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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (32)ACORV CERTIFICATE OF LIABILITY INSURANCE `.� DA0'M oom 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(ies): must have ADDITIONAL INSURED provisions or be"endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an eruforsemen . A statement on this certificate does not confer rights to the certificate holder -in lieu of such endorsement(s). PRooucEFCONTACT i NONE: Dana Stewart, CIC, CISR PHONE .. (970) 266-7149. - _ - -He . -(970) 506.6845 go, EX0 Flood and Peterson.._ ADDRESS: DStewart®600dpeterson.com - PO BOX 578 INSURER AFFORDING COVERAGE NAIC If 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 Corriparry Inc. 77NWFrontageRoad -INSURERD:. FinnacofAs$tirance _ -.---_ -- - _ - 41190 INSURER E: INSURER F,: Fort Collins CO 80524 COVFRAnFR CERTIFICATE NUMBER- UL/AuNVUlAb xaZl 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 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 PAIDCLAIMS. INSR LTR TYPE OF INSURANCE g POLICY NUMBER PMRJ M P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR PREMISES Eaocawnence $ 300,000 MED EXP onePerson) $. 10,000 A DT-CO-8G990899-PHX-20 04/01/2020 04/01/2021 - - - -- I PERSONALBADV.INJURY. _ 1'000;000 $. 1 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POUCV ® JET LOC PRODUCTS - COMP/OP AGG $ 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 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 810.9L108491-20-26-G 04/01/2020 04/01/2021 9001LV INJURv (Pei eccldeM) - _$. $ PROPERTY DAMAGE Per accident $ Xi UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 10,000,00.0 C EXCESSLIAB CLAIMS -MADE CUP-2J4008OA-20-26 04/01/2020 04/01/2021 AGGREGATE.. $ 10,000:000 _ OED .RETENTION $. 10,000 - $ _. _ - -_ D WORKERS COMPENSATION"-- - EM AND PLOYERABI S' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? EKIN/A (Mande" in NH) 2091550 04/01/2020 04/01/2021 PER OT H- STATUTE E E.L. EACH ACCIDENT $ 1.000,OOD EL DISEASE - EA EMPLOYEE $ 1,000,000 It Yes, describe under DESCRIPTION OF OPERATIONS balm____ __ _ _.. -__ __ __—_E_L DISEASE- POLICv.LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may M attached if more Spam is required) Project: DWRF - NPT Blower HVAC Replacement H-WRF-2019-07 - DWFiF; 3036 Environmental Dr. Fort Collins CO, 80524 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. CFRTIPICATF N01-nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE. WfTH THE POLICY PROVISIONS. 300 Laporte Ave AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 S'�WU,1d(,.p(iypO 01.988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2916/03) The ACORD name and logo are registered marks of ACORD