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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (106)M.12W12 Q ^ / , 0 A� v CERTIFICATE OF LIABILITY INSURANCE °08/2 /2 4 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 certHlcate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 Bast Lincoln Avenue Fort Collins, CO 80524 PHOENIX INSURERS: TRAVBLBRS PROP CAS COlOF ANBR _—— -- INauRFRe- PINNACOL ASSUR I61190 COVERAGES CERTIFICATE NUMBER 41291129 RFVISION NIIMRFR- THIS IS 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIE 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. I TYPE OF INSURANCE ADIR. SUER YYY POUCYEFF I YMNDY EXi LTR POLICY NUMBER nljc LAWS A GENERAL LIABam DTC04E251248PBX14 04/01/1 04/01/15 EACH OCCURRENCE $ 1,000,000 x COMMERCNLGENERAL_LIABILITY DAMAGE TO RENTED PREMISES(Eaocwnencel__$3 300, 000 x l $ 10,000 _ CWMS-tMDE I OCCUR MED EXP(My wePeuan) x PD Ded:$5,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 LIMIT APPLIES PER: GENL AGGREGATEROD PUCTS - COMP20P AGG_(s2,000,000 s 2, 000, 000 IPOLICY I G_ EP F-I I LOC I > B AMOMOSAE LJA M W8104E216873TIL14 COMBINED SINGLELIMIT (Ea agfaeml_- _ _ 1, 000, 000 $__ $ x ANY AUTO BODILY INJURY(Per Pwadn) ALL OWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY Pe, acadenl ( I 3 x x NON-0WNED _ PROPERTY DAMAGE __ — HIRED AUTOS — AUTOS (Per arrienml f $ B x UMBRELLA LAB x OCCUR DSSICITME218873TIL14 04/01/11 04/01/15 EACHOCCURRENCE f 2, 000, 000 EXCESSLAB CWMS-MADE s2, 000, 000 MD x I RETENTION 10,000 _AGGREGATE Is D WORK ERSCOMPENSATION 2091550 04/01/1 04/01/15 WC STATU- I OTH- x AND EMPLOYERS' LABILITY YIN —. TORY.LIMIT$ ANY PROPRIETORIPARTNER)EXECUTNE OFFICERIMEMSER EXCLUDED? [Nj] NIA EL EACH ACCIDENT L1, 000, 000 - E L. DISEASE - EA EMPLOYEE -- - 1, 000, 000 isylaensds" in NH) DESGRIP�TO OF OPERATIONS Eebw E.L.DISEASE - POLICY LIMIT I$ _$ _ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (UIach ACORD 101. Addlidwed Rsmwks Schedule, It mere span is rF9ulrW) City of Fort Collins is included as Additional Insured on the General and Automobile Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. Upper Butte Stockwell and Soler Pump H-WRF-2014-11. of Port Collins 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. n ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD njonee2014 41291129 All A.hs......v.A