HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (37)A°►` Or CERTIFICATE OF LIABILITY INSURANCE
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), AUTHORE:ED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT( If the Certificate holder is an ADDITIONAL INSURED, the palicy(les) must have ADDITIONAL INSURED provisions or be endorsed..
If SUBROGATION IS WAIVED, subject to the terms and conditls of the policy, certain policies may require an endorsement A statement on
this certificate does not confer rights to the certificate holder In tleu of such endomem s).
PRODUCER NCONIACT AME: Bdanne Danielson, CISR
Flood and Peterson PHONE (970) 266.7119 FAX� No : (970) 506 6846
Corporate Mailing Address: ADDRESS . BDan_lelson@Fk_odPeterson.hom
P.O. BOX 578 INSURE AFFORDING COVERAGE NAIC 0
Greeley CO 80632 INSURERA: The CincinnatiInsurance Company 10677
INSURED wm ieee n- The COnBnental Insurance Company 35289
Dftesoo LLC I INSURER C : Cenaln Underwriters at Lloyd's• London 43389
2133 S Timberline Rd Unit 110 INSURER 0:
INSURER E:.
Fort Collins CO 30526-4372 INSURERF, — - - -
rnveowccc rcoTlclrAw m iumpa. I CL1910331774 RFVIRIT]N NIIMRFR-
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 INSURANCEAFF,ORDED
BY THE'. POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
.POLICY
NUMBER
MWDDIYI•YY .
_ POLICY EXP
M ...
_ _ - . _LIMITS_ _ _. -.
.
COMMERCIALGENERALLIABILITY _-_
-. -
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE® OCCUR
RENTED
PREMISES - -_.
$ 1,000,000
MED EKP one
$ 10,000
A
Y
Y
ECP04583
7
10113/20111
11/03/20111
PERSONALBAOVINJURY
$ 1,00.0,000
GENLAGGREGATE LIMITAPPLIES PER:
POLICY ❑ JECT LOC
.GENERALAGGREGATE_ -
.$ 2.000.000
PRODUCTS -COMP/OPAGG
$ 2,000,000
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
wren
;$ 1,000.000
ANYAUTO
BODILY INIURY(Pwpmm)
$
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Y
Y
EBA 0458347
10/03/2019
11/03/2019
BODILY INJURY (Per accident)
$
-PROPERTY DAMAGE
- - - -
-- _ -- -
$
Medical Paymerft
s 5,000
UMBRELLA LIAS
OCCUR
EACH OCCURRENCE
S
AGGREGATE
S
EXCESS LUIB
CLAIMS -MADE
DED RETENTION $
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTNE
OFFICER/MEMBEREXCLUDEDT
(Mandatory In NH)
NIA
Y
I
WC2097624212
03/15/2019
03/152020
.STAT RTM
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE-. EA EMPLOYEE
s 1,000,000
I yes, desame under
DESCRIPTION OF OPERATIONS tnbw
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
C
Professional Liability
B0621PDITEO00118
10/05/2018
11003/2019
Each Claim
Aggregate
$1,000,000
$2,000,000
Retention
$10,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Aditmmd
Rammks Seh�urs, may ba anwhed N mm space Is requNad)
RE: DWRF Project Management Support
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.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES. BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins Utilities
ACCORDANCE WITH THE POLICY PROVISIONS.
760 Wood Street
AUTHORIZED REPRESENTATIVE
Fort Collins CO
80521
tau Slatnl&IiZIA„
1671888-2015 AGUKU GUKYUKA I RJN. All ngms reaerVe0.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD