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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (192),d►�CORv® CERTIFICATE OF LIABILITY INSURANCE DATE /29120l18 03,'29/2018 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 and Peterson PO Box 578 Greeley CO 80632 CONTACT Dana Stewart, CIC, CISR NAMEFlood PHONE (970) 266-7149 FVX No): (970) 506-6845 IPA No Ext : E-MAiLss: DStewart@floodpeterson.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Phoenix Insurance Company 25623 INSURED Hydro Construction Company Inc. 77 NW Frontage Road Fort Collins CO 80524 INSURER B : Travelers Indemnity Company 25658 INSURER C : Travelers Property Casualty Company of America 25674 INSURERD: Pinnacol Assurance 41190 INSURER E : INSURER F (_I !AI I/YCAA/r vAMQ 0C\1IC1AA1 tdl IkARFR- ti V Y CR/i V CJ 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. LTR TYPE OF INSURANCE IN WV POLICY NUMBER POLICY EFF MMIDDlYYYY POLICY EXP MMtDDlYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO N ED 300,000 S CLAIMS -MADE ® OCCUR PREMISES (Ea occurrence) MED EXP (Any one person) 5 10,000 A DT-CO-8G990899-PHX-18 04/01/2018 04/01/2019 PERSONAL & ADV INJURY S 11000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2•000,000 PRODUCTS - COMP/OP AGG S 2,000,000 POLICY X PROJECT 7 LOC S OTHER. COMBINED Eaaccc dentSINGLE LIMIT $ 1.000,000 AUTOMOBILE LIABILITY BODILY INJURY (Per person) S ANY AUTO BODILY INJURY i?eraccidents 5 B OANEED SCHEDULED DT-810-8G990899-IND-18 04/01/2018 04/01/2019 AUTOS ONLY AUTOS HIRED �/ NON -OWNED PROPERTY DAMAGE fPer accitlent S AUTOS ONLY /� AUTOS ONLY S UMBRELLA LiAB X OCCUR EACH OCCURRENCE S 5,000,000 C EXCESSLIA9 CLAIMS MADE CUP-2J40080A-18-26 04/01/2018 04/01/2019 AGGREGATE S 5,000,000 DED I X1 RETENTION $ 10,000 WORKERS COMPENSATION PER5 X STATUTE ERH E.L. EACH ACCIDENT 1,000,000 $ AND EMPLOYERS' LIABILITY Y 1 N D ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N t A 2091550 04/01/2018 04/01/2019 1,000.000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT 5 1.000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS t LOCATIONS! VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached It more space is required) RE: 8286 Construction Contractor for Projects at the Water & Wastewater Treatment Facilities The City of Fort Collins, its officers, agents and employees are included as Additional Insured on the General and Automobile Liability Policies as required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. The insurance evidenced by this certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins. CERTIFICATE HOLDER l0x114lVCLLJ111VF1 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. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins Collins CO 80522 ' ��SJt11�ad1 lJ IV00-LU IQ NIiVRV \rVRr VRMI'W". - I t, .aa .c . w. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD