Loading...
HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (40)---00044 DITESCLL01 .4C�►R®� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �� 10/29/2019 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), AUTHORIZED REPRESENTATIVE OlkPRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on PRODUCER INSURED 1 Colorado dba Front Range Ins Group ive, #101 80525 Ditesco LLC 2133 S. Timberline Rd Unit 110 Fort Collins, CO 80525 COVERAGES CERTIRCATE NUMBER:. RFVISinu w1MIRCR• 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 INSURANCE AFFORDEDTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN _BY MAY HAVESEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR INSO vivoPOLICY NUMBER -POLICY EFF.. POLICYEXPLTR LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CSU0141633 - 11/3/2019 11/3/2020 EACH OCCURRENCE $ 11000,000 DAMAGE To. RENTED $ 100,000 MEDEXP (Any one arson $ 1,000 PERSONAL tt ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY j LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP .AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY ALIT EPP0556473 11/3/2019 11/3/2020 COM13INdED SantlINGLE LIMIT fEaX, $ 1,000,000 BODILY INJURY Per Person)$ BODILY INJURY Per accident $ Parr amtleTidDAMAGE $ NNOSWwNNEEpp AUTOS ONLY AUTO ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIV CLAIMS -MADE I DED RETENTION$ - $ C ANDEEMEPLO COMPENSATION Y YIN ANY OFa datRory In BER EXCLUDED? (M d NN) If yes, aescnbe under DESCRIPTION OF OPERATIONS belay N / A 4HO8774300 _ -. 11/3/2019 11/3/2020 X PER T ER E.L. EACH ACCIDENT $ 1,000,000 E.L.DISEASE -EA EMPLOYEE $ 1y000,000 E.L. DISEASE- POLICY LIMIT 1,000,000 D Professional Liabili 7E300049-00 11/3/2019 11/3/2020 OCCIAGG 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additlonal If required by Written contract, the following endorsementsapp1, Remarks Schedule, may be attached H more space Is mquked) on a blanket basis: General Liability: CSGA405 (12/13) - Additional Insured - Owners Lessees or ContractoT-Including CSGA4087 (12/12) - Waiver of Transfer of Rights of Recovery Against Primary/Non-Contributory Others to Us Automobile Liability.: SEE ATTACHED ACORD 101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE..E%PIRATION . DATE. _THEREOF, NOTICE WILL BE DELIVERED IN Financial Services Purchasing Division ACCORDANCE. WITH THE POLICY PROVISIONS. 215 N. Mason Street, 2nd Floor PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 ` ' /J Q 2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: DITESCL1-01 C3JWAGNER LOC #: 1 A� ®° ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED ssuredPartners Colorado dba Front Range Ins Group 9 P Diteseo LLC 2133 S. Timberline Rd.Unit 110 Fort Collins, CO 80525 __- POUCYNUMBER EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFEOTIVE DATE: SEE PAGE I ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE Certificate of Liabft lneurance Description of Operations/Locations/Vehicles: AA288 (01116) - Additional Insured by Contract and Waiver of Subrogation Workers Compensation: Waiver of Subrogation Re: 7515 Consulting Engineering Services for Future Water, Wastewater & Stormwater Capital Improvements The City of Fort Collins is included as Additional Insured per blanket conditions and forms shown ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD