HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION - INSURANCE CERTIFICATE (6)gP]SNU2alu3
L _
R A CERTIFICATE OF LIABILITY INSURANCE oa o3';2°° SY"'
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 pollcy(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 endorsementfs).
PRODUCER ivua-oa+-vv,
NAYS:
IY11, Inc. -Colorado Division
PHONE
FAX
WC. No):
1705 17th Street
EjlpppE :
deapsm0imacorp.con
Suite 100
Denver, CO 80202��
WWREMA COVERAGE
NAICS
INSURER A:
FnomIZ nr8 Co (Trawlers)
25623
INSURED
INSURER B:'MVELMM
PROP Cab CO OF AMM
25674
Hydro Construction Company, Inc.
INSURER C :
PnOtACOL A88DE
41190
301 East Lincoln Avenue
INSURER D:
INSURER E:
Fort Collins, CO 80524
..
INSURER F
PnVCDAGCe PCOTICIPATC MIIMRCR• A1e66Rei Dr-InA r1M MIIMRCR•
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.
ILISR AOOL hA POLICY EFF POLICY EAP UNITS
OF INSURANCE POLICY NUMBER Y M
nUDDIYYMA
GENERAL LIABILITY
DTCO4E251248PHZ14
04/01/1
04/01/15
EACH OCCURRENCE
f 1,000,000
Z COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTrD_
PREMISES Ea owunence
f 300, 000
CLAWS -MADE a OCCUR
MED EXP (Anarea penwn
$ 10, 000
PERSONAL S ADV INJuav
S 1, 000, 000
Z PD Ded:$5,000
GENERAL AGGREGATE
$2,000,000
GEHL AGGREGATE LIMIT APPLES PER
PRODUCTS - COMPIOP AGG
$2,000,000
f
ICYFil PRO Lac
E
AOSOYOBLILIMLlrY
DT8304H216873TIL14
04/101/1
04/01/15
COMBINED SINGLE LIMIT
1,000 000
BODILY INJURY (Per Palmn)
f
ANYAUTO
BODILY INJURY (PW Wrdd"
f
ALL OWNED SCHEDULED
AUTOS AUTOS
PROPERTY DAMAGE
(Per wadlent)
f
HIRED AUTOS E NON -OWNED
AUTOS
f
8
Z
UYBRELLl1LIAR
Z
OCCUR
DMOCUP49216873TIL14
04/01/1
04/01/15
EACH OCCURRENCE
f 2,000,000
AGGREGATE
f 2,000,000
EXCESS LIAR
CLAIMS -MADE
DEO Z RETENTION 101000
f
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE Y 1 N
OFFICERMEMBER EXCLUDED? Q
(Mandatary In NH)
NIA
2091550
04/01/1
04/01/15
Z WC STATU- I OTH-
El. EACH ACCIDENT
f 1, 000, 000
E.L. DISEASE - EA EMPLOYE
S 1, 000, 000
E.L. DISEASE - POLICY LIMIT
S 1, 000, 000
II dB a" irft
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AKach ACORD 101, Aedalonal Renarks Schedule, N more apace la required)
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.
RE: Linden Outfall.
City of Fort Collins
700 wood Street
Fort Collins, CO 80524
ACORD 25 (2010/05)
kbulliung
42966993
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 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD