HomeMy WebLinkAboutG L HOFF - INSURANCE CERTIFICATE (3)ACORD,- CERTIFICATE OF LIABILITY INSURANCE 02/23/07 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
1815 W 12th Street; P.O. BOX 7448 INsuRERc:
Loveland, CO 80537 INSURER D:
INSURER E:
vV vmlrl^u CA
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.
IN3R
LTR
ADD,
INSRN
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTWE
DATE INI
POLICYEXPIRATION
DATE MM DD/Y
LIMITS
A
GENERAL LIABILITY
DTC0325D6515
03/01/07
03/01/08
EACH OCCURRENCE
$1 000 000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrencel
$300OOO
MED EXP (Any one person)
$5 000
X PC Ded:2,500
PERSONAL & ADV INJURY
$1000000
GENERAL AGGREGATE
$2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OPAGG
s2000000
POLICY PRO-
JECT LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
81032506515
03/01/07
03/01/08
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
1
$
AUTO ONLY: AGG
A
EXCESSIUMBRELLALIABILITY
X OCCUR CLAIMS MADE
DTSMCUP325D651
03/01/07
03/01/08
EACH OCCURRENCE
$1000000
AGGREGATE
$1,000,000
DEDUCTIBLE
X RETFNTION $ 10000
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
2242590
01/01/07
01/01/08
X WC STATU- I OTH-
FIR
E.L. EACH ACCIDENT
s500OOO
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If es, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - EA EMPLOYEE
s500,000
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 I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: Bid #5878 Pedestrian Bridge and Abutments
City of Fort Collins
Attn: John Stephen
215 N. Mason St., Second Floor
PO Box 580
Fort Collins, CO 80522-0580
) ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
tEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I0._ DAYS WRITTEN
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
NO OBLIGATION OR LIABILITY OF ANY KIND UPONiJdE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
Flooat 'r Ot_Je.Isow�► s�Nf✓r..w�tR ,.Ti.aC.
v-• - -� t-�� ••��� T or c TFIInsr[atst) TJR 0 ACORD CORPORATION 1988