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HomeMy WebLinkAboutPDI LLC - INSURANCE CERTIFICATEP52NaSNar! AcoRV CERTIFICATE OF LIABILITY INSURANCE Ill@ DATE IMMIDDffYYY) 07/19/2019 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(iss) 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 1-303-534-4567 INA, Inc. - Colorado Division CONTACT NAME: _ PHONE FAX Na: E-MAIL DenAOOOuntTecheQimacorp.cOm ADDRESS: 1705 17th St Ste 100 INSU AFFORDING COVERAGE NAICe INSURERA: VALLBY FOR(Z INS CO(CIDL Insurance) 20508 Denver, CO 80202 _ _ INSURED INSURERB: CONTINENTAL INS CO(CRA Ineurance) 35289 INSURERC: FINNACOL ASSDR 41190 PDI, LLC INSURERD: TRAVELERS PROF CAB CO OF Alml 25674 P.O. Box 17886 INSURER E : INSURER F: Denver, CO 80217 rnvomar•-ec r'FRTIFtr_ATF NIIMRFR• 56774419 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. ttJSR TYPE OF INSURANCE ADOL S WVVDI POLICYNUMBER POLICY EFF POLICY OW UNIT$ A Z COMMERCIAL GENERAL LIABILITY 6076512416 03/01/19 03/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Fi-I OCCUR DAMAGE TO RFNTEIT-- PREMISES Me occurrence) 4 500,000 MED EXP one ) S 15,000 PERSONAL 4 ADV INJURY s 1,000,000 GEN'L AGGREGATE UNIT APPLIES PER GENERALAGGREGATE S 2,000,000 PRODUCTS -COMPtoP AGG $ 2,000,000 Z Pouc.�JJEECT LOC S OTHER'. B AUTOMOBILE LIABILITY 6076512383 03/01/19 03/01/20 COMBINED SINGLE LIMIT(ERAo S 1,000,000 BODILY INJURY (Par 11"0r) 6 ANY AUTO BODILY INJURY (Par accident) S OWNED SCHEDULED AUTOS ONLY AUTOS 1Z HIRED NON -OWNED Z AUTOS ONLY Z AUTOS ONLYaccident) PROPERTYDAMAGE $ $ B = UMBRELLA LIAR Z OCCUR 6076512366 03/01/19 03/01/20 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 EXCESS LIAB CLAIMS -MADE DIED I Z I RETENTION 10,000 $ C *ORNERS COMPENSATION AND EMPLOYERS' UABILTTY Y I N ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory In NH) NIA 4059538 08/01/18 08/01/19 1-77179-7 Z STATUTE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 It yes. de d rbe under DESCRIPTION OF OPERATIONS below D Onacheduled/Leased & Rented/ QT6606.T/80867TIL19 03/01/19 03/01/20 Blkt Equip Limit Contractors Equipment L&R Limit J3,478,208 865,000 Deductible 51000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more III to required) The Certificate Holder is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. .0. Box 580 j AUTHORIZED REPRESENTATIVE Collins, CO 80524//,,//////A USA , V 11100-iV IU MI Vmu I,VRI VRMIIV Ie. /111 n1'nw ,eJm vca,. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CHH92794 56774419