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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (42)710/5/2017 TE (MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE ��" 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 endorsement(s). PRODUCER CONTACT Javier Perez NAME: Flood and Peterson A/ No Ext: (970)356-0123 a No: (970)330-1867 PO Box 578 E-MAI w-MAII • L JPerez@F1oodPeterson.com INSURERS AFFORDING COVERAGE NAIC M Greeley CO 80632 INSURERA:The Cincinnati Insurance Co. INSURED INSURERB:National Fire Insurance Co of 20478 Ditesco, LLC INSURER C:Llo dIs of London 2133 S. Timberline Road, unit 110 INSURERD: INSURER Ill Fort Collins CO 80525 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1792919793 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 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 SUER POLICY NUMBER D MMPOLICY EFF ! YYY POLICY EXP MM DDYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A _ �, CLAIMS -MADE FZ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300, 000 IVIED EXP (Any one person) $ 10,000 ECP0458347 10/3/2017 10/3/2018 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JE � 'LOC PRODUCTS - COMP/OP AGG $ 2,000,000 EPLI $ 100,000 OTHER: AUTOMOBILE LIABILITY COMaaccBINED SINGLE LIMIT nt Eide $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ECP0458347 10/3/2017 30/3/2018 BODILY INJURY (Per accident) _ $ PROPPer aERccidenTY DAMAGE t $ NON -OWNED X HIRED AUTOS X AUTOS Waiver of Subrogation $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ' APiV PROPRIGTORiPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 2097624212 3/15/2017 3/15/2018 X PER O H- STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE- EA EMPLOYEE $ 500,000 If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 C Professional Liability BINDER6340359-1 10/5/2017 10/5/2018 Limit Occurrence/Aggregate $ 1/2, 000, 000 Retention $ 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Engineering CM - On Call Certificate holder is included as Additional Insured as required by written contract but only as respects to liability arising out of work performed by the named insured. Waiver of subrogation applies. ELM Ua: eliOL";401w \Ils City of Fort Collins PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Javier Perez/JPEREZ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD