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HomeMy WebLinkAboutGL HOFF COMPANY DBA HOFF CONSTRUCTION - INSURANCE CERTIFICATEGLHOFFC-01 HMINK ACORO° CERTIFICATE OF LIABILITY INSURANCE `—� DATDIYYYY) 5/24/224I2019 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 have ADDITIONAL INSURED provisions or 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 License # 0757776 HUB International Insurance Services (COL) 1125 17th Street, Suite 900 CO 80202 CONTACT Heidi Mink NAME: PHONE o, Ext): (970) 541-6022 FAX, No): (Denver, ADE-MAIDRE L S: heidi.mink@hubinternational.com INSURE S AFFORDING COVERAGE NAIC # INSURER A: BITCO General Insurance Corporation 20095 INSURED INSURER B : Plnnacol Assurance Company 41190 INSURER C : GL Hoff Company dba Hoff Construction INSURER D : PO Box 7448 Loveland, CO 80537 INSURER E INSURER F : r0VFROrFS rFRTIFIC'OTF NIIMRFR• RFVI_CI(1N NI IIIARFR- 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X X CLP 3 679 482 4/1/2019 4/1/2020 .EACH OCCURRENCE $ 1,000,000 DAMA_REMGE TSESO RENTED occurrence)$ 300,000 GEN'L MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ] jpa �X LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTEO�S ONLY AUTOS SSWN AUTOS ONLY AUOTOSONLY X X CAP 3 679 483 4/1/2019 4/1/2020 COMoBIGNdEDISINGLE LIMIT $ 1,000,000 BODILY INJURY Per erson $ BODILY INJURY Per accident $ PPeraccd DAMAGE $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP 2 816 004 4/1/2019 4/1/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I X i RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? ECUTIVE Y❑ (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA X 2242590 4/1/2019 4/1/2020 X PTAT TE OTH- ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as additional insured under General Liability and Automobile Liability. A waiver of subrogation in favor of additional insured applies to General Liability, Automobile Liability and Workers Compensation. City of Fort Collins Bond Renewal PO Box 580 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 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD