HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (10)ACORO® CERTIFICATE OF LIABILITY INSURANCE
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DATE(MM
10/05/2018 Y)
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
Flood and Peterson
CONTACT Javier Perez
NAME:
PHONE (970) 356-0123 (FA
A!C No Ext ic, No (970) 330-1867
E-MAILADDRESS: JPerez@FloodPeterson.com
PO Box 578
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Cincinnati Insurance Co
10677
Greeley CO 80632
INSURED
Ditesco. LLC
INSURER B : The Continental Insurance Company
35289
INSURER C : Lloyd's of London
43389
INSURER D :
2133 S Timberline Rd Unit 110
INSURER E
INSURER F
Fort Collins CO 80525-4372
CERTIFICATE NUMBER: G1_181UOZb4f'd KEVI5IUN NUFAMMK:
COVERAGES
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.
I�TR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYY
POLICY EXP
MM/DDfYYYY
LIMITS
EACH OCCURRENCE
$ 1,000,000
COMMERCIAL GENERAL LIABILITY
PREMISES Ea occurrence
5 10,00,000
CLAIMS -MADE ® OCCUR
10,000
MED EXP (Any one person)
$
A
Y
Y
ECP 0458347
10103/2018
10/03/2019
PERSONAL &ADV INJURY
S 1,000,000
GENERAL AGGREGATE
$ 2.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP±OP AGG
2,000,000
$
PRO-
POLICY � LOC
$
JECT
OTHER:
Ea acclNED d.niSINGLE LIMIT
$ 1,000,000
AUTOMOBILE LIABILITY
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
A
OWNED SCHEDULED
Y
Y
ECP 0458347
10/03/2018
10/03/2019
AUTOS ONLY AUTOS
HIRED NON -OWNED
PROPERTY DAMAGE
Per accident
$
AUTOS ONLY AUTOS ONLY
Uninsured motorist
$ 1,000,000
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
PER OTH-
$
WORKERS COMPENSATION
STATUTE ER
E.L. EACH ACCIDENT
500,000
$
AND EMPLOYERS' LIABILITY YIN
B
ANY PROPRIETOR;PARTNERlEXECUTIVE ❑
NIA
Y
2097624212
03/15/2018
03/15(2019
E.L. DISEASE - EA EMPLOYEE
SOO.000
$
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
E.L. DISEASE -POLICY LIMIT
500,000
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
Each Claim
$ 1,000,000
C
Professional Liability
±0621PDITE000118
10/05/2018
10/03/2019
Aggregate
$ 2,000.000
Retention
$ 10,000
DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
RE: Engineering CM - On Call
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. Notice of cancellation is provided in accordance with policy provisions.
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,
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522 Y I
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD