HomeMy WebLinkAbout104903 G L HOFF COMPANY - INSURANCE CERTIFICATEACORDrn, CERTIFICATE OF LIABILITY INSURANCE
03/06/OgDmrr)
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
P O Box 270370
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Fort Collins CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
L Hoff Company
INSURER A Travelers Insurance Company
INSURERS Pinnacol Assurance
H
H off Construction
INSURER C
P O Box 7448
NSURER D
Loveland CO 80537
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
INSRE
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
MMIDDm
—POLICY—EXPIRATION
DATE MMIDDm
LIMITS
A
GENERAL LIABILITY
DTC0325D6564TIL
03/01/08
04/01/09
EACH OCCURRENCE
$1 ODOOOO
X COMMERCIAL GENERAL LABILITY
06
DAMAGE TO RENTED
$300OOO
MED EXP (Any or a person)
$5 000
CLAIMS MADE a OCCUR
X PD Ded 2,500
PERSONAL &ADV INJURY
$1 ODD 000
GENERAL AGGREGATE
s2,000,000
GEN L AGGREGATE LIMIT APPLIES PER
POLICY X PROT LOC
PRODUCTS COMP/OPAGG
$2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
810325D6564TIL08
03/01/08
04/01/09
COMBINED SINGLE LIMIT
(Ea accident)
$1 OOO OOO
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIREDAUTOS
X
NON OWNED AUTOS
BODILY accident)
(Peraccident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTOONLV EAACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGO
A
EXCESS/UMBRELLA LIABILITY
X OCCUR ❑ CLAIMS MADE
DTSMCUP325D6564
TIL08
03/01/08
04/01/09
EACH OCCURRENCE
$1000000
AGGREGATE
$1 00D 000
DEDUCTIBLE
X RETENTION $ 10000
$
B
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
2242590
03/01/08
04/01/09
X WCSTATU OTH
E L EACH ACCIDENT
$500000
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED'
If yes describe under
E L DISEASE EA EMPLOYEE
$SOO OOO
E L DISEASE POLICY LIMIT
$50-0ODO
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
RE Bid #6075 Trolley Brick Restoration Project
City of Fort Collins
215 N Mason Street
Fort Collins CO 80522
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL _3_n 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
r r nrvlwaoaaa MJP 0 ACORD CORPORATION 1988