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Home My WebLink About426767 HOFF CONSTRUCTION - INSURANCE CERTIFICATE (5)A111i CERTIFICATE OF LIABILITY INSURANCE DATE 3/31/2015Yv) 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 and Peterson PO Box 578 Greeley CO 80632 CONTACT Sandy Schifferns, CIC NAME: PHONE (97O) 266-7107 FAX N . (970)506-6945 E-MAIL .sschifferns@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:BITCO General Insurance Corp20095 INSURED GL Hoff Company dba Hoff Construction P.O. Box 7448 Loveland CO 80537 INSURERB:Pinnacol Assurance 41190 INSURER C: INSURER D: INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER GL/AU/UMB/WC 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 LTR rypE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CCMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CLP3618713 /1/2015 /1/2016 DAMAGE TO RENTED PREMISES Ea occurrence) $ 300,000 MED EXP (Any one person) S 10, 000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOSAUTOSNON-OWNEDHIRED AP3618714 /1/2015 /1/2016 Ix BODILY INJURY(Per accident) $ PROPERTYDAMAGEPeraccident $ AUTOS X AUTOS Medical payments S 5,000 X 4 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 A EXCESS LAB CLAIMS -MADE DED X RETENTION$ 10, 000 $ UP2807763 /1/2015 /1/2016 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE X WC STATU- OTH- FIY I E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A 2242590 /l/2015 /1/2016 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE - POLICY LIMIT I $ 1,000,000 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 80521-0000 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 (2010105) INS025 (201005).01 S Schifferns, CIC/SSC 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD