HomeMy WebLinkAbout424631 KENNEDY / JENIKS CONSULTANTS INC - INSURANCE CERTIFICATEACORD,, CERTIFICATE OF LIABILITY INSURANCEIon2014
1 927/2DA/27/2013D
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(les) 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 Lockton Companies, LLC-1 Kansas City
444 W. 47th Street, Suite 900
Kansas Cittyy MO 64112-1906
(816) 960-9000
ACT
.
VARA/C
No E:r : (A/C, No
E-MAIL
A DRESS
INSURERfS) AFFORDING COVERAGE
NAIC is
INSURER A: Zurich American Insurance Compstry
16535
INSURED KENNEDY/JENKS CONSULTANTS, INC. ,I /
1370659 303 SECOND STREET, SUITE 300 SOUTH ¢24�31
SAN FRANCISCO CA 94107
INSURER IS; Lexington Insurance Com anv
19437
INSURER C:
N
INSURER
COVERAGES KENJEOI CERTIFICATE NUMBER: 12591959 REVISION NUMRFR• XXXXXXX
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
TYPE OF INSURANCE
AD L
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
GENERAL LIABILITY
Y
N
GLO5833581
10/12013
10/1/2014
EACH OCCURRENCE
S 1000000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED n
1,000,000
CLAIMS -MADE Fx-1 OCCUR
MED UP (My one on
5,000
PERSONAL S ADV INJURY
$ 1000 000
GENERAL AGGREGATE
$ 2.000.000
GEN'L AGGREGATE
LIMIT APPLIES PER.
PRODUCTS - COMP/OP AGG
$ 2 OOO 000
P Y
JE -
$
A
AUTOMOBILE
LIABILITY
Y
Y
BAP9326879
10/1/2013
10/1/2014
COMBINED SINGLE LIMIT(Ea accdenO
$ 1,000,000
X
BODILY INJURY (Perperscn)
S XK)CXY (
ANY AUTO
AUL8SWNED AUHEDULEO
X,
BODILY INJURY (Per eccYderrt
S XX)CXYM
X
HIREDAU108 X NAOTNOOWNED
3
PROPERTY DAMAGE
$ XXX)IXXX
$XXXXXXX
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ )CXXXXX){
EXCESS LIAR
CLAIMS -MADE
NOT APPLICABLE
AGGREGATE
S XXX)=
DED I I RETENTION $
$
A
ATIONWR
WORKERS AND EMPLOYERS' LIABILITY YI N
ANY
OFFICERVMEMSEREEXCLUDEM I� N❑N/A
(MYuen�Mary In NH)
It
OESCReIVTION OF OPEMTIONS Uelow
N
WC9326878
10/12013
10/1/2014
STAT - 0,
X
Et. EACH ACCIDENT
$IOOO DDO
E.L. DISEASE - EA EMPLOYEE
1.000000
E, . DISEASE - POLICY LIMIT
1 000 000
B
PROFESSIONAL
LIABILrrY
N
N
026154151
10/12013
10/1/2014
$1,000,000 PER CLAIM
$1,000,000 ANNUAL AGGREGATE
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(ABach ACORD 101, Additional Remade Schedule, M more space is required)
REF: 7144 GREASE TRAP INSPECTIONS. THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL
INSUREDS WITH RESPECT TO GENERAL AND AUTO LIABILITY, WHERE REQUIRED BY WRITTEN CONTRACT.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
12591859
CITY OF FORT COLLINS
FINANCIAL SERVICES, PURCHASING DIVISION
215 NORTH MASON STREET, 2ND FLOOR
P.O. BOX 580
FORT COLLINS CO 80522-0580
All rights reserved
the ACORD name and logo are registered marks of ACORD
L_
LOa(TON`
September 30, 2013
Kennedy/Jenks Consultants, Inc.
303 Second Street, Suite 300 South
San Francisco, CA 94107
Re: Renewal Certificates of Insurance
October 1, 2013 — October 1, 2014
To Whom It May Concern:
Enclosed are revisions to the previously issued insurance certificates for Kennedy/Jenks
Consultants, Inc. for the October 1, 2013 — October 1, 2014 policy term. Please disregard any
certificates received prior to this letter and replace them with the enclosed certificates.
Should you have any questions, please feel free to contact me.
Sincerely,
LOCKTON COMPANIES, LLC
U �*avto F"
Elizabeth Petry
Account Executive
Construction Practice Group
LocKToN CoMPA z, LLC
444 \C' 47t1i St, Ste 600 / Kansas Ciq, MO 64112-1906
8 W960 9000 / FAX: 816-960.9099
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