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