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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (189)'- 1 ® ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM)DD/YYYY) 03/29l2018 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 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 CONTACT Dana Stewart, CIC, CISR NAME: Flood and Peterson PHONENo A/ (970) 266-7149 (F C, No AI Ext : (970) 506-6845 E-MAIL DStewart@floodpeterson.com ADDRESS: PO Box 578 INSURERS) AFFORDING COVERAGE NAIC # INSURERA: Phoenix Insurance Company 25623 Greeley CO 80632 INSURED INSURERB: Travelers Indemnity Company 25658 INSURER C : Travelers Property Casualty Company of America 25674 Hydro Construction Company Inc. INSURER D : Pinnacol Assurance 41190 77 NW Frontage Road INSURER E : INSURER F Fort Collins CO 80524 rnW=0Ancc CFRTIFICATF MIIMRFR- GL/AU/XS/WC x4/19 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 ADDL15141011 INS WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 CLAIMS -MADE ® OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence S 300,Ooo PIED EXP (Any one person) S 10,000 A DT-CO-8G990899-PHX-18 04/01/2018 04/01/2019 PERSONAL&ADV INJURY S 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS AGG 2,000,000 S PRO POLICY aJECT❑LOC S OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT )Ea accident S 1,000,000 BODILY INJURY (Per person) S ANY AUTO BODILY INJURY (Per accident) S B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED HNON-OWNED AUTOS ONLY AUTOS ONLY DT-810-BG990899-IND-18 04/01/2018 04/01/2019 PROPERTY DAMAGE (Per accident S $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5.000,000 C EXCESS LIAB I CLAIMS -MADE CUP-2J40080A-18-26 04/01/2018 04/01/2019 AGGREGATE S 5,000,000 DED I X1 RETENTION $ 10,000 S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR'PARTNERIEXECUTIVE OFFICERMEMBER EXCLUDED? (Mandatory In NH) N /A 2091550 04/01/2018 04/01/2019 H v STATUTE ER E.L. EACH ACCIDENT 1,000,000 S E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1000,000 I' yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: 18-01-497 DWRF- Dewatering 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 - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 300 Laporte Ave AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 U 1988-ZU1D AGUKU L;UKI`UKAI IUIV. All r1gnT5 reserveu. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD