HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (20)ACORO® CERTIFICATE OF LIABILITY INSURANCE
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1 03/20/2020
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 polfcy(iss) 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(a).
PRODUCER
CONTACT
NAME: Dana Stewart, CIC, CISR -
Flood and Peterson
PHONE Earl, (970) 266-7149 AIC No ; (970) 506.6845
PO Box 578
E-MAIL DStewart®floodpeterson.com
ADDRESS:
INSURERS AFFORDING COVERAGE.
NAIC 0
Greeley CO 80632
-INSURER A:. PhoenixInsurance Company -
25623
INSURED
msuRER e : Charter Oak Fire Insurance Company
25615
Hydro Construction Company Inc.
.INSURER C : Travelers Property Cis_ualty Company of America -
'25674
77 NW Frontage Road
.INSURER D.: Pi"nacbl Assurance— - - - -
41190'
INSURER E :
INSURER F:-
Fort Collins CO 86524
COVERAGES CERTIFICATE NUMBER? GUAU/WC/XS x4/21 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. _
TYPE OF INSURANCE
I
POLICYNUMBER
ARI D
Y EXP
WDD
LIMITS
IA COMMERCL GENERAL UABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE ® OCCUR
PREMISES Ee occurrence)$
300,000
MED EXP one mon
$ 10,000
rA
.PERSONAL&ADV.INJURY
,$_ 1,006000
DT-CO.8G990899-PHX-20
04/01/2020
04/01/20,21
GEN'LAGGREGATE UMITAPPUES PER:
GENERALAGGREGATE
$ 2,000,000
POLICY [9 JEo- LOC
PRODUCTS -COMP/OP.AGG
$ 2,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1000,000-
BODILY INJURY(Per person)
$
ANY AUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
-
810-9L108491-20.26-G
04/01/2020
04/01/2021
BODILY INJURY (Per accident)
- - -- - - -
$ - -
-
PROPERTY DAMAGE.
Per accident
'$ - -
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
C
EXCESSLIAB
CLAIMS -MADE
CUP-2J40080A-20-26
04/01/2020
04/01/2021
DED RETENTION $ 10.000
1
1
1$
D
WORKERS COMPENSATION
ANDEMPLOYERS'UABIUTY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEMBEREXCLUDED't
(Mandatory in NH)
N/A
- _._._ -.. -... -. -.
2091550
_. _. -.-
04/01/2020
_.. -.
04/01/2021
_<T$ERTE .. .ERN
-
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
It Ves, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -.POLICY LIMIT
$ 1,000,000
DESCRIPTION OF dPERATONS / LOCATIONS / VENICLES (ACORD 101, Additional Remarks Schedule, may be attacMU if more space is required)
RE: WTF Replacement - Support Services; JobASCP-WTF-HydroFall17'
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
THE F-XPIRATION DATE THE k0F, NOTICE.WfL L BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522 S'�dlt
ACORD CORPORATION. All rinhta reserved,
ACORD 25 (2016/03) . The ACORD name and logo are registered marks of ACORD