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HomeMy WebLinkAboutG L HOFF - INSURANCE CERTIFICATE (9)Client#: 2474U HUFGU ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1DATE 2/19/03D) PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 G.L. Hoff Co. 1815 W 12th Street; P.O. Box 7448 Loveland, CO 80537 INSURERA: Travelers Insurance INSURERB: Pinnacol Assurance INSURERc: Fireman's Fund Insurance, Co. INSURER D: INSURER E: !`nVCDAPCC 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 MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY C0324D9364TIL04 01/01/04 01/01105 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TPREMI ESO RENTED S300OOD CLAIMS MADE O OCCUR MED EXP (Any one person) $5 000 PERSONAL &ADV INJURY $1 00O 000 X PD Ded:2,500 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 00O 000 PRO LOC POLICY F1 JECT A AUTOMOBILE LIABILITY ANY AUTO 810784F8171TIL04 01/01/04 01/01/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,OOO X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY CUP324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE $ZOOOOOO X1 OCCUR CLAIMS MADE AGGREGATE s2,000,000 $ DEDUCTIBLE $ X RETENTION $ 1 O 000 B WORKERS COMPENSATION AND 2242590 01/01/04 01/01/05 X WC LIMIT OTH• EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $SOO,000 E.L. DISEASE - EA EMPLOYEE s500,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 C OTHER MX198468383 01/01/04 01/01/05 $1500,000 Limit Builders Risk $ 1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Gateway Park Pier Wall City of Fort Collins Purchasing Dept. PO Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3p_. DAYS WRITTEN 'E TO THE CERTIFICATE HOLDER NAM Ti7thkIFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABIU* AN ND UPON\THW,BURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #M267459 NIK © ACORD CORPORATION 1988 Client#: 24740 HOFCO ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE 1219103DmYY) PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 0 Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED G.L. Hoff Co. 1815 W 12th Street; P.O. Box 7448 Loveland, CO 80537 INSURER A: Travelers Insurance INSURERB: Pinnacol 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 N R TYPE OF INSURANCE POLICY NUMBER DATEYMM/DDfYYEOLICI PIRAON PDATE MMI D/VYI LIMITS A GENERAL LIABILITY C0324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR DAMAGE TO RENTED s300 000 MED EXP (Any one person) PERSONAL & ADV INJURY X PDDed:2,500 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG "s2,000,000 POLICY PRO- JECT LOC A AUTOMOBILE LIABILITY ANY AUTO 810784F8171TIL04 01/01/04 01/01/05 COMBINED SINGLE LIMIT tEa accident) X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIREOAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY CUP324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE $2000000 X OCCUR CLAIMS MADE AGGREGATE s21000.000 $ DEDUCTIBLE $ X RETENTION $ 10 000 B WORKERS COMPENSATION AND 2242590 01/01/04 01/01/05 X WC STATU- OTH- FR ORYE.L. EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICERIMEMBER EXCLUDED? If yes, tlescdbe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $500,000 C OTHER MX198468383 01/01/04 01/01/05 $1500,000 Limit Builders Risk $ 1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins Buiding Permits and Inspection Division Attn: Ann Chantler 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 _3D_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDE D TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OF LIP I OF ANY ND MFON THE INSURER, ITS AGENTS OR AUTHORIZED Pk%,VKu za (zUUT/Un) 1 Of 2 #M267459 NIK 0 ACORD CORPORATION 1988 ACORD- CERTIFICATE OF LIABILITY INSURANCE 1DATE 2/19/03 (MMIDONYYY) 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 INSURERA: Travelers Insurance G.L. Hoff Co. INSURER B: Pinnacol Assurance 1815 W 12th Street; P.O. Box 7448 INSURERc: Fireman's Fund Insurance, Co. Loveland, CO 80537 INSURER D: INSURER E: CAVFRAr-0FR 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 DDIYYE PDAICY EXPIRATION TE MMIDDIYY LIMITS A GENERAL LIABILITY C0324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TPREMI ESO RENTED $300 000 CLAIMS MADE 5� OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1000000 X PDDed:2,500 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY F1 JPERCoi LOC A AUTOMOBILE LIABILITY ANY AUTO 810784F8171TIL04 01/01/04 01/01/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EA ACC THAN $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE CUP324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE s2000000 AGGREGATE $2 000 000 a $ DEDUCTIBLE $ X RETENTION $ 10 000 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 s500,000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 C OTHER MX198468383 01/01/04 01/01/05 $1500,000 Limit Builders Risk $ 1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I 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 NAME EFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILpV D AN IND UPON THNHBURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE AGUKU Z5(ZUU11UU) 1 of 2 #M267459 NIK 0 ACORD CORPORATION 1988 Client#: 24740 nurcu DATE J ACORD., CERTIFICATE OF LIABILITY INSURANCE 12/19103D ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4821 Wheaton Drive 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 C.O. INSURER B: Pinnacol Assurance 1815 W 12th Street; P.O. Box 7448 INSURERc: Fireman's Fund Insurance, Co. Loveland, CO 80537 INSURER D: INSURER E: 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 MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY C0324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR DPREMI ES (Ea occurrence) AMAGE TO RENTED $300 000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 X PD Ded:2,500 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY PROECT LOC J A AUTOMOBILE LIABILITY ANY AUTO 810784F8171TIL04 01/01/04 01/01/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS 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 CUP324D9364TIL04 01/01/04 01/01/05 EACH OCCURRENCE s2000000 X OCCUR CLAIMS MADE AGGREGATE $2 000 000 $ DEDUCTIBLE $ X RETENTION $ 10 000 B WORKERS COMPENSATION AND 2242590 01/01/04 01/01/05 X WC STATU- OTH- m rR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE s500,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. OISEASE -POLICY LIMIT $C00.000 C OTHER MX198468383 01/01/04 01/01/05 $1500,000 Limit Builders Risk $ 1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). Re: Harmony Substation Oil Containment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins and DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN Sear -Brown Group NOTICE TO THE CERTIFICATE HOLDER O THE LEFT, BUT FAILURE TO DO SO SHALL 256 West Mountain Avenue IMPOSE NO OBLIGATION OR I 1 FANY KI U THE IN ITS AGENTS OR Fort Collins, CO 80521 REPRESENTATIVES. AUTHORIZED REPRESENTATI ACORD 25 (2001/08) 1 of 2 #M267459 NIK 0 ACORD CORPORATION 1988