Loading...
HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (18)Yc3Un31nro CERTIFICATE OF LIABILITY INSURANCE °12/29/2014 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(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 INA, Inc. - Colorado Division NAME: PHONE FAX INC. No, EMI: INC, Nol: 1705 17th Street E-MAIL av den {eimacorp.com ADDRESS: D Suite 100 Denver, CO 00202 INSURER(S) AFFORDING COVERAGE NAIL/ INSURER A: PHOENIX INS CO (Travelers) 125623 INSURED INSURER B: TMVELERS PROP CAS CO OF AHER I25674 Hydro Construction Company, Inc. INSURER C: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER D: Port Collin., CO 80524 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 42554372 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, �ADOLISUBRI ILm TYPE OF INSURANCE POLICY NUMBER I MMIDBY11F NMIODIYY'YY LIMBS A GENERAL LIABILITY DTC04E251248PHX14 04/01/24 04/01/15 EACH OCCURRENCE $ 1,000,000 It COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED DAMAGE $ 300, 000 I CINMS-MADE I X IOCCUR E. occu..) MED EXP(My one Person) $10,000 X PD Ded:$5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMPIOP AGG $ 2, 000, 000 POLICY I X I PRO i !LOG $ B AUTOMOBILE LIABILITY M81 HLE216873TIL14 04/01/14 04/01/15 COMBINED SINGLE LIMIT (Ea acWenl) $1,000,000 X iANYAUTO BODILY INJURY (Per pensmn) S ALLOWNED (SCHEDULED UTOS AIRED BODILY INJURY (Per m ouenl) $ % NONAWNED PROPERTY DAMAGE $ HIREO AUTOS % I AUTOS (Peraccd.m) I IS B % (UMBRELLA LIAR OCCUR DSNCUP4E216873TIL14 04/01/14 04/01/15 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS -MADE IXI AGGREGATE $ 2,000,000 DED I X I RETENTION $10, 000 $ C WORK ERSCONPENSAT'ON 2091550 04/01/14 04/01/15 X WC STATU-I OTH-I AND EMPLOYERS'LIABILIT'YYIN TORY LIMITS I ER ANY PROPRIETOWPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFIOERIMEMBER EXCLUDED? ❑ NIA (Monosson, In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 I$ 11000,000 DESCRIPTION OF OPERATIONS bebw EL DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Aft ch ACORD 101, Aednonal Elements SLNesnir, if more specs Is isqulre n 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. IIWRF SPT BNR and Replacements aipeent Procurement H-WRF-2014-20. tv of Port Collins Wood Street ' Collins, CO 80522 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 //(/1 USA © 1988-2010 ACORD C ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD .adie55 42554372 W