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HomeMy WebLinkAboutG L HOFF CONSTRUCTION - INSURANCE CERTIFICATEClient#: 24740 GLHOF ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDNYYY) 12/27/04 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 St P.O. Box 7448 Loveland, CO 80537 INSURERA: 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 EFFECTIVEPOLICY DATE (MMIDDIYYDATE POLICY EXPIRATION MMIDDIYY LIMITS A GENERAL LIABILITY C0324D9364TIL05 01/01/05 01101/06 EACH OCCURRENCE $1 QQQ QQQ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED a300 QQQ CLAIMS MADE O OCCUR MED EXP (Any one person) $5 QQQ PERSONAL &ADV INJURY $1 QQQ QQQ X PD Ded:2,500 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 00Q 000 POLICY jE07 F LOC A AUTOMOBILE LIABILITY ANY AUTO 810784F8171TIL05 01/01105 01/01/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Peraccidenl) $ HIREDAUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY CUP324D9364TIL05 01/01/05 01/01/06 EACH OCCURRENCE $1000000 X OCCUR CLAIMS MADE AGGREGATE $1 QQQ QQQ $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND, 2242590 01/01/05 01/01/06 TATUB TH- X WCSLIMIT OPIP EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 A OTHER C0324D9364TIL05 01/01/05 01/01/06 $1,500,000 Limit Builders Risk $1,000,000 Frame Limit $1,000 Deductible DESCRIPTION OF OPERATIONS i LOCATIONS / VEHICLES I 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL AUTHORIZED OF ANY KIND UPON THE INSURER, ITS AGENTS OR At UKU Z0 (LDDl/D6I 1 Ot 2 FM302497 NIK © AGUKU GVRPVKAT ION I93U