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Home My WebLink AboutG L HOFF - INSURANCE CERTIFICATE (8)Client#: 24740 GLHOF ACORDrM CERTIFICATE OF LIABILITY INSURANCE 4121/04DDrrrrY) 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: Travelers Insurance G.L. Hoff Co. 1815 W 12th Street P.O. Box 7448 Loveland, CO 80537 INSURER B: Plnnacol Assurance NsuRERc: Fireman's Fund Insurance, Co. 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 ADD' NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM//DD/YYE POLICY DATE MMPRATION I ONY) LIMITS A GENERAL LIABILITY DTC0324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CCU rence) $3OO OOO CLAIMS MADE O OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 X PD Ded:2,500 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG $2 000,000 POLICY X ECT LOC A AUTOMOBILE LIABILITY ANY AUTO DT810784F8171TIL04 01/01/04 01/01105 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Peraccident) $ HIREDAUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY DTSMCUP324D9364TIL 01/01/04 01/01/05 EACH OCCURRENCE s2000000 X OCCUR ❑CLAIMS MADE AGGREGATE $2 OOO OOO $ DEDUCTIBLE $ X RETENTION $ 1 O 000 B WORKERS COMPENSATION AND 2242590 01/01/04 01/01/05 TH- X WCSTATIT OPR EMPLOYERS' LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500 000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? Des, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 C OTHER MX198470488 01/01/04 01/01/05 $1,500,000 Limit Builder's Risk $ 1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Service Agreement for Epic Ice Rink Renovation City of Fort Collins, its officers, agent and employees are 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 John Stephen, CPPO Purchasing Division PO Box 580 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 Fort Collins, CO 80522.0580 ACORD 25 (2001/08) 1 of 2 #S279454/M277572 0 ACORD CORPORATION 1988