HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (39)�►` o CERTIFICATE OF LIABILITY INSURANCE WAICJ '" TTTTI
10/0312019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 H LDER.
IMPORTANT If the certificate holder is an ADDITIONAL INSUR D, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
It SUBROGATION IS WAIVED, subject to the terms and eonditl'� ns of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rialits to the certificate holder Idl lieu of such endorsement(s).
PRODUCER
Flood and Peterson
Corporate Mailing Address:
P.O. Box 578
0677
Ditesco LLC
2133 S 71mbedine Rd Unit 110
Collins
CO
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Certain Underwriters at Lloyd's, London
COVERAGES CERTIFICATE NUMBER: I CLI910331774 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 CON
ITION.OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFF
RDED 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.
INSR
LTR
TYPE OF INSURANCE
INSO
INVO
Poi1JCYNUMBER
MID
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS•MADE ® OCCUR
PREMISES (Ea- r;i- n e)
$ 1,000,000
-MED.EXP (Aly one. enun .
,E 10,000 --
PERSONAL 8 ADV INJURY
s 1.000,000
A
Y
Y
ECP0458347
10/03/2019
11/03/2019
GENL AGGREGATE LIMrTAPPLIES PER
GENERALAGGREGATE
$ 2,000,000
POLICY JET LOC
PRODUCTS=COMPIOPAGG
E 2,000,000
E
OTHER
AUTOMOBILE
LIABILITY
- - -
COMBINED SINGLE LIMIT
Es sadderd . -
E 1,000,000 _
_
804ILYINIURY(Per pen=)
E
ANYAUTO _
p
0"'D
y
Y
EBA045
7
10l03/2019
11/03/2019
soDlLrlwuar(Peaaklmt)
E
AMULEO
AUTOS ONLY AUTOS
PROPERTY DAMA
E
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
P I
Medical Payments
s 5.000
UMBRELLA LUAB
OCCUR
EACH OCCURRENCE
$
.AGGREGATE
$
EXCESS LIMB
CLAIMS -MADE
.DED I .RETENTION s.-
- -.. _
.E._
-
WORKERS COMPENSATION
PER
AND EMPLOYERS' LIABILITY
MPYIN
RTH-
El. EACH ACCIDENT
E 1.000,000
B
ANY PROPRIETORIPARTNERIEXECUTNE
MIA
Y
WC209762
212
03/15/2019
03/15/2020
1,000.000
GFFICERIMEMBEREXCLUDEm
(UmdaMey In NM)
E.L. DISEASE- EA EMPLOYEE.
E
IfESCRI TION undo
DESCRIPTION OF OPERATIONS Oelor.. _ _. _
_
__ _.
_ _ _ _ ._ _
_ _..
__
LEI. DISEASE -POLICY LIMIT
$ 1.•00p•�
Each Claim
$110001000-
Professional Liability
C
SMIPDIT
ED60118
10/05/2018
11/03/2019
Aggregate
$2,000,000
Retention
$10,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addmkmal Remarks
Schedule, may be aeached If man space Is rmwlmd)
Project: Utility Service Center Storm Drainage Design
The City of Fort Collins is included as Additional Insured as required. by - f
Rten contract but only as respects to liability arising out of work performed by the
named. insured. Waiver ofsubrogation 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 Utilities
ACCORDANCE WITH THE POLICY PROVISIONS.
700 Wood Street
AUTHORIZED REPRESENTATIVE
Fort Collins CO
86521
v3RiQlut SQ2+{iCtroTv
01988-2015 ACORD CORPORATION. All fights reserved
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD