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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (5),4�oRo® CERTIFICATE OF LIABILITY INSURANCE 7EIMM/DDNYYY) /O5/2018 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 CONTACT Javier Perez NAME: Flood and Peterson PHONE (970) 356-0123 FAX (970) 330-1867 A1C No Ext :(AC,No PO Box 578 E-MAIL JPerez@FloodPeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURER A: Cincinnati Insurance Co 10677 INSURED INSURER B : The Continental Insurance Company 35289 Ditesco. LLC INSURER c : Lloyd's of London 43389 2133 S Timberline Rd Unit 110 INSURER D : INSURER E : Fort Collins CO 30525-4372 INSURER F : COVERAGES CERTIFICATE NUMBER: CL1810525479 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1.000,000 $ ® DAMAGE TO RENTED 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 1,000,000 A Y Y ECP0458347 10,103/2018 10/03/2019 PERSONAL& ADV INJURY $ GEN'LAGGREGATELIMiTAPPLIESPER: GENERAL AGGREGATE $ 2.000,000 ❑ PRO ❑ 2,000,000 POLICY JECT LOC PRODUCTS-COMPIOPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED Y Y ECP 0458347 10/03/2018 10/03/2019 BODILY INJURY (Per accident) S AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident Uninsured motorist $ 1,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION S $ WORKERS COMPENSATION �/ AND EMPLOYERS' LIABILITY Y / N /� STATUTE EORH E.L. EACH ACCIDENT SOO,000 $ B ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA Y 2097624212 03/15/2018 03/15/2019 500,000 OFFICERiMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under 500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Each Claim $ 1,000,000 Professional Liability C B0621PDITE000118 10l05/2018 10/03/2019 Aggregate $ 2,000.000 Retention $ 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Anheuser Bruch Meter Replacements The City of Fort Collins is included as Additional Insured as required by written contract but only as respects to liability arising out of work performed by the named insured. Waiver of subrogation applies. L81:U4t12 KJlaiLO1s91411 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Utilities ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 1,t © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD