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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (33)CERTIFICATE LIABILITY INSURANCE DATE (MMIDDN YY) CERTIFICATEDOES NOT AFFIRMATIVELY OR NEGATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CC REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ?ID, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES MUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED If SUBROGATION IS WAIVED, subject to the terms and condltl�ns of the policy, certain policies may require an endorsement. A statement on this cerdfleste does not colder rights to the certificate holder 16 Neu of such endomement(s). Flood and Paterson PHONE 0, (970) 2887119 1 AC Ns :. (970) 506-68M Corporate Mailing Address: ADDRESS, BDanielson@RoodPeterson.com P.O. Box 578 INSURER(S) AFFORDING COVERAGE NAZI Greeley GO 1 1632 1NSORERA: The CIncin dtlInsuranceCompany 106 Ditesco LLC 2133 S Timberline Rd Unit 110 Fort Collins CO 60525-4372 I INSURER F : COVERAGES CERTIFICATE NUMBER: I CL191033MII REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCELISTED 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 WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECT-TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE PO CYNUMBER POLICY EFF MMODIYYYY POLICY EXF MMID LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ®OCCUR PREMISES "(Ea oo:urence $ 11000-000 MED EXP one e $ 10,000 A - Y Y ECP0456347 10/03/2019 11/03/2019 PERSONAL $AOVINJURY $ 1,000,000 GENIAGGREGATE LIMIT APPLIES PER GENERALAGGREGATE S 2,000,000 PRO LOC POLICY ❑ PRODUCTS-COWI&AGG S 2,ODO,000 S " OTHER AUTOMOBILELIABILITY - -_ - ___ _. _ __.- COMBINED SINGLE LIMIT Ea accident) -S 1,000,000 BODILY INJURY(Pwpenon) $ ANY AUTO A OWNED SCHEOULED AUTOS ONLY AUTOS Y Y ESA 0458 7 10/03/2019 11/03/2019 BODILY INJURY(Pw accident) $ P Pmago $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Medical Payments $ 5,000 UMBRELLA I" OCCUR EACH OCCURRENCE. $ AGGREGATE. $ EXCESS LIAR .CLAIMS -MADE' DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNER/EXECUTNE YIN OFF10ERIMEMBFREXCLUDED? J (Mandatory In NH) NIA I WC2097624212 03/15/2019 03f15/2020 pp PTATUTE ERA E.L.EACH ACCIDENT $_1,000,000 E.L. DISEASE - EA EMPLOYEE _ $ 1,000,000 If Yes, deaedbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 Each Claim $1,000,000 C Professional Lability 80621PD 00118 10/05/2018 11/03/2019 Aggregate $2,000.000 Retention $10.000 DESCRIPTION OF OPERATIONS / LOCATKIN3%VEHICLES (ACORD-1101, Addltlonal Itemarlo Project: Sherwood Street Water Main Replacement Schsdi le, may be aaaehed If awn span Is re hvd) The City of Fort Collins is included as Additional Insured as required by tten contract but only as respects to liability arising out of work performed by the named insured. Waiver of subrogation applies. CERTIFICATE HOLDER I 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. 700 Wood Street — --- -- AUTIiORigD REPRESENTATIVE Fort Collins CO 80521 `l34ldA�t !G.(fOM ®'19W2015ACORD CORPORATION. All rights reserved. ACORD 25 (201&03) The ACORD q e and logo are registered marks of ACORD