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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (26)T ® ACIOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10/03/2019 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 Bdanne Danielson, CISR NAME: Flood and Peterson PHONE (970)266-7119 FAX (970)506-6846 A/C No E A/C, No Corporate Mailing Address: EMAIL BDanlelson@RoodPeterson.com ADDRESS: INSURERS) AFFORDING COVERAGE NAIC a P.O. Box 578 INSURER A: The Cincinnati Insurance Company 10677 Greeley CO 80632 INSURED INSURER B: The Continental Insurance Company 35289 INSURER C : Certain Underwriters at Lloyd's, London 43389 Ditesco LLC INSURER D : 2133 S Timberline Rd Unit 110 INSURER E: INSURER F : Fort Collins CO 80525-4372 COVERAGES CERTIFICATE NUMBER- CL1910331774 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMMDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE ® OCCUR Awa RENTED PREMI ES Eaoccurtarce s 1,000.000 MED EXP (Any one n) $ 10,000 PERSONAL SADVINJURY $ 1,000,000 A Y ECP 0458347 10/03/2019 11/03/2019 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY D JEa LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Par Peron) $ ANYAUTO A OWNED SCHEDULED Y EBA 0458347 10/03/2019 11/03/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Medical Payments $ 5,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MACE DIED RETENTION S $ WORKERS COMPENSATION PER OH AND EMPLOYERS' LIABILITY Y / N STATUTE ER E.L. EACH ACCIDENT s 1,000,000 B ANVPROPRIETOR/PARTNERLEXECUTIVE NIA Y WC2097624212 03/15/2019 03/15/2020 1.000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes. desalbe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S Each Claim 1,000,000 Professional Liability C 80621PDITE000118 10/05/2018 11/03/2019 Aggregate T$$10,000 2,000,000 Retention DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be affached If more space Is required) RE: 7515 Consulting Engineering Services for Future Water, Wastewater & Stormwater Capital Improvements 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. CFRTIFICATE 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 - Financial Services Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. 215 N. Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE P.O. Box 580 Fort Collins CO 80522 `ti4nAr y((�2niEifo�, © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD