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Home My WebLink About109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (23)rA C"O r7� DATE 08 / 2 IYYYY) 11111(,JA L-► CERTIFICATE OF LIABILITY INSURANCE 06/OB/2015 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 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 1-303-534-4567 CONTACT NAME: IMA, Inc. - Colorado Division PHONE FAX (A/C, No, Eat): (AIC, No): 1705 17th Street E-MAIL ADDRESS: den amLaimacor D P•com Suite 100 INSURER(S) AFFORDING COVERAGE NAIC X Denver, CO 80202 INSURER A: PHOENIX INS CO (Travelers) 25623 INSURED INSURER B: TRAVELERS IND CO OF AMER 25666 Hydro Construction Company, Inc. INSURER C. . TRAVELERS PROP CAS CO OF AMER 25674 INSURERD: PINNACOL ASSUR 41190 301 East Lincoln Avenue INSURER E : Fort Collins, CO 80524 INSURER F. rr1VFRAAFR CFRTIFICATF NIIMRFP- 44186219 REVISION Nt)MRFR- 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 MAY BE 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. INSPOLICY EFF POLICY EXP R LTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MMIDD YYYY MM/DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY DTC04E251248PHX15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) $ 300, 000 X PD Ded: $5, 000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY X PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER. $ B AUTOMOBILE LIABILITY DT8104E216873IND15 '04/01/15 04/01/16 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE (Per accident) $ $ C 'X UMBRELLA LIAR X ',OCCUR I DTSMCUP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE $ 2,000,000 'EXCESS LtdB CLAIMS -MADE AGGREGATE $ 2,000,000 LED X RETENTION $ 10, 000 $ D WORKERS COMPENSATION 2091550 04/01/15 04/01/16 X STATUTE EERPER H I AND EMPLOYERS'LIABILITY YIN ZANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 ;OFFICER/MEMBER EXCLUDED? N NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Job# H-WRF-2015-8 DWRF - 2015 Concrete Replacements; NPT Concrete stair replacement and construction of the biofilter drying bed turnout. City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. l,tK I ItIL,A I It MULUtK L.APII.tLLA I IUIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE [City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521 USA / ld� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD sadie55 44186219 00 t>0 O z W