Loading...
HomeMy WebLinkAbout109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (198),A�o!2o® CERTIFICATE OF LIABILITY INSURANCE r7TE1MMIDDIYYYY) 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 PVHo No Ext : (970) 266-7149 a� No): (970) 506-6845 E-MAIL DStewart@floodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Phoenix Insurance Company 25623 Greeley CO 80632 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 rrvvcoArrce rFRTIFIrATF NIIMRFR• GL/AU/XSWC 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 MAYBE 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 ADDILSIJUR INSD WVD POLICY NUMBER. POLICY EFF MM/DD POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAI,GE TO RENT PREI"ES Ea occu D nce S 300.000 MED 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'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOPAGG S 2,000,000 PRO- POLICY PRO-JECT LOC OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accidenfl y 1 .000,000 BODILY INJURY (Per person) 5 X ANY AUTO BODILY INJURY (Per accident) S B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY /� AUTOS ONLY DT-810-BG990899-IND-18 04101/2018 04/01/2019 PROPERTY DAMAGE rPer accident S S UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 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 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE - OFFICERWEMBER EXCLUDED? (Mandatory in NH) NIA 2091550 04/01/2018 04101/2019 X1 STATUTE ERH E.L.EACH ACCIDENT $ 1.000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE -POLICY LIMIT 1.000,000 5 It yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS t LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: 18-01-490 DWRF Pollution Control Lab Cleanroom 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. r`corlcir ATc uni nco rANCF1 I ATION 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 � / C © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD