Loading...
HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (22)AGOR Is L� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYYY) 03/20/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE: CERTIFICATE HOLDER. THIS CERTIFICATEDOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THECOVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOTCONSTiTI E A CONTRACT BETWEEN THE ISSUING INSURER(SJ AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED, the policy(iss) must have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER CONTACT NAME: Dana Stewart, CIC, CISR Flood and Peterson PHONE (970);268-7149 F^X. (970) 506-6i845 ADDRESS: DStewart®floodpeterson.com PO Box 578 INSURER AFFORDING COVERAGE hkic e INSURERA: PhoenixlnsuranceCompany 25623 Greeley CO 80632 INSURED INsuRER.B:. Charter Oak Fire Insurance Company - - _ _ .- -- - - 25615 _.__ '-- INSURER c :._Travelers Property Casualty Company of America 25674 Hydro Construction Company Inc. 77 NW Frontage Road INSURER D: Plnnacol Assurance 41190 INSURER E: INSURER F : Fort Collins CO 80524 COVERAGES CERTIFICATE NUMBER: GL/AU/WG/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 POUCYNUMBER MMIDOIY MID P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE- $ 1,000,000 CLAIMS -MADE ® OCCUR PREMISES Eaocanrence $ 300,000 MED EXP An ona am �- $. _10,900 rA - PERSONAL&ADV.INJUflY. _..5. 1,000,000 DT-CO-8G990899-PHX-20 04/01/2020 04/01/2021 .GEN'LAGGREGATEUMrrAPPUES.PER: . GENERAL AGGREGATE $ 2,000,000 POLICY 19 PRE T LOC PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acddent $ 1000,000 BODILY INJURY (Per parson) $ ANY AUTO B OWNED SAUTCHEDULED AUTOS ONLY OS F - 810.9L108491-20.26-G 04/01/2020 04/01/2021 - BODILY INJURY (Per acddanp — $ - - - -- - - PROPERTY DAMAGE Peraccidem $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA UAB OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 C EXCESS UAB CLAIMS -MADE CUP-2J40080A-20-26 04/101/2020 04/01/2021 DIED RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' UABIUTY YIN ANVPROPRIMBR/PARTNER/EXECUTIVE ED (MandaOFFICEtory In NH) EXCLUDED? (Mandatory In NH) N/A 2091550 04/01/2020 04/01/202, PER )< STATUTE E.L. EACH ACCIDENT $. 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If IPTIONescribe under DESCes,RIPTION DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarke Schedule, may be site ehed if more space ie required) Re: DWRF- Grit Chamber Rehabilitation Project 17-01469 H-WRF-2017-17 Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performedby the named insured. City of Fort Collins PO Box 580 Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE YIN Ii DF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD