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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (4)ACORO CERTIFICATE OF LIABILITY INSURANCE °"0a/23/2014YY' 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 endorsements . PRODUCER CONTACT CS&S/FLOOD & PETERSON INSURANCE INC NAME: PHONE FAX PO BOX 946580 AJC, No, EA NO, No EMAIL Maitland, FL 32794-6580 ADDRESS: INSURERS AFFORDING COVERAGE NAIC N 1-877-724-2669 American CasualtyCo of Readin PA INSURER A: gr 20427 INSURED _ INSURER B: National Fire Insurance of Hartford 20478 INSURERC: DITESCO, LLC INSURER D: 1315 OAKRIDGE DR., SUITE 120 INSURER E: FORT COLLINS, CO 80525 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. NOTWITHSTANDINGANV 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. meR LTii TYPE OF INSURANCE WIDE mSR SUER wvD POLICY NUMBER POLICY EFF MM/DD/YY POLICY EXP MM/DD/YY LIMITS A GENERAL LIABILITY Y 2090873913 10/03/14 10/03/15 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES(Eamaure,we) $ 300,000 COMMERCIAL GENERAL LIABILITY 91— CLAIMS -MADE O OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: R- POLICV JECOT LOC PR PRODUCTS - COMPIOP AGO $ 2000000 - A AUTOMOBILE LIABILITY 2090873927 10/03/14 10/03/15 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURV(Per person( $ ANY AUTO AOSCHEDULED AUTOS AUTOS BODILY INJURY Per aecidere ( ) S NON OWNED HIRED AUTOSAUTOS H PROPERTY DAMAGE (Per eccidem) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS CLAIMS -MADE AGGREGATE $ OEO RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N 2097624212 03/15/14 03/15/15 �/ X TORY LIMITS _ ER ANY PROPRIETORIPARTNEILEXECUTIVE OFFICER,MEMBER EXCLUDED? (Mandatory In If yes. describe under N/A E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ SOO QQQ DESCRIPTION OF OPERATIONS below OTHER A TORV LIMITS H- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE Is E.L. DISEASE -POLICY LIMIT s DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach Acord 101, Additional Remarks Schedule, if more space is required) Certificate Holder is added as an additional insured as provided in the blanket additional insured endorsement. Ln r rrn.n r L nvLDER City of Fort Collins PO Box 580 Fort Collins, CO 80522 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. © 1988-2010 ACORD CORPORATION. All rights ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD