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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (20)ACG7R0CERTIFICATE OF LIABILITY INSURANCE Y) DATE (M019 03l07/® l2019 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 PHONE (970) 266-7118 FAX (970) 506-6846 A/C No Ext : A/C No Corporate Mailing Address: E-MAIL BDanielson@FloodPeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p P.O. Box 578 Greeley CO 80632 INSURER A : The Cincinnati Insurance Company 10677 INSURED INSURER B : The Continental Insurance Company 35289 Ditesco, LLC INSURER C : Lloyd's of London 43389 2133 S. Timberline Road INSURER D : Unit 110 INSURER E : Fort Collins CO 80525-4372 INSURER F : COVERAGES CERTIFICATE NUMBER: CL193727990 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. IN ADULSUBR POLTR POLICY P TYPE OF INSURANCE INSD WVD POLICY NUMBER MM`DDY/YYYY MM/DDIYEFF Y LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ X A A 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 BADVINJURY $ 1,000,000 A Y Y ECP0458347 10/03/2018 10/03/2019 GEN'LAGGREGATELIMITAPPLIESPER . -PERSONAL GENERAL AGGREGATE $ 2,000,000 POLICY ❑ JECT PRO ❑ LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED Y 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 Medical Payments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION X1 AND EMPLOYERS' LIABILITY Y / N STATUTE EORH E.L. EACH ACCIDENT $ 500,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA Y WC2097624212 03I15/2019 03/15/2020 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 60621PDITE000118 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) Project: Mulberry Riverside Storm Drainage Project 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 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. 700 Wood Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 �al�nc S(�2nlelson,. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD