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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 ..w .....w........ w.......w v�...r....� 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