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HomeMy WebLinkAboutG L HOFF - INSURANCE CERTIFICATE (4)Client#: 24740 GLHOF ACORDTM CERTIFICATE OF LIABILITY INSURANCE 02/23/07D""") 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED G.L. Hoff Company 1815 W 12th Street; P.O. BOX 7448 Loveland, CO 80537 INSURER A. St. Paul Travelers Insurance Company INSURER B: Pinnacol Assurance INSURER C: INSURER D: INSURER E: COVERAGES 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD LIMIT$ A GENERAL LIABILITY DTC0325D6515 03/01/07 03/01108 EACH OCCURRENCE $1 QQQ QQQ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR DAMAGE TO RENTED PREMISES Ea owu $300 QQQ MED EXP (Any one person) $$ QQQ PERSONAL B ADV INJURY $1 000 000 X PCDed:2,500 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 810325D6515 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 $ AUTO ONLY: AGG A LIABILITY OCCUR CLAIMS MADE DTSMCUP32SD651 03/01/07 03/01/08 EACH OCCURRENCE $1 0QQ 000 AGGREGATE $1 QQQ 000 NXCESSIUMBRELLA DEDUCTIBLERETENTION S 10000 $ B WORKERS COMPENSATION AND 2242590 01/01/07 01/01/08 X WC STATU- OTH- LIMITEMPLOYERS' LIABILITY E.L. EACH ACCIDENT $500QQQ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE -EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $5QQ,000 A OTHER Builder's QT6606062BO90TIL 03/01/07 03/01/08 Limit$1,000,000 Risk Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES [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 ?EPRESENTATIVES. AUTHORIZED REPRESENTATIVE - - Fyoft-C& T --- - -- „..I T oT c FFina izaaD TJR o ACORD CORPORATION 1988