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Home My WebLink About109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (31)78 A400RL7 CERTIFICATE OF LIABILITY INSURANCE `� DATE3/2Qt2O2O o3/2a2o2o 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 poliyy(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 endoreement(s). PRODUCER CONTACT NAME,- DsOaStewart, CIC, CISR PHONE (970)266-7149 _ Aro No: (970)5.06-6845 Flood and Peterson - ADDRESS.. PO Box 578 INSURER AFFORDING COVERAGE NAICD Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B : Charter Oak Fire Insurance Company 25615 INSURER C : Travelers Property Casualty Company of America 25674 Hydro Construction Company Inc. INSURER D : Pinnacol Assurance 41190 77 NW Frontage Road INSURER E : INSURER F: Fort Collins CO 80524 COVERAGES CERTIFICATENUMBER: OL/AU/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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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.. ILTR TYPE OFINSURANCE - .. .POLICY NUMBER. _ MMfD MM(D xP _ _ —. _ UMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR PREMISES Me o nce) $ 300•OGO MED EXP one ereon $ 10,000 A DT-CO-BG990899-PHX-20 04/01/2020 04/01/12021 PERSONALBADVINJURY $ 1,00.0.000 GEMLAGGREGATE.LIMITAPPLIES PER: . GENERAL AGGREGATE.. .$ 2000000 , POUCY Ea LOC .. .. _ .PRODUCTS -COMP/OPAGG _ _ $ 21000,000 $ OTHER: AUTOMOBILE LU181LITY COMBINED SINGLE LIMIT Ea accidem $ 1,000,000 BODILY INJURY (Per .person) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS.-. 810-9Lt08491-20.26-G - 04/01/2020 04/01/2021 BODILY INJURY (Per accident) $ - PROPERTY DAMAGE - - Per accident . - - - - - - ------ $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH. OCCURRENCE $ 10,000,00.0 C EXCESSLIAB CLAIMS -MADE CUP-2J400BOA-20.26 04/01/2020 04/01/2021 AGGREGATE $ 10,000,000 DED I X RETENTION It 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOH/PARTNER/EXECUTNE OFFICER/MEMBEREXCLUDED? (Mandatory in NMI N/A 2091550 04/01/2020 04/01/2021 >4 PER OTH- STATUTE ER - E1_EACH ACCIDENT $. 1•00•� -- - -- __ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POUCY LIMIT 1,000,000 S ' DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (ACORD / at, Additional Remerlre Schedule, may be attached If mom apace ie required) RE: #DWRF - Carbon Addition Phase 1 H-WRF-2020-2 Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. City of Fort Collins 300laporte Ave Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THiEIFPIRATION DATE THEREOF NOTICE WILL 13E DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION.. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD