HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (38)1 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY)
�' - - - - - -- - -- -- - - - -- -- - - - 03/20/2020
THIS CERTIFICATE. IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER. THIS
CERTIFICATEMOES 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 holderis an"ADDITIONAL INSURED the`policy(ies)-musthave ADDITIONAL-INSURED"provisions "or be endorsed: - "--
8 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 - - -- -- --. _.- NAME: Dana Stewart, CIC, CISR - -
FAX
Flood and Peterson PHONE (970):266-7149 A/C•No:. (970) 506.6845
PO Box 578 ADDRESS: DStewartB600dpeterson.com -
INWRER(S)AFFORDING COVERAGE I NAIC •
Greeley CO 80632 INSURERA: PhoenizlnsuranceCorppany 1 25623
Hydro Construction Company Inc. INsuRER c :._Travelers Property Casualty Company of America 25674
— _ . - - -
77 NW Frontage Road INSURER D:-Pinnacol Assurance 41190
.INSURER E :.
Fort Collins CO 80524 INSURER F :
CnVCIMAPCC Cr-arncCATP Nit r11ihnI GL/AUAVC/XSx4/21 nFVk1hMNfillunpn-
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 ANYCONTRACT 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 PAID CLAIMS.
LTp
TYPE OFINSURANCE
POLICY NUMBER
0.1M/OWV
1WPOLD CY EXF
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE.
$ 1,0000,000
CLAIMS -MADE ® OCCUR
PREMISES Ea'9codron
$ 300,000
MED EXP(Any.onePerson) _ _
$- 10'000
DT-CO.8G990899-PHX-20
04/01/2020
04/01/2021
PERSONAL aADVINJURY
$ 1.000,000 - -
GEN'CAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
g 2,000,000-
POUCV ® JEC LOC
-
PRODUCTS-COMP/OPAGG
$ 2,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
B
- OWNED -- SCHEDULED
AUTOS ONLY AUTOS'
810-9L109491.20-26-G
04/01/2020
04/01/2021
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
$ 10'000'000
AGGREGATE_ _._
_- _
$_10_��
C
EXCESSL14B
CLAIMS -MADE
CUP-2J40080A-20-26
04/01/2020
04/01/2021
.DED .RETENTION .$. 10,000 __ _
_
$
D
WORKERS COMPENSATION
AND EMPLOVERS'LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
2091550
04/01/2020
04/01/2021
STATUTE ERH-
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
$ 1,000,000
-DESCRIPTION
Iryes, describe under,
'OF OPERATIONS below
DISEASE-. POLICY LIMIT-.$
1,000,000
DESCRIPTON OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more apace is required)
Re: 18-01-497"DWRF- Dewatedng Project Demolition
H-WRF-2018-01
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
300 Laporte Ave
Fort Collins
CO 80522
SHOULD ANY OF -THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE' WILL BE DELIVERED IN
ACCORDANCE WITH. THE. POLICY PROVISIONS..
�y
® 1988-20155
All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD