HomeMy WebLinkAbout424631 KENNEDY / JENKS CONSULTANTS INC - INSURANCE CERTIFICATE (2)ACORD, CERTIFICATE OF LIABILITY INSURANCE lonnol4
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9/27/2/27/2013
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 endomement(s).
PRODUCER Lockton Companies, LLC-1 Kansas City
444 W. 47th Street, Suite 900
Kansas Cit1yy MO 64112-1906
(816) 9( 000
CONTACT
Wit we NoEXe : ac N
E-MAIL
RISURERA: Zurich American Insurance Company
16535
INSURED KENNEDYNENKS CONSULTANTS, INC.
1370659 303 SECOND STREET, SUITE 300 SOUTH
�� 3I
SAN FRANCISCO CA 94107INSURER
INSURER B : Lexington Insurance Company
19437
INSURER C
D,
COVERAGES KENJE01 CERTIFICATE NUMBER: 12591859 REVISION NUMBER: 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
ADDL
SUBR
POLICY NUMBER
IMM&
POLICY EXP
LIMITS
A
GENERALUASIU`fY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE O OCCUR
Y
N
GLO5833581
10/1/2013
10/1/2014
EACH
OCCURRENCE
1000000
DANIA
TO RENTED occurrence)
S 1,000,000
MED EXP (Any one n
5,000
PERSONAL B ADV INJURY
$ 1000000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRO- 7 JECT LOC
PRODUCTS - COMP/OP AGG
S 2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
A�LTOWNEO AUTEOULED
HIREOODSSAUTO$ O
Y
Y
BAP9326879
10/1n013
10/1/2014
COMBINED SINGLE LIMIT(Ea accidentl
$ 1000000
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
eE AGE
(Prentl
$ XXXX?XX
$ X -xxxxx
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXiLJ' x
AGGREGATE
$ XXXXXXJC
DED
RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y f N
OFFICER/MEMBERREXCLUDEO CIITiVE
IMeuaMery In NN)
HM*ea unciar
DESCRIPTION OF OPERATIONS Cel.
NIA
NLIM
WC9326878
10/1n013
10/1/2014
X we TAT - OTH
EL.EALHALLIDEM
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
S XXXXXXX
E.L. DISEASE - POLICY LIMIT
VVVV�!VV
XXXXXXX
B
PROFESSIONAL
LIABILITY
N
N
026154151
10/1/2013
10/1/2014
$1,000,000 PER CLAIM
$1,000,000 ANNUAL AGGREGATE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /(Attach ACORD 101. Additional Remarks Schedule, N more spew 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
The ACORD name and logo are registered marks of ACORD