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HomeMy WebLinkAboutGL HOFF COMPANY - INSURANCE CERTIFICATE (4)Client#: 24740 HOFC01 TE ACORD.CERTIFICATE OF LIABILITY INSURANCE D3131/2IODIYYYY) 131/2014 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 NAM CONE; CTSandy Schiffems Flood & Peterson Ins., Inc. A"�"Na; 970 266-7107 '� Pick 970 5O6$645 P. 0. Box 578 E'"AIL aschiffBrns ood eterson.com Greeley, CO 80632 ADDRESS: P INSURER(S) AFFORDING COVERAGE NAICf 970 356-0123 INsuRERA: Bituminous Insurance INSURED Pinnacal Ansuranee GL Hoff Company dba Hoff Construction INSURERC: P.O. Box 7448 INSURER O: Loveland, CO 80537 INsuRER E: CflVFRAr F3 CFRTIFICATF NIIMRFR- RFVISIDN NUMRFR- 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. TRR TYPE OF INSURANCE B B POUCY NUMBER POLICY EFF POLICY E%P LMR8 A GENERAL. LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7XI OCCUR X PD Ded:2,000 CLP3602435 01/2014 04MI12015 EACHOCCURRENCE $1 000 000 BfiEMIBES EaomrEDmnca $300000 MED EXP (Anyone person) $1 O 000 PERSONAL & ADV INJURY f 1 00O 000 GENERAL AGGREGATE s2,000,000 GENt AGGREGATE LIMIT APPUES PER POLICY MOT LOC PRODUCTS-COMP/OP AGG s2000000 f A AUTOMOBILE UABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS UTOS HIRED AUTOS X NON -OWNED AUTOS CAP3602436 NA1112014 04/01/201 COMBINED SINGLE LIMIT(Ea soddent) 1,000,000 X X BODILY INJURY (Per person) It BODILY INJURY (Per accident) f PROPERTY DAMAGE Per accident) f f A X UMBRELLA LIAS EXCESS Like X OCCUR CWMSAAIIDE CUP2604930 01/2014 04/01/2015 EACH OCCURRENCE f3000000 AGGREGATE f3000000 DED I X RETENTION 1 O OOO is B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED�ECUTIVE❑ (Mandatory In NH) If yes. tas under DESCRIPTION OF OPERATIONS below N/A 2242590 01/2014 04/01/2011 X WCSTATU- OTH- E.L. EACH ACCIDENT 51.000.000 E.L. DISEASE - EA EMPLOYEE f1 O00 000 E.L. DISEASE -POLICY LIMIT f1 O00 OOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, II more space Is required) 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 Cif of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bond Renewal ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD SRR7RnR1 /MR7finil'i S LS Client#: 24740 HOFC01 ACORD,,. CERTIFICATE OF LIABILITY INSURANCE AT o3/31/2014 r ) 3/31l2014 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 Flood & Peterson Ins., Inc. P. O. Box 578 NAME;CONTACT Sandy Schifferns PHONE INC.No, 266-7107 No): 506.645 EODRESS: sschifferns@floodpeterson.com Greeley, CO 80632 970 356.0123 INSURER(S)AFFORDING COVERAGE NAICr INSURERA: Bituminous Insurance INSURED GL Hoff Company dba Hoff Construction INSURERS : Plnnacol Assurance INSURER C P.O. Box 7448 NSURER D : Loveland, CO 80537 INSURERE: 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. LTRR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIO�YEFF MMIDU� LIMITS A GENERALLI"ILm' X COMMERCIAL CLAIMS -MADE F_x1 OCCUR X PDDed:2,000 CLP3602435 4/01/2014 04101/2015 EACH $1 0000 00 �OCCURRENCE REMISEGENERALUABILITY PS Ea ouTurrenca E3000OO MED EXP (An one person) $10 000 PERSONAL&ADVINJURY $1 000000 GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE POLICY UNIT APPLIES PER, PRO- El LOC JECT PRODUCTS-COMP/OP AGO $2000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS H AUTOS CAP3602436 4/01/2014 04/01/201 COMBINED ml E LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (For accident) $ E A X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE CUP2804930 101/2014 04/0112015 1 EACH OCCURRENCE E3000000 AGGREGATE I $3 OOO OOO DED I X RETENTION$10000 Is B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY MYPROPRIETOOFFICERIMEMBEREXCTUEEDTECUrIVE� (Mandatory In NH) If yes, desaibe under DESCRIPTION OF OPERATIONS belay NIA 2242590 4/01/2014 04101/201 X WC STATU- OTH- ER E.L. EACH ACCIDENT E7 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 000000 E.L. DISEASE -POLICY LIMIT 1 $1000000 DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Project: 7536 Diagonal Walk & Stage Improvements for Poudre River Public Library District Certificate holder and owner, Poudre River Public Library District are included as Additional Insureds as required by written contract with respects to liability arising out of work performed by the named insured. City of Fort Collins 300 Laporte Ave Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. f3eIe10,11K.1 1 of 1 ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD