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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (30)A� & CERTIFICATE OF LIABILITY INSURANCE E (MMMWYYYY) °"'03/20/2020 o3/zb/zbzo 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 THEPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:0 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 corder rights to the certificate holder in lieu of such endorsemerd(s). PRODUCER Flood and Peterson PO BOX 578 Greeley CO 80632 CONTACT NAME: Dana Stewart, CIC, CISR PHONE (970) 266-7149 Arc (970) 506-6845 ADDRESS: DStewart®floodpeterson.com INSURER AFFORDING COVERAGE NAIC t. INSURER A: Phoenix Insurance Company 25623 _ INSURED Hydro Constriction Company Inc. 77 NW Frontage Road Fort Collins CO 80524 .INSURER a : _ Charter Oak FireIfl_SUfan00 Company - - 25615 INSURER C: Travelers Property Casualty Company of America 25674 INSURER D : Pinnacol Assurance 41190 INSURER E INSURER F: COVFRAGFS CERTIFICATE NUMBER: GUAU/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 FiEOUIREMENT, 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. LTR . TYPE OF INSURANCE I POLICY NUMBER M1 D PM D P LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 CLAIMS -MADE ® OCCUR PREMISES Eaccc rren a 300,000 MEDEXP one arson $ 10,000 _ I A DT-CO-8G990899-PHX-20 04/01/20120 04/01/2021 .PERSONAL &ADVINJURY .$ 1.000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY [9 jECT ElLOC PRODUCTS-.COMP/OP AGO -$ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 BODILY INJURY (Per Person) $ ANY AUTO g OWNED SCHEDULED AUTOS ONLY AUTOS, 810-9L108491-20.26-G - 04/01/2020 - 04/01/2021 BODILY INJURV(Peraccident) $ PROPERTY DAMAGE Pet acddent) $ HIRED NON -OWNED HIRED AUTOS ONLY - AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS LIAB CLAIMS -MADE CUP-2J40080A-20-26 04/01/2020 04/01/2021 AGGREGATE $ 10,000,000 DED RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' L'ABILITY YINSTATUTE. ANY PROPRIETORIPARTNERIEXECUTNE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 2091550 04/01/2020 04/01/2021 PER OTH- ER - E.LEACHACCIDENT $ 1-,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 Ityes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (ACORD 101, Additional Remarba Schedule, may be amahed If more apace is required) RE: 18-01.479 DWRF - Dewatering Centrifuge Procurement; Job#H-WRF-2017-18 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. City of Fort Collins PO BOX 580 Fort Collins CO 80522 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 i 915 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD