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HomeMy WebLinkAbout450506 DITESCO LLC - INSURANCE CERTIFICATE (44)Ac"R" CERTIFICATE OF LIABILITY INSURANCE F DATE (MM/DD/YYYY)1o/5/2D17 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 NAME: Javier Perez FAX PHO 4tCN Ext: (970) 356-0123 A/C No: (970)330-1867 Flood and Peterson E-MAIL ADDRESS: JPerez@F1oodPeterson.com -- PO BOX 578 INSURERS AFFORDING COVERAGE NAIC k INSURERA:The Cincinnati Insurance Co. Greeley CO 80632 INSURED INSURERB:National Fire Insurance Co of 20478 INSURER C:Lloyd I of London Ditesco, LLC INSURERD: 2133 S. Timberline Road, Unit 110 INSURER E : INSURERF: Fort Collins CO 80525 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 POLICY EFF MWDD/YYYY POLICY EXP MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300, 000 IVIED EXP (Any one person) __, $ 10,000 Y ECP0458347 10/3/2017 10/3/2018 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JET LOC PRODUCTS - COMP/OP AGG $ 2,000,000 EPLI $ 100,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a Ea ccident $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS Y ECP0458347 10/3/2017 10/3/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED X X HIRED AUTOS AUTOS Waiver of Subrogation $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PRCPRIETCR,/PARTNE1R EXECC I— OFFICER/MEMBER EXCLUDED? H (Mandatory in NH) N/A y 2097624212 3/15/2017 � 3/15/2018 PER OTH- X STATUTE ER E.L. EACH ACCIDENT i 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 C Professional Liability BZNDER6340359-1 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: 8111 Construction Management & Inspection Services On -Call 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. GEHTIFIGATE HOLDER City of Fort Collins Financial Services Purchasing Division 215 N. Mason St. 2nd Floor 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 -V.- .. Javier Perez/JPEREZ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD