HomeMy WebLinkAboutGL HOFF COMPANY - INSURANCE CERTIFICATE (2)ACORD- CERTIFICATE OF LIABILITY INSURANCE
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3DATE /26/2010
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins., Inc.
Corporate Mailing Address:
p g
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 578
Greeley, CO 80632
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
-GL Hoff Company
-dba Hoff Corisfruction '.
_P.O. Box 7448
Loveland, CO 80537
INSURERA: 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.
IN RADD'
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
DTC0325D6564
04/01/10
04/01/11
EACH OCCURRENCE
$1 000000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED nce
cre
$300OOO
CLAIMS MADE 51OCCUR
MED EXP (Any one person)
$5 OOO
PERSONAL & ADV INJURY
$1 000 000
X PC Ded:2,500
GENERAL AGGREGATE
$2 00O OOO
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY-X] PRO LOC
JECT
A
AUTOMOBILE LIABILITY
X ANY AUTO
81032SD6564T
04/01/10
04/01/11
COMBINED SINGLE LIMIT
(Ea accident)
$1 ,000,000
BODILY INJURY
(Per person)
$ -
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
X HIREDAUTOS
X NON -OWNED AUTOS
PROPERTY DAMAGE
Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
DTSMCUP325D6
04/01/10
04/01/11 -
EACH OCCURRENCE
$1 OOO OOO
X OCCUR 7 CLAIMS MADE
AGGREGATE
$1 000 000
$
DEDUCTIBLE
$
X RETENTION $ 10000
B
WORKERS COMPENSATION AND
2242590
04/01/10
04/01/11
X OR STATU- O R
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
-
E.L. EACH ACCIDENT
$500OOO
E.L. DISEASE - EA EMPLOYEE
$500 000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Re: 7029 Poudre Trail Rehabilitation Shields Street East
Certificate holder is named as additional insured (Excluding workers
compensation).
l7 i.11lr Pf-1111 1-4. PJIII U.1 ki
City of Fort Collins
215 North Mason St, 2nd Floor
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 30 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
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08) 1 of 2 #S516971/M516937 CAZ 0 ACORD CORPORATION 1988