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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (30)A� �® 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 Brianne Danielson, CISR NAME: Flood and Peterson I`IV HONE E , (970) 266-7119 FAX c, No): (970) 506-6846 Corporate Mailing Address: E-MAIL s: BDanielson@FloodPeterson.com DDRE INSURER(S) 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 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. I�TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMA]D/YYYV MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 ® 15 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP An onepawn) S 10,000 PERSONAL & ADV INJURY $ 1,000,000 A Y ECP0458347 10/03/2019 11/03/2019 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO-ECLOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident s 1,000,000 BODILY INJURY (Par person) $ ANY AUTO A OWNED SCHEDULED Y EBA 0458347 10/03/2019 11/03/2019 BODILY INJURY (Per accdent) $ AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON-0WNED P AUTOS ONLY AUTOS ONLY Medical Payments s 5,000 I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED RETENTION $ $ WORKERS COMPENSATION X1 I AND EMPLOYERS' LIABILITY Y / N STATUTE ER E.L. EACH ACCIDENT $ 1.000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA Y WC2097624212 03/15/2019 03/15/2020 1,000,000 OFFICEWMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ It yes, describe under 1,DDD,DDD DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ Each Claim $1,000,000 Professional Liability C 60621PDITE000118 10/05/2018 11/03/2019 Aggregate $2,000,000 Retention $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 8745: Engineering Services for Water, Wastewater and Stormwater Facilities CIP CERTIFICATE 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 ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division AUTHORIZED REPRESENTATIVE P.O. Box 580 Fort Collins CO 80522 'uniC(foq,, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD