HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (43)710/5/2017
TE (MM/DDNYYY)
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 PPHO Nc E�tt: (970)356-0123 Fac.No: (970)330-1867
PO BOX 578 E-MAIL
,,,,, .Q. JPerez@FloodPeterson.com
Greeley CO 80632 INSURERA:The Cincinnati Insurance Co.
INSURED INSURERB:National Fire Insurance Co of 20478 _
Ditesco, LLC INSURER C:Llo d,s of London
2133 S. Timberline Road, Unit 110 INSURERD:
INSURER E :
Fort Collins CO 80525 INSURERF:
RnVFRAt;FS CFRTIFICATF NUMBFR-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
OF INSURANCE
ADDLTYPE
JUMSUER
POLICY NUMBER
MM/D POLICY
MMFF LIDYYX
Y
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE E X OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one person)
Y
ECP0458347
30/3/2017
10/3/2018
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENT
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY " PE LOC
POLICY [X]
PRODUCTS -COMP/OP AGG
$ 2,000,000
I EPLI
$ 100,000
OTHER:
I
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
A
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOSON-O
Y
ECP0458347
10/3/2017
10/3/2018
BODILY INJURY (Per accident)
$
PROPER
accidentDAMAGE
$
X HIRED AUTOS X AUTOS ED
Waiver of Subr ation
$
UMBRELLA LAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED F I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORiPARTNER/EXECUTIVE I-1
OT-
][ STATUTE ERH
E.L. EACH ACCIDENT
$ 500,000
B
OFFICER/MEMBER EXCLUDED? Ll
(Mandatory in NH)
NSA
Y
2097624212
3/14/2017
3/15/2018
E.L. DISEASE - EA EMPLOYEd
$ 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
i
Retention $ 10,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
RE: 7515 Consulting Engineering Services for Future Water, Wastewater &
Stormwater Capital Improvements
The City of Fort Collins 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.
CFRTIFICATF HOI DFR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort
Collins
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Financial Services Purchasing Division
ACCORDANCE WITH THE POLICY PROVISIONS.
215 N. Mason
St. 2nd Floor
AUTHORIZED REPRESENTATIVE
PO BOX 580
Fort Collins,
CO 80522
Javier Perez/JPEREZ
U 1988-2014 ACORD CORPORATION. All rights reserved.
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