HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (25)I ®
AC"RO 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
aION
No Ext : (970) 266-7118 A c No): (970) 506-6846
E-MAIL BDanielson@FloodPeterson.com
ADDRESS:
Corporate Mailing Address
INSURER(S) AFFORDING COVERAGE
NAIC #
P.O. BOX 578
Greeley CO 80632
INSURERA: The Cincinnati Insurance Company
10677
INSURED
INSURER B : The Continental Insurance Company
35289
INSURER C : Lloyd's of London
43389
Ditesco, LLC
2133 S. Timberline Road
INSURER D :
INSURER E :
Unit 110
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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.
IICY
EFF
EXP
LDDIYYYY
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMLDDY/YYYY
MM
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
�
DAMAGE
1,000,000
CLAIMS -MADE OCCUR
PREMISES Ea occurrence
$
MED EXP (Any one person)
$ 10,000
PERSONAL&ADVINJURY
$ 1,000,000
A
Y
Y
ECP0458347
10/03/2018
10/03/2019
L AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000.000
O
POLICY PRO-
Pi J LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
Ea accident
X
BODILY INJURY (Per person)
$
ANY AUTO
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 LIAB
CLAIMS -MADE
DED I I RETENTION $
$
WORKERS COMPENSATION
X �RH
AND EMPLOYERS' LIABILITY YIN
SPER TATUTE
E.L. EACH ACCIDENT
500,000
$
B
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
N / A
Y
WC2097624212
03/15/2019
03/15/2020
500,000
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
E.L DISEASE - EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
500,000
$
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 I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Engineering CM - 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. Notice of cancellation is provided in accordance with policy provisions.
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.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522
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