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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATEACORU® DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03/17/2015 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 NAME: IRA, Inc. - Colorado Division PHONE FAX INC. No, Est): (AC, Net 1705 17th Street Suite 100 Denver, CO 80202 INSURED Nydro Construction Company, Inc. 301 East Lincoln Avenue E-MAIL ADDRESS: denpameimacorp.Com INSURERS) AFFORDING COVERAGE _ I NAIC 0 INSURER A. PHOENIX INS CO (Travelers) I25623 INSURER B: TRAVELERS IND CO OF AMER 25666 INSURER C: TRAVELERS PROP CAS CO OF AMER 25674 INSURER D: PINNACOL ASSOR ,61190 INSURER E : , CnVFRAC.FS CFRTIFICATF NtIMRER• 43280028 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. NISR !ADDL SUER! POLICY EFF POLICY EXP LIMBS LTR TYPE OF INSURANCE POLICY NUMBER ! MMIODNYYY MMA)D/YYYV A Z COMMERCIAL GENERAL LIABILITY IDTC04E251248PIIX15 104/01/15 04/01/16 EACH OCCURRENCE '$ 1,000,000 X 'OCCUR DAMAGCLAIMS-MADE ES(TO RENTED 300,000 PREMISES R NTED nce) E PREMISES X PD Ded: $5, 000 MED EXP (Any we person) I' $ 10,000 PERSONAL a ADV INJURY 1 $ 1,000,000 GENIL AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 _I POLICY X JECT _. _I LOC PRODUCTS -COMPIOP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIAB&M DT8104E216873IND15 04/Ol/15 04/01/16 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED Z PROPERTY DAMAGE $ HIREDAUTOS AUTOS (Par accident) S C IE UMBRELLA LW I E I prCUR DPBWW42216873TILIS 04/01/15 04/01/16 I EACH OCCURRENCE $ 1,000,000 EXCESS lJA6 CLAMS -MADE AGGREGATE $ 1,000,000 DIED I X RETENTION S 10,000 $ WORKERS COMPENSATION D 20915SO 04/Ol/15 X 0{/OS/16 STATUTE ERH AND EMPLOYERS' LIABN7Y YIN ANY PROPRIETORIPARTNEWEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? O NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ 1,000,000 If yes, desrnoa under DESCRIPTION OF OPERATIONS below --! E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom pace Is required) City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. This Insurance i Primary and Non -Contributory on the General Liability Policy subject to the policy terms and conditions. SPTr FNIP, PO S6 - ,eF-2v I/ --Is SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE / Fort Collins, CO 80524 ! i USA l ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD kbulliung 43280028 ACORN® CERTIFICATE OF LIABILITY INSURANCE 003/26/2015 Y) 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 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX AC No: ADDRIE den am®imaco com ADDRESS: P rP• 1705 17th Street INSURERS AFFORDING COVERAGE NAICIs Suite 100 INSURER A: PHOENIX INS CO (Travelers) 25623 Denver, CO 80202 INSURED INSURERS: TRAVELERS IND CO OF AMER 25666 Hydro Construction Company, Inc. INSURERC: TRAVELERS PROP CAS CO OF AMER 25674 INSURERD: PIM MCOL ASSUR 41190 301 East Lincoln Avenue INSURER E : 1 INSURER F: Fort Collins, CO 80524 COVERAGES CERTIFICATE NUMBER: 43360173 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. INSR LTR TYPE OF INSURANCE ADD POLICY NUMBER POLICY EFF MM/DDlYYY POLICY EXP MMIDD/YYYY) LIMBS A X COMMERCIAL GENERAL LIABILITY DTC04B2Sl248PHXIS 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OOCCUR DAMAGE TO RENTED PR MI E Ea occurrence $ 300,000 X MEDEXP (Any one person $ 10,000 PD Ded:0,000 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT FILOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: H AUTOMOBILE LIABILITY DT8104E216873IND15 04/01/15 04/01/16 COMBINED SINGLE LIMIT n $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS IAUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ NON-OWNED HIRED AUTOS % NON -OWNED $ C X UMBRELLA LIAB R OCCUR DTSMCUP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIMB CLAIMS -MADE DED X RETENTION$ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LUIBILITY V I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? FI (Mandatory In NH) N I A 2091550 04/01/15 04/01/16 X PTAT TE ERH E.L. EACH ACCIDENT $ 1,000,000 $ 1,000,000 E.L. DISEASE - EA EMPLOYEE fa describe under DESCRIPTION OF OPERATIONS below $ 1,000,000 E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is 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. I Imm I Iri ,M I C rIVLUCrt t.HIYI,CLLN I IVIY RE: DWRF Digester Lid 611 Replacement Lid Purchase H-WRF-2014-9. 14-01-314 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood St. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD sadie55 43360173 A'C�p�® /l CERTIFICATE OF LIABILITY INSURANCE UATE26/2 /15 03/26/2015 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 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX 4. ExO:. (AIC, No): E-MAIL E-MAIL ADDRESS: denpam®imacorp.com 1705 17th Street INSURE S AFFORDING COVERAGE NAIC# Suite 100 INSURERA: PHOENIX INS CO (Travelers) 25623 Denver, CO 80202 INSURED INSURERS: TRAVELERS IND CO OF AVER 25666 Hydro Construction Company, Inc. INSURER C TRAVELERS PROP CAS CO OF AMER 25674 INSURERD: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER E : INSURER F: Fort Collins, CO 80524 COVERAGES CERTIFICATE NUMBER: 43361065 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. INSR LTR TYPE OF IN ADOL U POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/V LIMITS A X COMMERCIAL GENERAL LIABILITY DTC04E25124SPEX15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OOCCUR DAMAGE TO RENTED PREMISES Ea =urrencel $ 300,000 X MED EXP (Any one person S 10,000 PD Ded:$5,000 PERSONAL 3 ADV INJURY $ 1,000,000 GENII AGGREGATE LIMIT APPDES PER: GENERAL AGGREGATE $ 2.000,000 POLICYEil O. JET LOC PRODUCTS - COMP/OP AGO $ 2,000,000 $ OTHER: S AUTOMOBILE LIABILITY DT8104E2168731ND15 04/01/15 04/01/16 COMBINED SINGLE URIT Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS $ C X UMBRELLALIAB 8 OCCUR DTSMCUP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,000 $ 1 1 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUOED4 N� (Mandatory in NH) NIA 2091550 04/01/15 04/01/16 X STAT T ORH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPL0 $ 1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is required) RE: WTF T3 Sedimentation Basin Improvements Phase 1 - Equipment Pre -purchase, Hydro-WTF T3 Equipment-2014-1. 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. I, MI Iri,M 1G nVL✓CR l,M1Y �.CLLN 11V ly 14-01-354 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE /� Fort Collins , CO 80524 / / ��//< USA �/� © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD sadie55 43361065 Yt2i, n,2N,i2 " A� Ko CERTIFICATE OF LIABILITY INSURANCE I °03/17/22°015Y' 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 NAME: INA, Inc. - Colorado Division PHONE FAX 1705 17th Street Suite 100 Denver, CO $0202 INSURED Hydro Construction Company, Inc. 301 Haft Lincoln Avenue Fort Collins, CO 80524 E-MAIL ADDRESS: denpamLAimaCO - _ ID • cOm _ INSURER(S) AFFORDING COVERAGE - _ _ NAIC INSURERA: PHOENIX INS CO (Travelers) 25623 INSURER B: TRAVELERS IND CO OF AMER 25666 INSURER C: TRAVELERS PROP CAS CO OF ADM 25674 INSURERD: F1MMIIIAM ABSWB 41190 INSURER E : reivrRAAFB CFRTIGICATG MIIYRFD- A17RAn A7 crulainu a111aanCo• 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 ADOLSUBR - --- POLICY EFF ! POUCY EXP LTA TYPE OF INSURANCE POLICY NUMBER MNIDDNYYY MMn) UNITS A Z COMMERCIAL GENERAL LIABILITY IDTC049251248PHX15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 l rZl _ DAMAGE TO RENTED _. CLAl1ASkV10EL _1 _ PREMISES _1 _--LEa occummo 5300, 000 Z FD Dedr$5,000____.__._-_ NED EXP(Any one person) 6 10,000 PERSONAL S ADV INJURY i 1,000,000 G6lL AGGREGATE LIMIT APPLES PER: GENERAL AGGREGATE $ 2,000,000 � � POLICY LOC PRooucrs-CONP/OPAGG s 2,000, 000 OTHER: 6 B AUTOMOBILE LIABILITY DNl04B2168731NDl5 "/01/15 04/01/3.6 COMBINED SINGLE LIMIT It 1,000,000 _ (Eaaccidenl) = ANY AUTO BODILY INJURY (Par pmadn) f _ ALL OWNED SCFEpAFD AUTOS AUTOS BODILY INJURY (Par accKkk* S Z HIRED AUTOS Z AUTOS PROPERTYDAMAGE _ - 3 C Z UMBRELLA LWB Z OOCUN DTHILCUP411216873TIL15 04/01/15 04/01/26 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIIASLMOE AGGREGATE S 2,000,000 OED ' X RETENTIONS 10, 000 $ WORKERS COMPENSATION D AND EMPLOYERs'LUUHLITY 2091550 04/01/1S 04/01/16 = 0114 STATUTE YIN ANY PROPRIETORIPARTNERIEXECUTIM aMIA - E.L. EACH ACCIDENT _ S 1,0 00, 000 OFFICER/MEMBER EXCLUDED? (Mandatory in NMI E.L. DISEASE - EA EMPLOYEFj $ 1, 000, 000 It yes. desal6e under -- ' DESCRIPTION OF OPERATIONS be E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached I mom apace Is required) City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by written contract or agreetment and with respect to work performed by Insured subject to the policy terms and conditions. a.nna.��rs11 Ivn RE: WTF Solids Containment Berme Hydro-WfF Berms-2014-1. 14-01-332 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood St. Fort Collins, CO 80522 USA AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD kbulliung 43280007 1, Rom CERTIFICATE OF LIABILITY INSURANCE 03/17/2015 Y' 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 NAME: 114A, Inc. - Colorado Division PHONE FAX 1705 17th Street Suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue (A/C, No, Eat): (A/C, No): ADDRESS: denpam@imacorp.COm INSURER(S) AFFORDING COVERAGE NAIC a INSURER A: PHOENIX INS CO (Travelers) 25623 INSURER TRAVELERS IND CO OF AMER 25666 INSURER : TRAVELERS PROP CAS CO OF AMER 25674 INSURERD: PINNACOL ASSUR 41190 INSURER E : Fort Collins, CO 80524 1INSURER F: COVERAGES CFRTIFICATF NIIURFR- 43290008 RFVISMTN MIIURFR- 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. IIISR ADDLSUBR POLICY EFF POLICY EXP I TYPE OF INSURANCE LIMITS LTR POLICY NUMBE0. MMXID/YYYY M 1DDNYYY A Z COMMERCIAL GENERAL LIABILITY DTCO4E251248PRX15 '04/01/15 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR I04/01/16 DAMAGE TO RENTED 300, 000 PREMISES (Ea occurrence) $ Z PD Ded:$5,000 MED EXP(Any one Person) $ 10,000 PERSONAL a ADV INJURY $ 1,000,000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY L x I JECT I I LOC PRODUCTS - COMPIOP AGG $ 2,000,000 OTHER: $ e AUTOMOBILE LIABILITY D"10422168732ND15 04/01/15 04/01/16 COMBINED SINGLE LIMIT f 1,000,000 (Ea accident) Z ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per actaki l) It Z X NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ C Z UMBRELLA LIAR X iOCCUR OTSMCUP4E216873TIL15 04/01/13 04/01/16 EACH OCCURRENCE $ 2,000,000 EXCESS LIM CLAIMS -MADE AGGREGATE $ 2,000,000 DED X RETENTION$ 10,000 f D WORKERS COMPENSATION 2091550 04/01/15 04/01/16 ZSTATUTE 'ERR AND EMPLOYER$- LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 B as describe under _ - DESCRIPTION OF OPERATIONS heluw E.L. DISEASE - POLICY LIMIT i 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more span Is 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. V CR I Ir 1\,A I C AV LUCK I,ANI,t LLA I IUN r�f;ervoir : H-RWSR-2015-1 - Ridgen Water Storage SolarBee. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street Fort Collins, CO 80521 USA AUTHORIZED REPRESENTATIVE /Z © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kbull iung 43280008 YSlMIU1M142 IP AC40HU CERTIFICATE OF LIABILITY INSURANCE 03/1 /2015 03/17 /2015 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 NAME: IMA, Inc. - Colorado Division PHONE FAX 1705 17th StrNt Suite 100 Denver, CO $0202 INSURED Hydro Construction Company, Inc. 301 Bast Lincoln Avenue (AIC, No. Ea):EAIL ADDRESS: denpam81macorp.com INSURERS) AFFORDING COVERAGE _ NAIC S INSURER A: PHOENIX INS CO (Travelers) 25623 INSURER B: TRAVELERS IND CO OF AMER 25666 INSURER C: TRAVELERS PROP CAB CO OF AMER 25674 INSURER 0: PIWACOL ASSUR 41190 INSURER E : PAUCCAr-cc PCDTICIPATP MIIIUI A19R0025 loplum r1M MIIYRGR- 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. BM -- TYPE OF INSURANCE ADDL'�SUBR' POLICY EFF POLICY EXP INSO VIVO POLICY NUMBER MUMOlYYYY) 4MMA30NYM I LIMITS A X I COMMERCIAL GENERAL LIABILITY DTC04LE251248PHX15 04/01/15 04/01/16 EACH OCCURRENCE 1,000,000 - _ _ DAMAGE TO RENTED - _S _.l CLAIMS -MADE Z OCCUR PREMISES(Eegccpnenc*)._ S300,000 X PD DBQ:$5,000_ 4 MED EXP(Any one person) _ S 10,000 PERSONAL 4 ADV INJURY ----------- S 1,000,000 LIMIT APPLES PIER: GENERAL AGGREGATE $2,000,000 _OBfLAGGREG_aATE POLICY i Z],� � LOG _ PRODUCTS -COYPIOPArG S 2,000,000 OTHER. $ B AUTOMOBILE LIABILITY DT81043216873IND15 04/01/15 06/01/16 COMBINED SINGLE LIMB (Ea acoeent) - S 1, 000, 000 _ —_ X ANY AUTO BODILY INJURY (Per pera m) S ALL OWNED SCHEDULED - BODILY INJURY (Par aocMarp S AUTOS AUTOS - X X NON -OWNED PROPERTY DAMAGE S HIREDAUTOS AUTOS IFm accident) C X I UMBRELLA LJAB X OCCUR DTBMCUP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 EXCESS LUE CLAIMS -MADE_ AGGREGATE $ 1,000,000 DIED I X I RETENTIONS 10,000 $ D WORKERS COMPENSATION 2091550 04/01/I5 04/O3/16 X PER STATUTE ERH AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N� MIA - (Mandalory In NH) E.L. DISEASE - EA EMPLOYEE T 1,000,000 It yes. descrioe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlfional Remads Schedule, may be atuched it mom space Is 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: Emergency Pipeline Repair Mobilization. City of Fort Collins Attn: Jay Rose 700 wood Street Fort Collins, CO 80521-0000 USA L,ANUCLLA I IUn 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD kbulliung 43280025 i TL P>dnuLnuu! AL OKUW DATE (MMIDD YYYY) `�. CERTIFICATE OF LIABILITY INSURANCE 03/17/2015 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 NAME: INA, Inc. - Colorado Division PHONE FAX (ARC, No, E.O: LAIC No): 1705 17th Street Suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue EMAIL ADDRESS: denpaat(iimacorp.com INSURERIS) AFFORDING COVERAGE NAIC0 INSURERA: PHOENIX INS CO (Travelers) '25623 INSURERS: TRAVELERS IND CO OF AMER 25666 1'25674 INSURERC: TRAVELERS PROP CAS CO OF AMER INSURERD: PINNACOL ASSUR 141190 INSURER E : Fort Collins, CO 80524 (INSURER F. rnVFRAr:F4 rr-RTIPWATF MIIYRFR• 432R0031 RFVISInM NIIIIII 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 I ADOL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M IODNYYY LIMITS A I COMMERCIAL GENERAL LIABILITY DTC04E251248PHX15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 I X I DAMAGE TO RENTED CLAIMS44ADE OCCUR PREMISES (Ea arcurtenr�_. f_300,000 I PD Dedr$5, 000 MED EXP (Any one person) _ _ f 10,000 PERSONAL S ADV INJURY S 1,000,000 GENL AOGREGATE1JM IT APPLIES PER: GENERAL AGGREGATE f 2,000,000 POLICY I ,ECT L, LOC PRODUCTS-COMP/OP AGG $ 2,000,000_ f OTHER B AUTOMOBILE LIABILITY D4810414116673I1ID15 04/01/15 04/01/16 COMBINED SINGLE LIMB f 1, 000, 000 _ LEaa dent __ I ANY AUTO BODILY INJURY (Per perms) S ALL OWNED SCHEDULED BODILY INJURY (Per accd" $ AUTOS AUTOS -PROPERTY - I I NOLWNED DAMAGE $ HIRED AUTOS AUTOS .(Per acudwd) ___ $ C I UMBRELLA UAB Z OCCUR DII"CUPlIE216873TIL15 04/01/15 '04/01/16 EACH OCCURRENCE _ S 1,000,000 EXCESS DAB CLAINISMADE AGGREGATE $ 1,000,000 DED I I I RETENTIONS 10, 000 1 1 1$ D WORKERS COMPENSATION 1091550I 04/01/15 04/01/16 PR I STATUTE ERµ AND EMPLOYERS' LIABILITY YIM - - - -- ---- -- - ANY PROPRIETORIPARTNER*YErATNE E.L. EACH ACCIDENT f1,000,000 OFFICERfMEMBER EXCLUDED? Q MIA - — (MandatorylnNH) E.L. DISEASE -EA EMPLOYEE f 1,000,000 It yes descn under DESCRIPTION OF OPERATIONS bdew E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. AdONbnal Remark. Schedule, may be attached N man span Is requlmd) City of Fort Collins is included as Additional Insured on the General Liability Policy and Automobile Liability Policie if required by written contract or agreement and with respect to work performed by Insured Subject to the policy terms and conditions. lrCRllr Ie.NIC r1VLV LR 1,M11k,CLLMIIVO RE: 7220 Water/Wastewater Treatment 1, Site Infrastructure Design/Construction Contractor. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street Fort Collins, CO 80521-0000 USA AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kbulliung 43280031 7 W P521A102111002 O CERTIFICATE OF LIABILITY INSURANCE DATE (MMI)DIYYYY) 03/17/2015 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. M 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 endorsementfsl. PRODUCER 1-30 IMA, Inc. - Colorado Division 1705 17th Street Suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue PHONE - - ------ -FAX - (AIC, No, Ext): .. __. E-MAIL ADDRESS: den amLAinuscorD co in INSURER(S) AFFORDING COVERAGE__ NAIC e INSURERA: PHORNIX INS CO (Travelers) 25623 INSURER B: TRAVELERS IND CO OF AMER 25666 INSURER_C: TRAVELERS PROP CAS CO OF AMER - 25674 INSURERD: PIMMACOL ABOUR 41190 UISURER E : IFort Collins, CO 80524 (INSURER F: I COVERAGES CERTIFICATE NUMBER: 43280033 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. III IADOL 4OMt POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY DTC04E251248PHX15 04/01/15 04/01/16 EACH OCCURRENCE '$ 1,000,000 CLAIMS MADE X OCCUR DAMAGEPREMISESPREMISES (EaS 300,000 rencej _ X PD Ded:$5,000 NED EXP(Any one person) $ 10,000 PERSONAL 4 ADV INJURY _j$ 1,000,000 GENL AGGREGATE LILT APPLIES PER: GENERAL AGGREGATE 1S 2,000,000 POLICY X1 JPERC- [-I LOC PRODUCTS - COMPlOP AGG $ 2,000,000 OTHER 1 1 $ 8 AUTOMOBILE LL48AM DT8104E2168731ND15 04/01/15 04/01/16 COMBINED SINGLE LIMB S 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per pests) 3 ALL OWNED SCHEDULED BODILY INJURY (Per accJdeM) $ - AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) I 1$ C X UMBRELLA WB X '.00CUR VP8111 P4E216873TIL15 '04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 EWAN LIAR CLAIMS MADE AGGREGATE I $ 1,000,000 DEO X RETENTION$ 10,000 1 1 $ D WORKERS COMPENSATION 2091550 04/01/15 04/OS/16 PER X STATUTE ERH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOPJPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICE RIMEMBER EXCLUDED? aN/A (Mandatory in MR) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 II yes desuihe under DESCRIPTION OF OPERATIONS oebw E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addllonal Remarks Schedule, may be attached If move spaca is required) City of Fort Collins is included as Additional Insured on the General, Automobile, and Excess 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: Michigan Ditch 3/4 Mile Improvements. 11-OS-245 City of Fort Collins Attn: Jay Rose 700 wood Street Fort Collins, CO 80521-0000 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 //& © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kbulliung 43280033 u, N N1 O N rl Lzi7 P3Wk2tlar_ ACORV CERTIFICATE OF LIABILITY INSURANCE Doi/isi2015 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(iss) 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 IMA, Inc. - Colorado Division C NTACT NAME: PHONE FAX C No: E-MAIL denpam2imacOrp•Com ADDRESS: 1705 17th Street INSU S AFFORDING COVERAGE NAILS Suite 100 INSURERA: PHO MIX INS CO (Trawlers) 23623 Denver, CO 80202 INSURED INSURERB: TRAVELERS IMD CO OF A1038 25666 INSURERC: TRAVELERS PROP CAS CO OF A]= 25674 Hydro Construction Company, Inc. INSURER D: PINNACOL ASSOR 41190 301 East Lincoln Avenue INSURER E: ATLANTIC SPSCIALTy INS CO (One Beacon) 271SA INSURER F: Fort Collins, CO 80524 COVERAGES CERTIFICATE NUMBER: 43299292 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. YIlR TYPE Of INSURANCE POLICY NUMBER MIPOLICY EFF POLICY EXP LaMf6 A Z COMMERCIAL GENERAL LIABILITY DTCO4E251248PBE15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FXI OCCUR DAMAGE TO RFNTEff-- PREMISES fEa oau"ros S 300,000 E MED EXP (Any one person) $ 10,000 PD Ded: $ 5, 000 PERSONAL B ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 � LOC POLICY JEa PRODUCTS - COMP/OP AGG S 2,000,000 $ OTHER: B ABToMooLE LIABILITY DT8104Z2168731ND15 04/01/15 04/01/16 COMBINED SINGLE LIMIT accident $ 1,000,000 BODILY INJURY (Par Person) $ Z ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS E E NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident)$ PROPERTY DAMAGE accident) $ $ C E UMBRELLA LIAR Y OCCUR DTSMCOP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAR CLAIMS -MADE DED X ! RETENTION$ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? IN (Mandatory In NH) NIA 2091550 04/01/15 04/01/16 Z STERT OR EL. EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYE $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT $ 1, 000, 000 E IBUILDERS RISK 7100302020005 04/01/15 04/01/16 Per Disaster $15,000,000 I!$5,000 Deductible SPC Form Any 1 Location $15,000,000 -Flood/Earthquake •$1,000,000 Sub -Limit •$25,000 Ded. Team LOC/Transit $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H mom apace Is required) City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P. O. BOX 580 AUTHORIZED REPRESENTATIVE //11��//�� Fort C011ino, CO 80524 / �,//,�/i USA !!ll ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kbulliung 43299292 AC(:> �® IVViR CERTIFICATE OF LIABILITY INSURANCE GATE26/2 /15 03/26/2015 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 NAME: IMA, Inc. - Colorado Division PHONE FAX No. Ext : A/C No): E-MAIL d�pam@imacorp.com ADDRESS: P P•com 1705 17th Street INSURERS AFFORDING COVERAGE NAICN Suite 100 INSURER A: PHOENIX INS. CO (Travelers) 25623 Denver, CO 80202 INSURED INSURER : TRAVELERS IND CO OF AMER 25666 Hydro Construction Company, Inc. INSURER : TRAVELERS PROP CAS CO OF AMER 25674 INSURERD: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER E: INSURER F: Fort Collins, CO 80524 COVERAGES CERTIFICATE NUMBER: 43359879 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. INSR LTR TYPE OF ADDL SUER POLICYNUMBER POLICY EFF MM/DDIYY POLICY EXP MM/OD/V LIMITS A % COMMERCIAL GENERAL LIABILITY DTC04E251248PHX15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE a OCCUR AMA RENTED PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person $ 10,000 PD Ded:$5,000 PERSONAL d ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [�] jRO- � LOG PRODUCTS-COMP/OP AGG $ 2,000,000 $ OTHER: H AUTOMOBILE AUTOMOBILE LIABILITY DT8104E2168731ND15 04/01/15 04/01/16 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 R BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) f X PROPERTY DAMAGE (Per acciden f AUTOS R NON -OWNED AUTOS a C X UMBRELLA LIAR % OCCUR DTSMCUP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE $ 2,000,000 AGGREGATE f 2,000,000 EXCESS LIAB CLAIMS -MADE DED I '4 I RETENTION$ 10, 000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) NIA 2091550 04/01/1$ 04/O1/16 X PER OTH- TATUT R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT If 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space IS 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 perforated by Insured subject to the policy terms and conditions. RE: DWRF - Centrifuge Feed Pump Replacement Equipment Procurement H-WRF-2014-1. City of Fort Collins 700 wood Street Fort 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 //�R © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD sadie55 43359879 Y51,MIIIIW] r ,e C40R" ® DATE (MMIDDIYYYY) L CERTIFICATE OF LIABILITY INSURANCE o3/17i2o1s 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 IHA, Inc. - COloraAo Division PHONE - FAX (A/C. No, E,t): 1705 17th StrNADDDRERE t ED SS: denpamOimlacorp.com Suite 100 INSURER(S) AFFORDING COVERAGE _ _ MAIG0 Denver, 00 80202 INSURER A: PHOENIX INS CO (Travelers) 2SS23 INSURED INSURER B: TRAVELERS IND CO OF AMER _ _ 2_$_666 Hydro Construction Company, Inc. -- - - INSURER C: TRAVELERS PROP CAS CO OF AMER 25674 301 East Lincoln Avenue INSURER D: PINNACOL ASSUR 41190 INSURERE: Fort Collins, CO 80524 1 INSURER F: COVERAGES CFRTIFICATF NIIMRFR• 43279998 RFVlginN NIIMRFR- 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. tMBB TYPE Of INSURANCE ADOL SUBIR --. _ ---- - POLICY EFF POLICY EXP LimPOLICY NUMBER 9MSUOD1YYYY1 IMMMDrfYYYILIMITS A z 00MIt BICIAL GENERAL LIABILITY DTC04E25124SPHXIS 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 ClAIL1S41A0E I z DAMAGE TO RENTED -- ------- 300, 000 j OCCUR PREMISES LEa oCalrrellp�_ _..t S z Pb Ddt$S,000 _ MEDEXP(Ntfaroparaon) 10,000 -. _ PERSONK S ADV SLIM s 1,000,000 GEML AGGREGATE LAST APPLES PER: GENERAL AGGIREGATE S 2,000,000 I� POLICY. l_I LOC PRODUCTS -COLIPIOP AGG S2,000,000 OTHER. $ B AUTOMOBILE LUUIILRY IDT8104E216873IND15 04/01/14 04/01/16 COMBINEDSINGLE LIMIT S 1,000,000 . {Ea awldsnt) _ z ANY AUTO BODILY INJURY (Par p rman) S _ _ ALL OWNED SCHEDULED _ AUTOS AUTOS BODILY INJURY (Par=UftX) S . a HIRED AUTOS z AUTOS ED PROPERTY Par DAMAGE- — $ s C iz UMBRELLA LUIB z OCCUR DfSHCUP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE_ S_. 2,0001000 -- EXCESS LIAR CLAM18441DE AGGREGATE S 2,000,000 DED X RETENTIONS 101000 $ ! WORKERS COMPENSATION = PER OERTW D AND EMPLOYERS* LIABXJTY Y/r 2091550 04/01/15 04/01/16 STATUTE _- ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? a MIA - -- --- - (Ma"MoryinNH) E.L. DISEASE -EA EMPLOYE S 1, 000, 000 If yes dewme uraler -- — — _ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more epace is required) RE: WTF T3 Sedimentation Basin Improvements Phase II -Equipment Installation - Hydro - WTF T3 Equipment - 2014 - 2. 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE ///��� Fort Collins, CO 80521 USA L //,>/j' /�/�/%t ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kbulliung 43279998 nzwazttuez R " Al Rpi CERTIFICATE OF LIABILITY INSURANCE I DATE 17/2(Ml/15 03/17/2015 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 NAME: IMA, Inc. - Colorado Division PHONE FAX INC, No, Ext): (AIC, No): 1705 17th SCIeet E-MAIL ADDRESS: denpam@imacorp.com Suite 100 INSURER(S) AFFORDING COVERAGE NAIC e Denver, CO 80202 INSURERA: PHOENIX INS CO (Travelers) 25623 INSURED INSURERB: TRAVELERS IND CO OF AMER 25666 Hydro Construction Company, Inc. INSURER C. TRAVELERS PROP CAS CO OF AMER _ 125674 301 East Lincoln Avenue INSURER D: PINNACOL ASSUR i41190 INSURER E : Fort Collins, CO 80524 INSURER F: COVERAGES CERTIFICATE NUMBER- 43279999 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 REOUIREMENT, 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 - - 'ADDLISUBR: POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSID Mill POLICY NUMBER MMIDDIYYYY MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY DTC04E251248PHX15 iO4/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 I X I DAMAGE T( RENTED 300, 000 CLAIMS -MADE OCCUR PREMISES Ea occurrence ) 8 X PD Ded: $5, 000 MED EXP (Any one Person) $ 10,000 1 PERSONAL& ADV INJURY_ E 1,000,000 GEWL AGGREGATE LIMIT APPLIES PER: �'' GENERAL AGGREGATE $ 2,000,000 PRO- L. _ILOC POLICY I. x_I JECT PRODUCTS - C_OMPIO_P AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILrrY DT8104E216873IND15 04/01/15 04/01/16 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED. BODILY INJURY (Per accident) 'I $ AUTOS AUTOS No X X PROPERTY DAMAGE $ HIRED AUTOS AUTOS ! (Par accident)!. i8 C j UMBRELLA LIAR X IDTSMCUP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE �$ 2,000,000 EXCESS LIAR SAWS -MADE AGGREGATE $ 2,000,000 DIED X I RETENTION$ 10,000 1$ D WORKERS COMPENSATION 12091550 04/01/15 04/01/16 X STATUTE 'TE-ROTH- ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E L EACH ACCIDENT $ 1,000,000 ! OFFICERIMEMBER EXCLUDED? aMIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE' $ 1,000,000 If yes, descnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT E 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by by written contract or agreement and with respect to work performed by Insured subject to the policy terms & conditions Di SET BNR & Replacement - 2015 Construction F-2015-1. of Fort Collins 700 Wood Street Fort Collins, CO 80521 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014I01) The ACORD name and logo are registered marks of ACORD kbulliung 43279999 h W P53NIU3aM13 b s a�iKlJ� CERTIFICATE OF LIABILITY INSURANCE 03,17,2015D15 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 NAME: IRA, Inc. - Colorado Division PHONE FAX (A/C, No, Eet): (A/C, No)'. 