HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (38),4coR CERTIFICATE bF LIABILITY INSURANCE °"'E/M"I°°"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 CONTITUTE'A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: H the certificate bolder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
H SUBROGATION IS WAIVED; subject to the terns and conditions of the poficy, certain policies may require an endorsement A statementon
this certificate does not confer rights to the certificate holder 16 Ileu of.such endorsement(s).
PRODUCER NGUNTAUT AME' Bdanne Danielson, CISR
Flood and Peterson PHONE (970) 268 7119 Arc No (970) 508 684E
Corporate Mailing Address: ADDRESS:- BDiinlelsori@FloodPetersan.com -
RO. BOX 578 INSURER(S) AFFORDING COVERAGE NAIL 0
Greeley CO 80632 INSURERA: The Cincinnati Insurance Company ID677
INSURED INSURER a: The Continental Insurances COmparry 35289
Ditesco LLC INSURER C : Certain Underwriters at Lloyds, London 43389
2133 S Timberline Rd Unit 110
INSIiRERo:
INSURER E:.
Fort Collins CO 0525.4372 INSURER F :
nnveewrsc rcerrrrwTz-uuunce. CL1910331774 IacvlmnM
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 1AS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AF
ORDEDBY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
Y HAVE BEEN REDUCED BY AAI_O CLAIMS. .
LTR
TYPE OF INSURANCE_.-
INSO
WVO_
POIJCVNUMBER
(MMID
MMIDD
LIB
- COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 1,000,000
CLAIMS -MADE ® OCCUR
PREMISES Ea oaurrenctI
$ 1,000,000
MED EXP A one
$ 10,000
A
EC1 0458347
10/03/2019
11/0W2019
PERSONAL$ADV.INJURY
$ 1,000,000 _
GENLAGGREGATELIMITAPPLIESPER
GENERALAGGREGATE__
$ 2,000,000
POLICY1:1 EC 0 LOC
PRODUCTS -COMPIOPAGG
$ 2,000,000
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
a accident
s 1,000,000
BODILY mink (Per person)
S
ANYAUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
EBA Og___
17
10/03/2019
11/03/2019
BODILY INI_URY(PoraaiCent)
- --
S
PROPERTY DAMAGE
Par t
$.
Medical Payments
S 5,000
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DEC I I RETENTIONS
- -
S. -
- _ _
B
WORKERS COMPENSATION
AND EMPLOYERS, LIABILITY
ANY PROPRIETORIPARTNERIEXECLMVE YIN
OFRCERIMEMBEREXCLUDED?
(NumIMory In NH)
NIA
_...
WC2097624212
-
03/15/2019
03/1512020
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
oyes, dasaibe under
DESCRIPTION OF OPERATIONS be1mv
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
Each Claim- -
$1.000,000
C
Professional Liability
80621PD
00118
101OW018
11/03/2019
Aggregate
$2,000,OW
Retention
$10,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD V". AddlWnal Ramarlm
Schedule, may be adached N men spebw is required)
Project DWRF Yard Piping Map Phase 2
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THEEXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN
City of Fort Collins Utilities
ACCORDANCE WITH THE POLICY PROVISIONS.
700 Wood Street
AUTHORIZED REPRESENTATIVE
Fort Collins CO
80521
`%3tlQeAeïż½211iL(SOW:
ru Ts°s-ZUTD w%.unu r.urcrunwl non. wI ngns reserveo.
ACORD 25 (201 W03) The ACORD n e and logo are registered marks of ACORD