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G L HOFF - INSURANCE CERTIFICATE (2)
oE2E ACORD,M CERTIFICATE OF LIABILITY INSURANCE 3/0 °"YYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 270370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: St. Paul Travelers Insurance Company G.L. Hoff Company INSURER B. Pinnacol Assurance IBIS W 12th Street; P.O. Box 7448 INSURER C: Loveland, CO 80537 INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR ADD' INSFIN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIY POLICY EXPIRATION DATE MWDD LIMITS A GENERAL LIABILITY DTC0325D6515 03/01/07 03/01/08 EACH OCCURRENCE $1,000,000- COMMERCIAL GENERAL LIABILITY CLAIMS MADE ExI OCCUR DAMAGE TO RENTEDS (Ea occurrence) MED EXP (Any one person) a300 QQQ $5 000 X PD Ded:2,500 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2 00Q QQQ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2000000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 810325D6515 03/01/07 03/01108 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Par accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLALIABILITY X1 OCCUR CLAIMS MADE DTSMCUIP325D651 03/01/07 03/01/08 EACH OCCURRENCE $1000000 AGGREGATE $1,000,000 DEDUCTIBLE X RETENTION $ 10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2242590 01/01/07 01/01/08 X WC STATU- OTH- E.L. EACH ACCIDENT s500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Des, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT $500,000 A OTHER Builder's OT6606062BO90TIL 03/01/07 03/01/08 Limit $1,000,000 Risk Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS RE: 6006 Steward Case Park - Site Improvements Certificate Holder is listed as Additional Insured as their interest may appear (excluding Workers Compensation) City of Fort Collins, 215 N Mason Street, 2nd Floor P O Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. `. AUTHORIZED REPRESENTATIVE - - C. IFmsicaGD TJR © ACORD CORPORATION 1988