1705 17th Street Suite 100 Denver, CO 80202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue E-MAIL ADDRESS: denpamCAimacorp.com INSURERIS) AFFORDING COVERAGE NAIL s INSURERA: PHOENIX INS CO (Travelers) 25623 INSURERB: TRAVELERS IND CO OF AMER 25666 INSURERC: TRAVELERS PROP CAS CO OF AVER 25674 INSURERD: PINNACOL ASSUR 41190 INSURER E : COVFRAIMPA r:FRTIFIr:ATF NIIMRFR• 43280000 RFVI-glnM NIIMRFR- 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 L;SUBR POLICY EFF ! POLICY EXP - LTN i TYPE OF INSURANCE POLICY NUMBER MMIDDNYYYI i IMMUDDi I LIMITS A X COMMERCIAL GENERAL LIABILITY DlCO&=51248PHX15 104/01/15 I04/01/3-6 EACH OCCURRENCE $ 1,000,000 _ CLAIMS -MADE X., OCCUR DAMAGE TO RENTED _ PREMISES tEa occurtenp,_ -- $ 300, 000 -Z PD Ded:$5,000 ---- MED EXP(Any one Person) $ 10,000 PERSONAL 4 ADV INJURY $1, 000, 000 N'LAGGREGATE LINT APPLES PER: GENERAL AGGREGATE $ 2,000 000 _. _jjI POLICY X PRO l_J LOC PRODUCTS -CONI AGG - $ 2,000 000 _-- OTHER: $ E AOTOMDBILE LIABILITY DS8104E216873IND15 04/01/15 04/01/16COMBINED SINGLE LIMB lEa accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED - SCHEDULED BODILY INJURY (Per accident) $ ._ AUTOS AUTOS Z NON -OWNED E PROPERTY DAMAGE $ _ HIRED AUTOS AUTOS AUTOS IN! accident) $ C X — UMBRELLA LIAR Z OCCUR D MWUP413216873TIL15 04/01/15 04/02/16 EACH _OCCURRENCE $ 2.000,000 EXCESS LIAR MADE AGGREGATE $ 2, 000, 000 X I 10,000 DED RETENTION $ D WORKERS COMPENSATION 2091550 04/01/15 04/01/16 X ATllTE ERA AND EMPLOYERS' LIABNIIY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1, 000, O00 OFFICER/MEMBER EXCLUDED? O MIA --- - ----- (Mandatory El. DISEASE -EA EMPLOYE $ 1,000,000 it Yns, tlnsaibn under DESCRIPTION OF OPERATIONS below__rr - _ - E.L. DISEASE - POLICY LIMIT $ 1,0001000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional RemaAs Schedule, may be allached If more apace Is 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: DWRF SPT ENE and Replacements - Equipment Procurement H-WRF-2014-20. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE ////��//�� Fort Collins, CO 80522 USA ll '/l,�ii // ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kbuIIiung 43280000 PS20 2&)02 AC40R" CERTIFICATE OF LIABILITY INSURANCE 03/17/2015Y1 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 terns 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 NAME: IMA, Inc. - Colorado Division PHONE FAX (ANC, No, E.U: (A/C, No): 1705 17th Street Suite 100 Denver, CO 00202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue E-MAIL ADDRESS: den alniaimaco p rD•c INSURERS AFFORDING COVERAGE NAIC9 INSURER A: PHOENIX INS CO (Trawlers) 25623 INSURER B: TRAVELERS IND CO OF AMER 25666 INSURER C: TRAVELERS PROP CAS CO OF AMER 25674 µSUMRD: PlluihcOL AESUR 41190 )Fort Collins, CO 80524 (INSURER F: ) r:r1VFRArr-q r r-RTIFIr'ATF MIIAIRFR- 4132R0001 RFVIC1r1N NIIYRFR. 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. _ ---� FFOLIC � TYIEOFWSURANCE IA�L,SUBR! INSID MD' POLICY NUMBER YIDDIYYYY MPOLICY in YM S A X I COMMMGAL GENERAL LIABILITY DTC04E251248PHX15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 � X I DAMAGE TO RENTED 300, 000 _ CLMMS4AAOE OCCUR PREMISES (Ea occurrence $ _ TXPD Dads SS, 000 _ MEO EXP (Any one Pewon)_ $ _ 10,000 PERSONAL 4 ADV INJURY $ 1,000,000 $ 2,000,000 OFNL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE POLICY I. z_J,Fo- LOC _ PRODUCTS-COMP/OP AGG $2, 000,000 OTHER: $ B AUTOMOBILE LIABILITY DTE104E2168731ND15 104/Ol/15 -04/01/16 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) BODILY INJURY (Per persan) __ __ ____ $ ALL OWNED SCHEDULED (AUTOS BODILY INJURY (Per accident) $ AUTOS X X NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Par accident) IX $ C (UMBRELLA LIAR X OCCUR DTS ICUP4E216873TIL15 04/01/15 04/O1/16 _ EACH OCCURRENCE _ $ 2.000,000 -I EXCESS LUB CLAIMS -MADE AGGREGATE $ 2,000,000 `DED X RETENTION$ 10, 000 $ WORKERS COMPENSATION D 2091550 04/01/15 04/01/16 XlSTATUTE ER AND EMPLOYERS' LABILITY Y 1 N ANY PROPRIETOPJPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICEPJMEMBER EXCLUDED? a NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEFT $ 1,000,000 11 yes. describe under DESCRIPTION OF OPERATIONS bebw E.L. DISEASE - POLICY LIMIT $ 1,000,000 , i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Ramar is Schedule, may be attached if mom space is 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: 7015 General Pipeline emergency Repair City of Fort Collins 700 wood Street Fort 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. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kbulliung 43280001 P526002aW2 S A (::> ^� DATE 17/2 I15 I�`�`�'^IJ CERTIFICATE OF LIABILITY INSURANCE D3/17/2D15 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 NAME: INA, Inc. - Colorado Division PHONE FAX INC, No, Eat): (AIC, No): 1705 17th Street Suite 100 Denver, Co 80202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue E-MAIL denpam@imacorp.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC C INSURERA: PHOENIX INS CO (Travelers) 25623 INSURERS: TRAVELERS IND CO OF AMER 25666 INSURERC: TRAVELERS PROP CAS CO OF A14ER 25674 INSURERD: PINNACOL ASSUR 41190 INSURER E : COVERAGES CERTIFICATE NUMBER- 43280002 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. INSR iADDL,:SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LIMITS LTR POLICY NUMBER MMIDDNYYY MMIDOrYYYY A X COMMERCIAL GENERAL LIABILITY DTC04E251248PRX15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 300, 000 CLAIMS -MADE ; OCCUR PREMISES (Ea occtmence) S X PD Ded: $5, 000 NED EXP (Any one person) $ 10,000 _ PERSONAL S ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X i JET 1 iLOC PRODUCTS -COMPIOP AGO $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY DT8104E216873IND15 04/01/15 04/01/16 COMBINED SINGLE UMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per acciderd) $ AUTOS AUTOS X X NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS .(Par accident) is C X UMBRELLA LIAR X OCCUR DTSMCUP4E216873TILI5 04/01/15 04/01/16 EACH OCCURRENCE $ 2,000,000 EXCESS LIAR CLAIMS -MADE. AGGREGATE_ $ 2,000,000 DEE) I X I RETENTION$10, 000 $ D V/ORNERS COMPENSATION2091550 04/01/15 OT 04/01/16 X; STATUTE ERµ AND EMPLOYERS' LIABILrrY Y I N ANY PROPRIETORIPARTNERIEXECUTiVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? K MLA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 161, Additional Remarks Schedule, may be attached if more space is 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. CERTIFICATE HOLDER CANCELLATION Linden Outfall. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE / //�� Fort Collins, CO 80524 / /J USA ll / ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD kbulliung 43280002 P53aW3NUJ R A�p�� DATE17/2 /15 IJI� CERTIFICATE OF LIABILITY INSURANCE 03/17/2015 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 NAME: IRA, Inc. - Colorado Division PHONE FAX 1705 17th Street Suite 100 Denver, 00 $0202 INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue (A10, No. r;34 (AJC, No): E-MAIL ADDRESS: _ denpama Pimcorp.com - INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: PHOENIX INS CO (Travelers) 25623 INSURER 8: TRAVELERS IND CO OF AMER 25666 INSURER C: TRAVELERS PROP CAS CO OF AMER 25674 INSURER O: PINNACOL ASSUR 41190 INSURER E : CAVFRArFS CFRTIFICATF NI)MRFR• 43280003 RFVISIDN Nt)MRER- 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. R ADOL,SIIBR LTTYPE OF INSURANCE POLICY NUMBER MINDDIYYYY MMmCY� LIMITS LTR A Z COMMERCIAL GENERAL LABILITY DY004=251248PHX15 104/01/15 04/01/16 EACH OCCURRENCE S 1,000,000 I L J DAMAGE TO RENTED 300,000 _ _ CLAMIS•IMDE OCCUR PREMISES (Ea mcon.nce) $ Z PD DMdr1@15,000 MED EXP(Any one person) S 10,000 PERSONAL&ADV INJURY 3 1,000,000 GEML AGGREGATE UNIT APPLIES PER GENERALAGGREGATE $ 2.000,000 __ POLICY X JE�CT �LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER. I I i H AUTOMOBILE LIABIIJY DS8104=21687321m15 04/01/15 04/01/16 COMBINED SINGLE LIMIT S 1,000,000 _ (Ea accident)__. ANY AUTO BODILY INJURY (Per person) i ALL OWNED SCHEDULEDBODILY INJURY (Per accident) S AUTOS AUTOSD Ix Z PROPERTY DAMAGE S HIRED AUTOS AUTOS 0per amd-1) __ _ - -------- s C Z UMBRELLA LAB Z OCCUR DTSMCUP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE $2,000,000 EXCESS LAB C<AII S# AGGREGATE $2, 000, 000 DEC) X RETENTIONS 10,000 y D WORKERS COMPENSATION 2091550 04/01/15 04/01/16 Z STAPERTUTE ER AND EMPLOYERS LABILITY you YIM --- ANY PROPRIETORIPARTNERIEXECIRNE El EACH ACCIDENT $ 1,000,000 OFFiCERIMEMBER EXCLUDED? 1❑MIA - UandalorylnNH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 sa It yes dalbeuMer DESCRIPTION OF OPERATIOKSbd. _._. --- - E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VENIC{l8 (ACORD 101. Additional Remarks Schedule, may be Mlaalred N man Waco Is required) RE: DWRF SPT ISM and Replacements - Demolition Phase # H-WRF-2014-915. 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. ULKIll ICAIt KULULK GANGGLL.AI IUN 15-01-362 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521 USA c`1111 �a//��////�� //., � 61988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kbulliung 43280003 I, u. N M O