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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (206)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03,129/2018 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: HONE ic, . Ext : i970) 266-7149 C• No): (970) 506-6845 Flood and Peterson E-MAIL DStewart@floodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIL it INSURERA: Phoenix Insurance Company 25623 Greeley CO 80632 INSURED INSURER B : 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 COVERAGES CERTIFICATE NUMBER: GL/AU1XS/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 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. INSRADDLISUBR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE ® OCCUR DAMAGE TO RENTED PREM SES Ea occurrence) S 300,000 P:tED EXP (Any one person) S 10,000 A DT-CO-8G990899-PHX-18 04/01?2018 04/01/2019 PERSONAL & ADV INJURY $ 1.000,000 GEN'L AGGREGATE LIMITAPPUES PER: GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMPICP AGG S 2,000,000 POLICY � PRO ❑ LOC JEC7 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT tEa accident) $ 1,000,000 BODILY INJURY (Per person) S ANY AUTO BODILY INJURY (Pe accidentl S B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY DT-810-8G990899-IN D-1 8 04/01/2018 04/01/2019 PROPERTY DAMAGE Per accident S S UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5.000,000 C EXCESS LIAB CLAIMS -MADE CUP-2J4008OA-18-26 04/01/2018 04/01/2019 AGGREGATE S 5,000,000 DED I X RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑Y (Mandatory In NH) N r A 2091550 04101 /2018 04/01/2019 X1 STATUTE ER E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1.000,000 11 yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: 17-1-455 - WTF T4 Sludge Collection System Repairs and Replacement - Project #SCP-WTF-T4-6-30-17 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. 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� U 1588-2015 ACORD GOKI'tJKAI IUN. AU ngnis reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD