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HomeMy WebLinkAboutG L HOFF COMPANY - INSURANCE CERTIFICATEACORD.e CERTIFICATE OF LIABILITY INSURANCE 12118/ s°"YY' 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 INSURER A: St. Paul Travelers Insurance Company G.L. Hoff Company INSURER B: Pinnacol Assurance 1815 W 12th Street; P.O. Box 7448 INSURER C: Loveland, CO 80537 INSURER D: INSURER E: CflVFRA(OFS 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 MID' IINSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MMMDIYYI POLICY EXPIRATION DATE MMIDD LIMITS A GENERAL LIABILITY DTC0325D6515TIL07 01/01107 03/01/07 EACH OCCURRENCE $1 000 OOO COMMERCIAL GENERAL LIABILITY PREMISES (E, occurrence) DAMAGE TO RENTED $300000 CLAIMS MADE O OCCUR MED EXP (Any one person) $5 000 PERSONAL B ADV INJURY $1 00D 000 X PD Ded:2,500 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO DT810325D6515TIL07 ' ' afOT107 03/01 7 r t` eaccSINGLE LIMIT Eaccident) ( ) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ) Q ! OOf X BODILY INJURY (Per accident) $ X i2 RISK is NIAN.AG U1 LINS _ AENT PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO 0 $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY X OCCUR F1 CLAIMS MADE DTSMCUP325D6515TIL 01/01/07 03/01107 EACH OCCURRENCE $1000000 AGGREGATE $1 006 000 $ _ _ $ DEDUCTIBLE $ X RETENTION $ 10000 B WORKERS COMPENSATION AND 2242590 01/01/07 01/01/08 TH- X WORY C LIMIT ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $5OO OOO E.L. DISEASE - EA EMPLOYEE s500,000 OFFICER/MEMBER EXCLUDED? ?(yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT s500,000 A OTHER OT6606062BO90TIL07 01/01/07 03/01/07 Limit $1,000,000 Builders Risk Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Certificate holder is named as additional insured as their interest may appear in regards to the Operations of the named insured. (Excluding Workers' Compensation) Bond Renewal City of Fort Collins Bond Renewal P.O. Box 580 Fort Collins, CO 80522 LID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACURU z5 (z001101 1 Of 2 #M366994 TJR 0 ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE 1DATE 2118/06Onrrv) 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 INSURER A: St. Paul Travelers Insurance Company G.L. Hoff Company INSURER B: Pinnacol Assurance 1815 W 12th Street; P.O. BOX 7448 INSURER C: Loveland, CO 80537 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 M DD POLICY EXPIRATION DATE M DD LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR X PDDed:2,500 0 DTC0325D6515TIL07 01/01/07 03/01/07 EACH OCCURRENCE $1000000 DAMAGE TO RENTEDoccurrancel $300 000 MED EXP (Any one person) s5 000 PERSONAL BADVINJURY $1000000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F PROJECT 7 LOC PRODUCTS - COMP/OP AGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS DT810325D6515TIL07 CIT 01/01/07 ` r 5 of 1-lix i 03/01/07 QQ OOU vLL)NS COMBINED SINGLE LIMIT (Ea accident) $1000 000 , r X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X (Per OPE TY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X1 OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 OTSMCUP325D6515TIL 01/01/07 03/01/07 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Has, describe under SPECIAL PROVISIONS below 2242590 01/01/07 01/01/08 TH- X I OR WC SYTATT� OER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500 000 A OTHER Builders Risk OT6606062BO90TIL07 01/01/07 03/01/07 Limit $1,000,000 Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Pedestrian Bridges Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). City of Fort Collins PO 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 REPREE TIVE w _ ACORD 25 (200110B) 1 of 2 #M366994 TJR 0 ACORD CORPORATION 1988 rlinn*8• 9A7An GLI40F ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE j 12/18106Dmrv) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc 4821 Wheaton Drive ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 INSURER A: St. Paul Travelers Insurance Company G.L. Hoff Company 1815 W 12th Street; P.O. BOX 7448 Loveland, CO 80537 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. INSR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY IMM DUIYI E DAITE MIWEXPIRATION LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE F OCCUR X PCDed:2,500 DTC0325D6515TIL07 01/01107 03/01/07 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED $300000 MED EXP (Any one person) $5 000 PERSONAL &ADV INJURY $1 000 000 GENERAL AGGREGATE s2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F PRO LOC JECT PRODUCTS - COMP/OP AGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DT810325D6515TIL07 01/01/07 03/01/07 COMBINED SINGLE LIMIT (Ea accident) $1 ,000 ,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS/UMBRELLALIABILITY X I OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 DTSMCUP325D6515TIL 01/01/07 03/01/07 EACH OCCURRENCE $1000000 AGGREGATE $1 000 000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 2242590 01/01/07 01/01/08 X I DRY WCSTATU- I OTH- fIL E.L. ACCIDENT OEACH $SOO 00 E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT s500,000 A OTHER Builders Risk OT6606062BO90TIL07 01/01/07 03/01/07 Limit $1,000,000 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 ACORD 25 (2001/08) 1 of 2 #M366994 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ 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 AUTHORIZED Tip IIARF