No preview available
HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (108)A� De CERTIFICATE OF LIABILITY INSURANCE DATEIYYDWTYYY) u/1o/zou 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(las) 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 endorsemen s . PRODUCER 1-303-534-4567 IHA, Inc. - Colorado Division CONTACT NAYS: PHONE FA% WC xe Enk INC No]: 1705 17th Street suite DRESS; denpas0imacorp.com Denver,, CO BOaOa INSURERIS) AFFOROING COVERAGE NAICi INSURERA: PHOENIX INS CO (Travelers) 25623 INSURED INSURERS: !FRAVHLBRS PROP CAS CO OF ANHR 25676 Hydro Conetructlon Company, Inc. INSURER C: PINNACOL ASSOR 41190 INSURER O: 301 Bast Lincoln Avenue INSURER E: Port Collins, CO 00524 IXSURE0. F: COVERAGES CERTIFICATE NUMBER: 42069953 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 RAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPEOFDLSURANCE ADDL SO POLICY NUMBE0. UUD YEFF YIDDR'YYY LIMITS A GENERAL UJUNUTY LYP00611251268PE116 04/0111 04/01/15 EACH OCCURRENCE S 1,000,000 E COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea ocwrt. f 300, 000 CLAIMS -MADE El OCCUR MED EXP(AI one Perron) $ 10,000 PERSONAL S ADV INJURY f 11000,000 Z PD Dedl$5,000 GENERAL AGGREGATE $ 2,000,000 GENLAGGREGATEUMITAPPUESPER: PRODUCTS - COMPIOP AGO $2,000,000 $ PRO LOG POLICY M JECT a AUTOtlOBILE IIABILnY DTB10sS216873TIL16 COMBINED SINGLE LIMIT Ea acd t 11,000,000 BODILY INJURY (Pro Resent $ E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Pa awdenl) f PROPERTYDAMAGE Per acnMenl f NONOWNED E MIRED AUTOS E AUTOS f B E UYBREJUA ULe N OCCUR DSNCDP6R216873TIL14 06/01/1 04/01/15 EACH OCCURRENCE $2.000,000 AGGREGATE s 2.000,000 EXCESS Lute CLAWS -MADE DED I E I RETENTION 10, 000 f C INORNERSCOMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOWPARTNERIEXECURVE YIN OFFICE"EMBER EXCLUDED? � NIA 2091550 06/01/1 04/011/15 X WCSTATU- OTH- ER E.L. EACH ACCIDENT f 1,000,000 E.L.DISEASE-EAEMPLOYEE f 1,000.000 (MeIMMOry In NH) DSaCReIROMN wOIf RATION OeIow E.L. DISEASE - POLICY LIMIT i 1, 000, 000 DESCRIPTION OF OPEMTION3I LOCATION3I VEHkUS PLLUcO ACORD 101, AddXMnM Rmwree SOMOUM, tt more eqw le rpube0l City of Fort Collins in 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. NNRP East Gate Relocation - Peace E Demolition of Fort Collins Wood Street Collins, CO 80526 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 sees—, 42069953 m z W Jb1UE A b H CERTIFICATE OF LIABILITY INSURANCE D"ioizai2o014 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: N the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 endomement(s). PRODUCER Commercial Lines - (800)-332-9256 Wells Fargo Insurance Services USA, Inc. 90 S. Cascade Ave, 2nd Floor CONTACT Andrea Wright PHONE FAX W6. No EM): 719-577-5344 (AID No): "DRESS: andrea.wright@wellsfargo.com INSURER(Sl AFFORDING COVERAGE NAIC 0 Colorado Springs, CO 80903 INSURER A: Continental Casualty Company 20443 INSURED Paonia, Inc. d/b/a Paonia. LLC 5930 Paonia Court INSURER B: Cincinnati Indemnity Company 23280 INSURERC: Pinnacol Assurance Company 41190 INSURER D: INSURER E: Colorado Springs, CO. 80915 INSURER F : COVERAGES CERTIFICATE NUMBER: 8339461 REVISION NUMBER: See below 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 LTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF MMn)DIY1'YY) POLICY EXP IMMJDDIYYYYI LIMITS q X COMMERCIAL GENERAL LUMH RY CLAIMS-MADErx] OCCUR X 5088720629 10/27I2014 10/27/2015 EACH OCCURRENCE DAMAGE TO RENTED PREMISE�Ea occunence $ 1.000000 $ 100000 NED EXP (Any one Person) $ 5,000 PERSONAL & ADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [K] JEGT LOC GENERAL AGGREGATE & 2,01�0.0(X) PRODUCTS -COMPIOP AGG S 2,"OXI Pollutiw $ 1'".000 OTHER: B AUTOMOBILE LIABILITY EBA0216312 10/27/2014 10/27/2015 COMBINED SINGLE LIMIT LEa &xWenO $ 1 000000 X BODILY INJURY (Per person) $ ANY AUTO - — - ALL OWNED SCHEDULED AUTOS AUTOS er eraaltled BODILY INJURY( ) (P S XdHIRED X NON -OWNED AUTOS AUTOS PReOPERTY Menl DAMAGE $ _ $ A X UMBRELLA LIAR % OCCUR 5088720632 10/27/2014 10/27/2015 EACH OCCURRENCE $ 2,(X0,000 AGGREGATE $ 2=,000 EXCESS LIMB CLAIMS -MADE DELI I X I RETENTIONS 10,000 $ C WORKERSCOMPENSATWN AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N NIA 4126955 01/01/2014 01/01/201$ % PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1000,000 E.L. DISEASE - EA EMPLOYE $ 1000,OW (Mandatory In NH) It yes, dewrlbe under OF OPERATIONS below E.L. DISEASE -POLICY LIMIT f 1 000 OM A Equipment Leased & Rented 5088720629 t0Yt7/2014 10/27/2015 $600,neo DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101, Addldemi Remarks ScMduls. may W aUa d it mom aew Ie requlmd) City of Fort Collins is named as an Additional Insured with respect to the General Liability. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 700 Wood Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521 'AUTHORIZED REPRESENTATIVE ------ The ACORD name and loao are reaistered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights ranamad_ ACORD 25 (2014/01) I III III II I IIII II111111111111II I I III 11111111111 II 11111111111111111111 II 1111 .cveoaezNe000a,rovlzrorn�an.