HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (124)A� OF CERTIFICATE OF LIABILITY INSURANCE
DATE //2019 Yj
03/25/25019
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 have ADDITIONAL INSURED provisions or 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
CONTACT Dana Stewart, CIC, CISR
NAME:
Flood and Peterson
A/CNN Ext . (970) 266-7149 Fvc Na : (970) 506-6845
PO Box 578
E-MAIL DStewart@floodpeterson.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Phoenix Insurance Company
25623
Greeley CO 80632
INSURED
INSURER B : Charter Oak Fire Insurance Company
25615
Hydro Construction Company Inc.
INSURER C : Travelers Property Casualty Company of America
25674
INSURER D : Pinnacol Assurance
41190
77 NW Frontage Road
INSURER E :
INSURER F :
Fort Collins CO 80524
COVERAGES CERTIFICATE NUMBER. GL/AU/XS/WC x4/2020 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
ADDL
SUBIR
POLICY EFF
POLICY EXP
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MM/DD
MM/DDfY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
®OCCUR
DAMAGE TO RENTE5_
300,000
CLAIMS -MADE
PREMISES Ea occurrence
5
10,000
MED EXP (Any one person)
$
1,000,000
A
Y
DT-CO-8G990899-PHX-19
04/01/2019
04/01/2020
PERSONAL&ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRO-
PRODUCTS - COMPIOP AGG
2,000,000
S
POLICY JECT LOC
S
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident
g 1,000,000
BODILY INJURY (Per person)
S
ANY AUTO
B
OWNED SCHEDULED
Y
810-91-108491-19-26-G
04/01/2019
04/01/2020
BODILY INJURY (Per accident)
S
AUTOS ONLY AUTOS
PROPERTY DAMAGE
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Per accident
S
UMBRELLALIAB
X
OCCUR
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
C
EXCESS LIAB
CLAIMS -MADE
Y
CUP-2J40080A-19-26
04/01/2019
04/01/2020
DED I RETENTION $ 10,000
$
WORKERS COMPENSATION
X
AND EMPLOYERS' LIABILITY YIN
STATUTE ER
E. L. EACH ACCIDENT
1,000,000
$
D
ANY PROPRIETOR/PARTNER/EXECUTIVE
El
NIA
2091550
04/01/2019
04/01/2020
1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
E-L. DISEASE - EA EMPLOYEE
$
If yes, describe under
1,000,000
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Project #: 18-01-516
S C P-WTF-HydroX ing3032218
WTF Construction Road Drainage Crossing
City of Fort Collins is included as Additional Insured on the General, Automobile, and Umbrella Liability Policies if required by written contract or agreement
and with respect to work performed by Insured subject to the policy terms and conditions.
ELM ai's In a L9GIts �1111aPJN93i �• •
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
700 Wood Street
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80521
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD