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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (21)ACORV CERTIFICATE OF LIABILITY INSURANCE (Vi -. - DATE (MLVDDIYYYY) 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: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must have ADDITIONAL INSURED provisions or be endorsed. it 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 u02 Dana Stewart, CIC, CISR Flood and Peterson IAIC. No PHONE.EXII, (970) 266.7149 A/C No :. FAX (970) 506.8845- --. -- PO Box 578 ADDRESS:- DStewart0800dpeters6n.cor INSURER AFFORDING COVERAGE NAICD 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 77 NW Frontage Road INSURER D: Pinnacol Assurance 41190 INSURER E :. .INSURER F:. Fort Collins CO 80524 Cr1VFRAnFS CERTIFICATE NUMBER- Livnu/Inc/Ab xarzi 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. I�TR TYPE OF INSURANCE AUM j MUM POLICY NUMBER MMIDD/YY MMIDD/YY LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE. $- 1000000 - _ CLAIMS-MADOCCUR E ® PReane EMISES Ea once $ 300-000 MED EXP one -pion $ 10,000 A Y DT-CO-8G990899-PHX-20. 04/01/2020 04/01/2021 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ®Ea LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 - $- - OTHER: AUTOMOBILE LIABILITY - --- -- _ -- - - - - COMBINED SINGLE UMIT Ea accident - g 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y 810-9L108491-20-26-G 04/O7/2020 04/01/2021 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident) $ It UMBRELLA LIAR OCCUR -_ _ _. _. - . - - .EACH OCCURRENCE $ 10,0001000 ..CLAMS AGGREGATE - $ 10,000,000 C EXCESS LIAS -MADE. CUP-2J4008OA-20-26 04/01/2020 04/01/2021 _ MED. RETENTION-$ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS- LIABILITY ANY PROPRIETOR/PARTNEIVEXECUTIVE ❑Y YIN OFFICEAIMEMBEREXCLUDED? (Mandatory in NH) N/A 2091550 04/01/2020 04/01/2021 PER OTH- ER E.L. EACH ACCIDENT $ 1'�'000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 It Yes. describe under DESCRIPTION OF OPERATIONS below - - -.- .. _. -.E.L. DISEASE- POUCY.LIMIT $ 1,000�000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD tot, AddlUonal Remarks Sehedub, may be attachedi} mo sebad re epar:a Is required) RE: 8286 Construction Contractor for Projects at the Water & Wastewater Treatment Facilities. The City of Fort Collins, its officers, agents and amp loyees are included as Additional Insured,on the.General and Automobile Liability: Policies as required by written contract or agreement and with respect to work performed by Insured subject to. the policy terms and conditions. The Insurance evidenced by this certificate will not reduce coverage or limits and will not be cancelled; except after thirty (30) days written notice has been received by the City of Fort Coiling. . SHOULD _ ._- ..OULD ANY OF . .. THE ABOVE DESCRIBED POLICIESBE CAN_C. EIII ED.BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THEPOUCY PROVISIONS.. PO BOX 580 Fort Collins CO 86522 Lni Tyss-zuTs wwnu �Onrunwt wn. Au ngms reservea. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD