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Home My WebLink About426767 HOFF CONSTRUCTION - INSURANCE CERTIFICATE (3)Client#: 24740 HOFC01 ACORDrM CERTIFICATE OF LIABILITY INSURANCE DATE 3/20/2012rvv) 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: Sandy SChlfferns Flood &Peterson Ins., Inc. PHONE FA A/C No Ezt : 970 266-7107 ,vc, No): 970 506-6836 P. O. Box 578 E-MAIL sandy.schifferns@floodandpeterson.com Greeley, CO 80632 pRODUCERHofcot CUSTOMER ID #: 970356-0123 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Bituminous Insurance 20095 GL Hoff Company INSURER BPinnacol Assurance dba Hoff Construction P.O. Box 7448 INSURER C Loveland, CO 80537 INSURER D INSURER E INSURER I: 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR R TYPE OF INSURANCE DDL NSR UBR D POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY E%P MWDD/VYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51 OCCUR X PD Ded:2,000 CLP3567791 4/01/2012 04/01/2012 EACHOCCURRENCE S1 000000 PREMISES Ea occurrence $300,000 MED EXP (Any one person) S5,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY X1 PRO LOC PRODUCTS COMP/OP AGO $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CAP3567792 4/01/2012 04/01/2012 COMBINED l'SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ X X $ S A X UMBRELLA EXCESS LIAB X OCCUR CLAIMS -MADE CUP2592189 4/01/2012 04/01/2013 EACH OCCURRENCE S1 000000 AGGREGATE $1,000,000 DEDUCTIBLE RETENTION $ 10000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEr/N OFFICER/MEMBER EXCLUDED'! �N (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N/A 2242590 4/01/2012 0410112013X WC STATU- DTH- E.L. EACH ACCIDENT $1,000,000 E. L. DISEASE CA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 A Leased/Rented Equipment CLP3567791 4/01/2012 04/01/201 $250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addition Remarks Schedule, if more space is required) City of Fort Collins 215 N. Mason Street Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) 1 of 1 #S682530/M682262 01988 2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SXC