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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (41)--, CERTIFICATE OF LIABILITY INSURANCE DAT/ 08/23/23/2015 Y) 015 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 OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: CS&S/FLOOD & PETERSON INSURANCE INC PHONE FAx A7C. No. Ext : (A/C, No): PO BOX 946580 EMAIL ADDRESS. Maitland, FL 32794-6580 INSURERS AFFORDING COVERAGE NAIC # 1-877-724-2669 American CasualtyCo Reading, PA INSURER A. o og' 20427 INSURED INSURER B: National Fire Insurance of Hartford 20478 INSURER C: DITESCO, LLC INSURER D: 1315 OAKRIDGE DR., SUITE 120 FORT COLLINS, CO 80525 INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER. 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, NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 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 ADDL INSR SUER WVO POLICY NUMBER POLICY EFF MM/DD/YY POLICY EXP MM/DD/YY LIMITS A GENERAL LIABILITY Y 2090873913 10/03/15 10/03/16 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) � 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Z OCCUR VIED EXP (Any one person) S 10,000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG S 2,000,000 PRO - POLICY JEC7 FX LOC A AUTOMOBILE LIABILITY 2090873927 10/03/15 10/03/16 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ BODILY INJURY(Per accident) S ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE (Per accident) S NON-OWNED X HIRED AUTOS AUTOS H S ELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE S SSCLAIMS-MADE L RETENTIONS S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N 2097624212 03/15/15 03/15/16 X A - TORY LIMITS T - ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT 500 Q00 E.L. DISEASE - EA EMPLOYEE S 500,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 500,000 OTHER W TATU- TORY LIMITS I OTH- ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additional Remarks Schedule, if more space is required) Certificate Holder is added as an additional insured as provided in the blanket additional insured endorsement. CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE > s © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD