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Home My WebLink About450506 DITESCO LLC - INSURANCE CERTIFICATE (21)ACOROF CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03107/2019 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 PHONE (970) 266-7118 FAX (970) 506-6846 AIC No Ext : AIC No Corporate Mailing Address: E-MAIL BDanielson@FloodPeterson.com 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 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 FORTH E 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 — A A 1,000,000 CLAIMS -MADE /� OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 A Y ECP0458347 10/03/2018 10/03/2019 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.000 RPOLICY ❑ PRO ❑ JECT LOC PRODUCTS-COMP/OPAGG 2,000,000 $ $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000.000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED Y ECP 0458347 10/03/2018 10/03/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident Medical Payments $ 5,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE _ $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- X I AND EMPLOYERS' LIABILITY YIN STATUTE I ER E.L. EACH ACCIDENT $ 500,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA Y WC2097624212 03I15/2019 03/15/2020 E.L. DISEASE - EA EMPLOYEE $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under 500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 8 Each Claim $1,000,000 Professional Liability C B0621PDITE000118 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: Walnut Street Water Main Replacement — Construction Services 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. 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 Fort Collins CO 80521 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD