HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (33)ACOR" CERTIFICATE OF LIABILITY INSURANCE
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DATE(MMroD/Y"""
1 03/20/2020
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 COVERAGEAFFORDED 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* H the cerfifieate-holder is an ADDITIONAL INSURED,- the policy(tes) 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 endorsement(s).
PRODUCER
NCONTACT AME:.. _ Daha Stewart, CIC, CISR _
Flood and Peterson
- _ .- - FAX AIC.No : (970) 506-6845
PHONE (970) 266-7149
PO Box 578
ADDRESS: DStewart@floodpeterson.00m
INSURER AFFORDING COVERAGE
NAIC0
INSURER A: Phoenix Insurance Company
25623
Greeley CO 80632
INSURED
INSURER B : Charter Oak Fire Insurance Company
25615
Hydro Construction Company Inc.
�fJ6UgEp c Tra3elers Property' Casualty Company, of America
25674
77 NW Frontage Road
INSURER D : Pinhacol Assurance - — -- -- _ -
_ 41190 -_
INSURER E :
Fort Collins CO 80524
INSURER F:
COVERAGES CERTIFICATE. NUMBER: GUAU/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. NOTWITHSTANDINGAHY 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 ALLTHE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Lm
TYPE OF INSURANCE
uumiPWDO
POUCY.NUMBER
MWDWYV
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH. OCCURRENCE
$ 1,ODO,000
CLAIMS -MADE ® OCCUR
PREMISES Ee occurrence
$ 300,000
MED EXP oneperson)
$ 100.DD
- - - -
,PERSONAL &ADVINJURY _
.$ 1,000,000
A
DT-CO-8G990899-PHX-20
04/01/2020
04/01/2021
GEN'LAGGREGATE LIMITAPPUES PER:
GENERALAGGREGATE
$ 2,000,000
POLICY-® JECT 7 LOC
PRODUCTS -.COMP/OPAGG
$ 2.000,000
$
OTHER:
AUTOMOBILE
- LIABILITY
COMBINED SINGLE LIMIT
e accideml
$ 1,000,000
BOOILY INJUR_Y(Perre—mw)
$ _
ANY AUTO
g
OWNED SCHEDULED
810-9L108491.20-26-G
04/01/2020
04/01/2021
BODILVINJURY(Paraccideni)
$
AUTOS ONLY AUTOS
PROPERTY DAMAGE
$
HIRED - NON -OWNED
AUTOS ONLY AUTOS ONLY
Per ccident
$
UMBRELLA LIAB
-
OCCUR
EACH OCCURRENCE
10,000,000
$
-
.AGGREGATE.
$ 10=000
C
EXCESS UAS
,CLAIMS -MADE.
CUP-2J40080A-20-26
04/01/2020
04/01/2021
DIED I X RETENTION $
$
WORKERS COMPENSATION
PER OTH-
ANDEMPLOY sLIABuTY YIN
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
D
ANY PROPRIETOR/PARTNEFVEXECUTIVE M
N/A
2091550
04/01/2020
O4/01/2021
E.L. DISEASE. EA EMPLOYEE
1 $ 1,000.000
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
II Ves, descrbe under
DESCRIPTION OF OPERATIONS below
-E.L. Y DISEASE-. POUCLIMIT
1,000,000
.$_ -- _. _--
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Additional Rarrlar" Ekhedule, mey bo aHacMd if mare apses is requimd)
Project DWRF - South Blower Building HVAC Improvements
Certificate holder is included as AddiGohal Insured as required by written contract with respects to liability arising out of work performed by the named
insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THEEXPIRATIONDATE THEREOF, NOTICE' WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE.POLICY PROVISI6I&
300 Laporte Ave
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522
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