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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (29)ACORO® C" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDfYYYY) 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 Brlanne Danielson, CISR NAME: Flood and Peterson nICNNo E,0 : (970) 266-7119 A/C Ne (970) 506-6846 E-MAIL BDantelsen@FloodPeterson.com ADDRESS: Corporate Mailing Address: INSURERS) AFFORDING COVERAGE NAIC If P.O. Box 578 Greeley CO 80632 INSURERA: The Cincinnati Insurance Company 10677 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 Fort Collins CO 80525-4372 INSURER F COVERAGES CERTIFICATE NUMBER: CL1910331774 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIOD/YYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 RENTED 1,000,000 CLAIMS-MADE� OCCUR PREMISES Ea occurrence $ MED EXP (Any oneperson) $ 10,000 PERSONAL SADV INJURY $ 1,000,000 A Y Y ECP 0458347 10/03/2019 11/03/2019 GENL AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY JECT LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acodent $ I,000,000 BODILY INJURY (Per person) $ X ANYAUTO 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 $ 5,000 UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC I I RETENTION S $ WORKERS COMPENSATION PERT OTH- ANDEMPLOYERS! LIABILITY YIN STUTE ER E.L. EACH ACCIDENT E 1,000,000 B ANY PROPRIETORMARTNER/EXECUTIVE N/A Y WC2097624212 03/15l2019 03/15/2020 1,000,000 OFFICERIMEMBER EXCLUDEDiFN] (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S It yes, describe under 1,000.000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ Each Claim $1,000,000 Professional Liability C B0621 PDITE000118 10/0512018 11103/2019 Aggregate $2,000,000 Retention $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Ia required) RE: 8843 Engineering Design Support Services- Linden Street Renovations 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. rFRTIFICATF 14t71 nFR CANCFI I ATION 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 `3taAm r Rre(bti © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD