Loading...
HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (34)A ©R'ff CERTIFICATE i6F LIABILITY INSURANCE I DATE(MMDD"Y"" 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 CONPTITUTE 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 pollcy(les) must have ADDITIONAL INSURED Provisions or be endorsed. H SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endarsemeM. A statement on this certificate does not corder rights to the certificate holder 6 lieu of such endorsement(s). PRODUCER NAME:. _ _edanneDanielson, CISR Flood and Peterson PHONE (970)26&7119 AX No: (970)506.6846 Corporate Mailing Address: ADDRESS BDanielson@Ff; eterson.com P.O. Box 578 INSURERS AFFORDING COVERAGE NAIL 0 Greeley CO 10632 ixsURERA: The Cincinnati Insurance Company 10677 INSURED INauRFa a The COMinemal Insurance Company 1 35289 Ditesco LLC INSURER C : Certain Underwriters at Uoyd's, London 43389 2133 S Timberline Rd Unit 110 INSURER D - - - INSURER E : Fort Collins CO ,60525-4372 INSURER F : rnveoer_ee r=o-nclrATP MI iursco. I CL1910331774 RPVIBIr1M NI IuRFR• THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TAIN INDICATED. NOTWITHSNDGANY REQUIREMENT, TERM OR CONDRION 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 LYN TYPE OF INSURANCE POLICY NUMBER POLICY EXP UNITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE. $ 1,000,000 CLAIMS -MADE ® OCCUR PREMISES. e . ce s 1.000,000 MED EXP (Any om $. 10,000 _ PERSONAL IIADV INJURY $ 1,000,000 A Y Y ECP0458347 10/03/2019 11/0312019 GENLAGGREGATE LIMRAPPLIES PER GENERAL AGGREGATE $ 2,ODO,000 POLICY EJEJ . LOC PRODUCTS-.COMP/OP AGG $ z000,000 $ OTHER AUTOMOBILE LIABILITY COMBBIINdE�DXSINGLE LIMIT $ 1.000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED Y Y EBA 0458 7 10/03/2019 11/03/2019 BODILY INJURY (Per Br;dden0 S AUTOS ONLY AUTOS PROPERTY DAMAGE _ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per Medical Payments s 5.000 UMBRELLA UAB OCCUR EACH OCCURRENCE _ S. . AGGREGATE' . $ _ EXCESS LIAR .CLAIMSMADE. Dm I I RETENTION $ $ WORKERS COMPENSATION PER STATUTE ER AND EMPLOYERS LIABILITY YIN ... 1,000,000 B ANY PROPRIE(ORIPARTNE-MEXECUTfVE OFFICERJMEMBEREXCLUDED? N/A Y WC2097624212 03/15/2019 03/15/2020l E.L.ACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE . $.. 1.000.000 peandatay b NH) Myer, aeacrlDe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT § -1,000.000 .. Each Claim $1.000,000 Professional Liability C B0821PDf�000118 10/05/2018 11N3/2019 Aggregate $2.000,000 Retention y $10,000 DESCRIPTION OF OPERATIONS I LOCATXn1s / VEHICLES (ACORD 101, Addmonel - - - - ionic Sch@kUle, may bs alfechatl H mora specs N ieWkw) ProJect Water and Wastwater CIP Mapping The City of Fort Collins is included asAdditional 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. I neuntrr A"^U SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCEAyiTH THE POLICY PAOVISI61119. 700 Wood Street AUTHORUED RErRESENTATNE Fort Collins CC 180521 ry Tate-zoT.D Awnu wnruw►i run. Ali ngm s reservea. ACORD 25 (Y016I03) The ACORD name and logo are registered marks of ACORD