HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (13)ACOR" CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDIYYYY)
04/18/2019
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 Brianne Danielson, CISR
NAME:
Flood and Peterson
AICNNo Ext : OE (970) 266-7118 AIC No ; (970) 506-6846
ADDRESS: BDanielson@FloodPeterson.com
Corporate Mailing Address:
INSURER(S) AFFORDING COVERAGE
NAIC #
P.O. Box 578
INSURER A: The Cincinnati Insurance Company
10677
Greeley CO 80632
INSURED
INSURER B : The Continental Insurance Company
35289
INSURER C : Lloyd's of London
43389
Ditesco, LLC
INSURER D :
2133 S. Timberline Road
INSURERE:
Unit 110
INSURER F :
Fort Collins CO 80525-4372
CnVFRAt;FS CERTIFICATE NUMBER: 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.
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDDY/YYYY
MMIDD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
�/
CLAIMS -MADE x_ OCCUR
A N
ccurrence
PREMISES Ea occurrence)
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONALBADVINJURY
$ 1,000,000
A
Y
ECP0458347
10/03/2018
10/03/2019
GEN'LAGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY ❑ PRO ❑ LOC
JECT
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
Y
ECP 0458347
10/03/2018
10/03/2019
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Medical Payments
$ 5,000
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE F_N]
OFFICER/MEMBER EXCLUDED
(Mandatory In NH)
N/A
Y
WC2097624212
03/15/2019
03/15/2020
X STATUTE OTT
ER
E.L. EACH ACCIDENT
1,000,000
$
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICYLIMIT
$ 1,000,000
Each Claim
$1,000.000
C
Professional Liability
60621PDITE000118
10/05/2018
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)
8745: Engineering Services for Water, Wastewater and Stormwater Facilities CIP
CFRTIFICATF 1-Inl nFR CANCELLATION
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.
Purchasing Division
AUTHORIZED REPRESENTATIVE
P.O. Box 580
Fort Collins CO 80522
nZ 11i2�S01(,i.
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD