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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (9)� ACC)R O® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 10/05/2018 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 : A1C, No): PO Box 578 E-MAIL JPerez@FloodPeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURER A: Cincinnati Insurance Co 10677 Greeley CO 80632 INSURED INSURERS: 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. INSR AUUL bUtM POLICEFF POLICY EXP LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER MMJDDY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 ® DAMAGE TO RENTErT 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence S 10,000 MED EXP (Any one person) $ 1,000,000 A ECP 0458347 10/03/2018 10/03/2019 PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 PEA PRODUCTS - COMP/OPAGG g 2,000,000 POLICY LOC $ OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT iEa accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED ECP 0458347 10/03/2018 10/03/2019 BODILY INJURY (Per accident) S AUTOS ONLY AUTOS PROPERTY DAMAGE S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident Uninsured motorist $ 1,000,000 UMBRELLALIAB OCCUR V" T&' r" ­�'` ",, "' EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y r N STATUTE I I ER E.L. EACH ACCIDENT $ 500,000 B ANY PROPRIETORiPARTNERiEXECUTIVE ElN f A 2097624212 03/15r2018 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 S Each Claim $ 1,000,000 Professional Liability C 80621PDITE000118 10/05I2018 10103/2019 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: DWRF Yard Piping Map Phase 2 1,/AN%. MLLAI IVIN 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 { ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD