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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (27)ACORE® CERTIFICATE OF LIABILITY INSURANCE onrE(mm/oomvv) 16.1 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 Branne Danielson, CISR NAME: Flood and Peterson FAX PHONE Ex : (970) 266-7119 AIC Np : (970) 506-6846 Corporate Mailing Address: E-MAIL BDanielson@FloodPeterson.com ADORESS: INSURER(S) AFFORDING COVERAGE NAIC • P.O. Box 578 INSURER A: The Cincinnati Insurance Company 10677 Greeley CO 80632 INSURED INSURER B : The Continental Insurance Company 35289 Ditesco LLC INSURER C : Certain Underwriters at Lloyd's, London 43389 INSURER D 2133 S Timberline Rd Unit 110 NSURER E 1INSURER F : Fort Collins CO 80525-4372 COVERAGES CERTIFICATE NUMBER: CL191033IT74 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 MM/DD/1'YYY) (MMIDDNYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR DAMAGE TO 'ENTED PREMISES Ea oaunence $ 1,000,000 MED EXP (Any one $ 10,000 PERSONAL &ADV INJURY S 1,000,000 A Y ECP0458347 10/03/2019 11/03/2019 GEN'L AGGREGATE LIMITAPPUES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ JEC LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y EBA 0458347 10/03/2019 11/03/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Medical Payments s 5,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY YIN ANVPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED. (Mandatory In NH) N/A Y WC2097624212 03/15/2019 03/15/2020 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1.000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Professional Liability 80621PDITE000118 10/05/2018 11/03/2019 Each Claim Aggregate $1,000,000 $2,000,000 Retention $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) RE: 8111 Construction Management & Inspection Services 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. City of Fort Collins Financial Services Purchasing Division 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V&t xt y02nletron,. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD