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