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HomeMy WebLinkAboutPDI LLC - INSURANCE CERTIFICATE (3)P52601Uaan ACORO® 08/O5/20/20 CERTIFICATE OF LIABILITY INSURANCE OAT/ YYYY) 19 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 1-303-534-4567 CONTACT NAME: ZNA, Inc. - Colorado Division PHONE (FAX Out No. E1�; _ _ fA1C. No,: 1705 17th St Ste 100 E DRRE : DenAccountTechaLkimncorp. com INSURER(S) AFFORDING COVERAGE NAIC e Deaver, CO 80202 INSURER A: VALLEY FORM INS CO(CNh InSuranCe) 20508 INSURED INSURERS: CONTINENTAL INS CO(CNA Insurance) 35289 PDI, LLC INBURERc: PL6617 c ASSDR 41190 P.O. Box 17886 INSURERD: TRAVELERS PROP CAB CO OF AIBR 25674 (Denver, CO 80217 1INSURER F: I ) CGVFRAGFS CFRTIFICATF NIIMRFR• 56903380 RFVISIr1N NIIMRFR- 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. 1115E TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A 8 COMMERCIAL GENERAL LIABILITY 6076512416 03/01/19 03/01/20 EACH OCCURRENCE S 1,000,000 f CLAIMS -MADE 18 OCCUR DAMAGE TO PREMISES EaENTED omme S 500,000 MED EXP (Any one Pelson) $ 15,000 PERSONAL 4 ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 GEN'L 8 POLICY FxJ JPERCTT LOC PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER I I E AUTOMOBILELIABILITY 6076512383 03/01/19 03/01/20 (COOMBIINESINGLE LIMB Ea NOdfflA) $ 1,000,000 -- - — 8 ANY AUTO BODILY INJURY (Per person) S OWNED SCDULED AUTOS ONLY AU HES BODILY INJURY (Per accident) $ 8 HIRED 8 NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE IP@r am $ S H 8 UMBRELLA LUB Z OCCUR 6076312366 03/01/19 03/01/20 EACH OCCURRENCE $ 4,000,000 EXCESS LIAR CLAIMS4UDE AGGREGATE $ 4,000,000 DIED I 8 I RETENTIONS 10,000 S L, WORKERS COMPENSATION AND EMPLOYERS'LUBILRY YIN ANYPROPRIETOR/PARTNER,EXECURVE OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) NIA 4059538 08/01/18 08/01/19 ER OT 8 STATUTEPERµ EL EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E yes, descnbe unow DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 D Unscheduled/Leased i Rented/ OT6606J780867TIL19 03/01/19 03/01/20 Elkt Equip Limit 3,478,208 Contractors Equipment L4R Limit 865,000 Deductible 15,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addttlonal Remarks Schedule, may as aftached Ifmom spa" Is required) The Certificate Holder is included as Additional Insured on the General Liability Policy if required by arritten 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 DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 580 r ORIZED REPRESENTATIVE ///��� Fort Collins, CO 80524 � //' �/f USA /�/�/� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CMH92794 56903380 O N h 7 W