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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (196)ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY) 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 CONTACT Dana Stewart, CIC, CISR NAME: Flood and Peterson PHONE (970) 266-7149 FAX (970) 506-6845 A/C No Ext : CAC, No E-MAIL DStewart@floodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Travelers Indemnity Company 25658 Hydro Construction Company Inc. INSURER C : Travelers Property Casualty Company of America 25674 INSURER D : Pinnacol Assurance 41190 77 NW Frontage Road INSURER E : INSURER F Fort Collins CO 80524 COVERAGES CERTIFICATE NUMBER: GL/AU/XS1WC 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 CONTRACTOR 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. I�TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ®OCCUR SES Ea occur ante S 300,000 _PR MED EXP (Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1.000,000 A DT-CO-8G990899-PHX-18 04/01/2018 04/01/2019 GEN'LAGGREGATELIMITAPPLIESPER: GENERAL -AGGREGATE $ 2.000,000 PRO- ❑ POLICY JECT LOC PRODUCTS - COMPIOP AGG S 2,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 X BODILY INJURY (Per person) S ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS DT-810-8G990899-IND-18 04/01/2018 04/01/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per aceidenn S HIRED NON -OWNED AUTOS ONLY HAUTOS ONLY UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000.000 AGGREGATE $ 5,000,000 C EXCESS LIAR CLAIMS -MADE CUP-2J40080A-18-26 04/01/2018 04/01/2019 DED I X1 RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE a OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA 2091550 04/01/2018 04/01/2019 �/ X STATUTE ERH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE S 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: 17-01-478 WTF WTF Replacement Project -High Service Pump Station Electrical Construction - Owner's Project #SCP-WTF-HSPSCONST-091917 City of Fort Collins is included as Additional Insured on the General. Automobile, and Umbrella Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION 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. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521-1945 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD