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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (8)AC"R" CERTIFICATE OF LIABILITY INSURANCE �.ii YY DATE 10105/201) 018 8 i 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 PONE o Ext : (970) 356-0123 FAX, : (970) 330-1867 No, PO Box 578 E-MAIL JPerez@FloodPeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Insurance Co 10677 Greeley CO 80632 INSURED INSURER B : The Continental Insurance Company 35289 Ditesco. LLC INSURER C : Lloyd's of London 43389 INSURER D : 2133 S Timberline Rd Unit 110 INSURER E : INSURER F : Fort Collins CO 80525-4372 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 CONTRACTOR 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. TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY/YYYY MMLDDIY YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000,000 ® DAMAGE TO RENTEIT__ 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence S 10,000 MED EXP (Any one person) $ 1,000,000 A Y Y ECP0458347 10/03/2018 10/03/2019 PERSONAL BADVINJURY s GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 PRODUCTS-COMP70PAGG 2,000,000 $ POLICY JET LOC s OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED Y Y ECP 0458347 10/03/2018 10/03/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Fer accident Uninsured motorist $ 1,000,000 UMBRELLA LIAB OCCUR "�'�" EACH OCCURRENCi" $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE RED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT 500.000 $ B ANY RIETORIPARTNERIEXECUTIVE ❑ NIA Y 2097624212 03115/2018 03J15/2019 500,000 OFFICERrMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under 500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 S Each Claim $ 1,000,000 Professional Liability C 60621PD1TE000118 10/05I2018 10l03/2019 Aggregate $ 2,000.000 Retention $ 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Project: Mulberry Riverside Storm Drainage Project 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. L,A14l+CLLAI lUri SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 i © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD