HomeMy WebLinkAboutDITESCO LLC - INSURANCE CERTIFICATEACORD,,., CERTIFICATE OF LIABILITY INSURANCE
DIVYYY)
—
1 1/03/08
1/03/OS
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive
P O Box 270370
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_._
—
Fort Collins, CO 80527
__—_
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
......
Ditesco, LLC
3155 Rookery Road
Fort Collins, CO 80528
-- --
INSURER B'.
—
INSURER C:
wsuReR O:
INSURER E:
V V V Cry^ V CJ
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iNSRDD LTR_
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE (MMIDDIVY)LIMITS
A
GENERAL LIABILITY
B2090873913
10/03/08
10/03/09
EACI I OCCURRENCE
$1,000000
X COMMERCIAL GENERAL LIABIU'IY
CLAIMS MADE a OCCUR
PRCMGE_TOEREeNTE'D roea
$300 000
MED EXP (Anyone person)
$10 000
PERSONAL AADVINJURY
$1 000 000
_
GENERFlLAGGREGAIE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OPAGG
$2000000
POLICY F PRO-
JECT LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
B2090873927
10/03/08
10/03/09
COMBINED SINGLE LIMF'
(E. brodari
$1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIREDAUTOS
NON -OWNED AUTOS
X
X
BODILY INJURY
(Per accident)
$
PROPERIY DAMAGE
(Per accident)
$
—"---
GARAGE LIABILITY
AUTO ONLY_ -EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
$
_
RETENTION $
__
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
297624212
03/15/OS
03/15/09
X WC STATU- OTl l-
Y ER
EL EACI I ACCIDENT
$100,000
ANY PROPRIETOR/PARTNERJEXECUTIVE
OFFICERIMEMBER EXCLUDED
It yes, describe under
E.L. DISEASE -EA EMPLOYEE
$106,U66
E.L.DISEASE-POUCYLIMH
- —
$500,000
SPECIALPROVISIONSbelm
_
A
OTHER Professional
MCH288252590
10/05/08
10/05/09
$1,000,000 per claim
$1,000,000 Aggregate
$5,000 Deductible
DESCRIPTION OF OPERATIONS / LOCATIONS [VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Fort Collins Utilities
Attn. Link Mueller
3036 Environmental Drive
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL —3tL_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL.
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE .y-
^���� 11 (cvo uoo/ I oT Z 8J4Z9ZU4/M4Z7Z18 CXB 0 ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
At,UKU Zo-s (zuu11us) 2 of 2 #S429204/M427218