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HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (29)P5260028002 ACOR0 CERTIFICATE OF LIABILITY INSURANCE .ATE(MMIDD/YYYY) 10/19/2015 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 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX INC. No. ExtI7 A!C No): E-MAIL ADDRESS: ADDRESS: rp•com 1705 17th Street INSURERS AFFORDING COVERAGE NAIC # Suite 100 INSURERA: PHOENIX INS CO (Travelers) 25623 Denver, CO 80202 INSURED INSURERB: TRAVELERS IND CO OF AMER 25666 Hydro Construction Company, Inc. INSURER CTRAVELERS PROP CAS CO OF AMER 25674 INSURERD: PINNACOL ASSUR 141190 301 East Lincoln Avenue INSURER E : INSURERF: Fort Collins, CO 80524 COVERAGES CERTIFICATE NUMBER: 45266785 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 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY DTCO4E216873PHX15 04/01/15 04/01/16 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED— PREMISES Ea occurrence)$ 300, 000 X MED EXP (Any one person) $ 10,000 PD Ded: $5, 000 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � PET 7 LOC PRODUCTS - COMPIOP AGG $ 2, 00,000 Is OTHER: B AUTOMOBILE LIABILITY DT8104E216873IND15 04/01/15 - 04/01/16 COMBINED SINGLE LIMIT Ea accident I $ 1000000 ,, BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ I PROPERTY DAMAGE Per accident $ X HIRED AUTOS X NON -OWNED AUTOS $ C X I UMBRELLA LIAB X OCCUR DTSMCUP4E216873TIL15 04/01/15 04/01/16 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 --FDEITX7 EXCESS LIAR CLAIMS -MADE RETENTION $ 10, 000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORMARTNERIEXECUTIVE Y I❑N OFFICEPJMEMBER EXCLUDED? N N /A 2091550 04/01/15 04/01/16 X STERATUTE ERH E.L. EACH ACCIDENT - $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace is required) 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. GtK I INUA I t MULULK GANGtLL.A I IUN RE: DWRF - SPT Final Clarifier Scum Pump Replacement; rJob#H-WRF-2015-13. 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 Fort Collins, CO 80521 USA AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD njones2014 45266785