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Home My WebLink About426767 HOFF CONSTRUCTION - INSURANCE CERTIFICATEClient#: 24740 HOFC01 ACOR0. CERTIFICATE OF LIABILITY INSURANCE D3;,5, o„"""' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jo Orr Flood & Peterson Ins., Inc. PHONE FAX aC No Eat : 970 356-0123 ac, No : 970 506 6836 P. 0. Box 578 n ADS:)o.orrsurance.com ADRESI C�f p I Greeley, CO 80632 PHUUUCLHHofcol CUSTOMER ID X: 970 356-0123 INSURERS) AFFORDING COVERAGE NAICIf INSURED INSURER A. Bituminous Insurance 20095 GL Hoff Company INSURER B: Pinnacol Assurance i Hoff Construction P.O. Box 7448 INSURER C: Loveland, CO 80537 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R LILL TYPE OF INSURANCE DDL US POLICY NUMBER M M%D D/YYYY MWDD/VYVV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X PDDed:2,000 CLP3550768 4/01/2011 04/01/2012 EACH OCCURRENCE $1000000 PREMISES Eaoccurence $300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. RO LOC POLICY X PIFQ.T PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CAP3550769 4/01/2011 04101/2012 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per sopped) $ PROPERTY DAMAGE (Per accident) S X X $ A X UMBRELLA AS EXCESS LIAB OCCUR CLAIMS -MADE CUP2589592 4/01/2011 04/01/201 EACH OCCURRENCE $1000000 AGGREGATE $1 1 O00 OOO DEDUCTIBLE RETENTION 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYLR ANY PROPRIETOR/PARTNER/EXECUTIVEV� OFFICER/MEMBER EXCLUDED' N (Myyandatory in Ni IDESa describe under CRIPTION OF OPERATIONS below WA 2242590 4/01/2011 04/01/201 X WCSTATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 A Leased/Rented Eq CLP3550768 4/01/2011 04/01/2012 $250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) City of Fort Collins Attn: John Stephen P SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 N. Mason St., Second Floor PO Box 580 1 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S597911/M597698 SXC