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HomeMy WebLinkAboutG L HOFF - INSURANCE CERTIFICATE (10)Client#: 24740 HOFCO ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE 12/19/030nvrr) PRODUCER I 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 INSURERA: Travelers Insurance G.L. Hoff Co. 1815 W 12th Street; P.O. Box 7448 Loveland, CO 80537 INSURER B: Plnnacol Assurance INSURERc: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEPOLICYMM/DD/YYE POLICY DATE MM/DDIYVN LIMITS A GENERAL LIABILITY C0324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51 OCCUR DAMAGE TO RENTED $300 QQQ MED EXP (Any one person) s5 QQQ PERSONAL & ADV INJURY $1 QQQ QQQ X PD Ded:2,500 GENERAL AGGREGATE $2 000 OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 QQQ 000 J POLICY C ET LOC A AUTOMOBILE LIABILITY ANY AUTO 810T84F81T1TIL04 01/01/04 01/01105 COMBINED SINGLE LIMIT (Ea accident) $1 rQQQ ,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTOONLY: AGG S ANY AUTO $ A EXCESS/UMBRELLA LIABILITY CUP324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE s2,000,000 X OCCUR F CLAIMS MADE AGGREGATE s2,000,000 $ RDEDUCTIBLE $ X RETENTION $ 1Q 000 B WORKERS COMPENSATION AND 2242590 01/01/04 01/01/05 X WC STATU• OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICERIMEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 000,000 C OTHER MX198468383 01/01/04 01/01/0 Limit Builders Risk CA00,000 uctibie DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: City of Fort Collins and Colorado State University Transit Center Q Phase 1A; Bid # 5823 232903 R SK M�NAG C,U,N E`�RNT s City of Fort Collins 215 N Mason Fort Collins, CO 80524 LD 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 1UAP0jrOF AN IND UPON THE INSURER, ITS AGENTS OR AUTHORIZED AGURD 25 (2001108) 1 of 2 #M26T459 NIK © ACORD CORPORATION 1988