HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (15)ACOROF CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDIYYYY)
03/07/2019
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
A/CNNo, Ext : (970) 266-7118 Ali No): (970) 506-6846
E-MAIL BDanielson@FloodPeterson.com
ADDRESS:
Corporate Mailing Address:
INSURER(S) AFFORDING COVERAGE
NAIC #
P.O. BOX 578
INSURERA: 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
INSURER E :
Unit 110
INSURER F :
Fort Collins CO 80525-4372
COVERAGES CERTIFICATE NUMBER: CL193727990 REVISION NUMBER:
THIS IS TO CERT!FY THAT THE POL!CIES OF !NSUP.ANCE 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
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMPOLICY /DDEFF
POLICYEXP
D
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE � OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL BADVINJURY
$ 1,000,000
A
ECP0458347
10/03/2018
10/03/2019
GEN'LAGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000,000
FRO❑LOC
2,000,000POLICY
$
OTHER
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
X
BODILY INJURY (Per person)
$
ANYAUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
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 I I RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
N / A
WC2097624212
03/15/2019
03/15l2020
H
X STATUTE ER
E.L. EACH ACCIDENT
500,000
$
E.L. DISEASE - EA EMPLOYEE
$ 500,000
If yes, describe under
DESCRIPTION OF CP ERATIONS below
E.L. DISEASE - POOCY LIMIT
$ SC0,000
Each Claim
$1,000,000
C
Professional Liability
B0621PDITE000118
10I05/2018
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)
Project DWRF Yard Piping Map Phase 2
CERTIFICATE HOLDER CANCELLATION
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
�anac SQ2nieiSOti.
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