HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (37)ACORO®
��. CERTIFICATE OF LIABILITY INSURANCE
DnrE (MMmGnrrv)
03/go/?020
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 .._ _..__ ..- _.._RESENTATIVE OR PRODUCER, AN - ..__— ._..___.. _.._----
IMPORTANT. If the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions -or endorsed.
H 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 certificateholder in lieu of such endor_sement(s).,
PRODUCER
-
Dana StewartCIC-CISR -"
.NAME:_—__ _. _ __ _ ___ _ __. _- _.
-_-_A/c
'.PHONE (970) 266-7149
No: (970) 506.6845
Flood and Peterson
PO Box 578
ADDRESS: DStewart®floodpeterson.com
INSURERS AFFORDING COVERAGE
NAIL a
Greeley CO 80632
INSURER A:. Phoenix'InsuranceCompany
25623
INSURED
INSURER B : Charter Oak Fire Insurance Company
25615
Hydro Construction Cornparry Inc.
INSURER c: _Travelers Prope'rty_Cas`ualry' Company of America
25674 -
.INSURER D: PmnacolA"ssurance - - -- - - -
41190
77 NW Frontage Road
INSURER E
INSURER F:.
Fort Collins CO 80524
COVERAGES- - CERTIFICATE NUMBER: GUAU/WC/XS x4121 REVISION NUMBER:
THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE:USTED:BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE. FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY I4EQUIIiEMEfdi, TERM OR CONDITION OF ANY CONTRACT OA 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.
S
LTR
TYPE OF INSURANCE.
j O
- -O
POLICYNUMBER
POLICY EFF
MMID
POLICY EXP
MMM
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE ® OCCUR
PREMISES Eao ---nerc
$ 300;000
.MED.EXP_ one neon _._
.$ _10,0D0-
A
- _ - _-
DT-CO.8G990899-PHX-20
04/01/2020
04/01/2021
PERSONAL aADVINJURY
$ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY Ea LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE UMIT
Ea accident
.$ 1 'D00 000 -
BODILY INJUAY(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
-
BODILY INJURY (Pie amidem)
-
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
$ 10,000,000
,AGGREGATE._— .
_$..10.000.000 - --
C
EXCESSLIA13
.CLAIMS -MADE
CUP-2J4008OA-20-26
04/01/2020
04/01/2021
_..
-DED. IN RETENTION.S.. 10,000 _ _ _ .
_ -
$
_
-
D
WORKERS COMPENSATION
ANDEMPLOYERWUABILITY YIN.
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
N/A
2091550
04/0,/2020
04/01/2021
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE'=EA EMPLOYEE
$ 1,000,00Q
If yes, describe under
DESCRIPTION OF OPERATIONS below_ _
_
_ __
— .. _ _ _..
_.. _-.
__ _ _ _
- -
E.L. DISEASE- POLICY LIMIT
--1,000�000 - -
$
DESCRIPTION OF OPERATONS/LOCATIONS /VEHICLES (ACORD 101, AtltliBanal Remarks Schedule, may he attached if moro aDaea is roquiretl)
Project R17-01-459 - 2017 DWRF Digester MCC Room HVAC Improvements - H-WRF-2017.16
Certificate holder is included as Additional Insured As required by written contractwith respects to liability arising out of work perfoirneid by the named
- -
insured.
City of Fort Collins
300 Laporte Ave
Fort Collins
CO 80522
...__..L ... _ ABOVE
_ _ .E BE- . . ..
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES .CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED
UP IU6U-ZUIb AGUHU UUKVUKAI IVN. All rngnl3 reservao.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD