5i EACH OCCURRENCE E 2,000,000 EXCESS LIAB Y CLAIMSMAOE AGGREGATE S 2,000,000 DEB X RETENTION $ 10, 000 E C WORNERSCOMPENSATION 12091550 04/01/14 04/O1/15 I WC STATU- DTH- XI 'AND EMPLOYERS' LURLIT' YIN TORY LIMITS ER ANY PROPRIETOILPARTNEWE%ECUTIVE EL EACH ACCIDENT I51,000,000 OFFICERIMEMBER EXCLUDED? N❑ NIA (Mandnary in NH) E.L. DISEASE - EA EMPLOYEES 1, 000, 000 If ye desaiDe ur,dc DESCRIPTION OF OPERATIONS nelpn EL. DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anach ACORD Iqi, Mdaloml Remvlo Schodule, it more apace is Wquimd) 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 subject to the policy terms and conditions. Grandview Avenue Valves - Phase II HC00214. 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD scarrillo 40354854