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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (28)A�pO® /� CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD YYVY) 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 ananne Danielson, CISR NAME: Flood and Peterson PHONE (970) 266-7119 (970) 506-6846 A/C No Ex A/C No Corporate Mailing Address: ADORIess: SDanielson@FloodPeterson.com INSURERS AFFORDING COVERAGE NAIC e 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 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. VTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MIWDD/YYYY MWDDNYYV LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ©OCCUR -ToEaoccunenCa 1,000,000 CLAIMS -MADE PREMISES E MED EXP Any oneperson) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 A Y Y ECP 0458347 10/03/2019 11/03/2019 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY1:1 ECT LOC PRODUCTS-COMP/OPAGG S 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acciden $ 1,000,000 BODILY INJURY (Per Person) $ ANY AUTO A OWNED SCHEDULED Y 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 E 5,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE E AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT g 1.000,000 B ANYPROPRIOFFICERIMEMBR/PARTNER/EXECUTIVE � NIA Y WC2097624212 03/15/2019 03/15/2020 1,000,000 EXCLUDED? In NH) (Msedatory In NH) (Mandatory E.L. DISEASE - EA EMPLOYEE E If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belaw E.L. DISEASE - POLICY LIMIT E Each Claim $1.000,000 Professional Liability C B0621PDITE000118 10l05/2018 11/03/2019 Aggregate $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: 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. 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 V3,u:4,M"'Dmdiw, © 1988-2015 ACORO CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD