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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (12)ACOR1 8 C" CERTIFICATE OF LIABILITY INSURANCE DATE (MM1DDIYYYY) 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 �g70) 356-0123 FAx (970) 330-1867 A!C No Ezt : AfC, No): PO Box 578 E-MAIL JPerez@FloodPeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC S INSURERA: 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 : Fort Collins CO 80525-4372 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 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 ALJUL bUUK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ® DAMAGE TO RENTE17- 1,000,000 CLAIMS -MADE OCCUR PREMISES (Ea occurrence $ MED EXP (Any one person) $ 10,000 1,000,000 A Y ECP 0458347 10/03/2018 10/03/2019 PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 PRO- PRODUCTS - COMP/OP AGG 5 2,000,000 POLICY jEC7 LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 �Ea aa,dent BODILY INJURY (Per person) S ANY AUTO A OWNED SCHEDULED Y ECP 0458347 10/03/2018 10/03/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Uninsured motorist s 1,000,000 UMBRELLA LIAR OCCUR iZfT "" _R" E`NC "" " EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE S EXCESS LIAR DED I I RETENTION $ $ WORKERS COMPENSATION ER AND EMPLOYERS' LIABILITY Y / N /� STATUTE ERH E.L. EACH ACCIDENT 500,000 $ B ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA Y 2097624212 03/1512018 03/15/2019 500.000 OFFICER/MEMBER 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 80621PDITE000118 10/05/2018 10/03/2019 Aggregate $ 2,000.000 Retention $ 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: 8111 Construction Management & Inspection Services 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. CERTIFICATE HOLDER CANCELLAI IUN City of Fort Collins Financial Services Purchasing Division 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD