HomeMy WebLinkAboutRK MECHANICAL INC - INSURANCE CERTIFICATERKMEC-1 OP ID: VB
ACORO' CERTIFICATE OF LIABILITY INSURANCE
o 0 16/41224/2 v014
4
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 endorsements .
PRODUCER
CRS/Surescape Ins. Services
6600 E: Hampden Ave.
Denver, CO 80224
Douglas J. Rothey
NAME; ONTACT DOUgIBSJ. RO1M1ey
PHL� Eli 303-996-7601 AIC No:
Ni
EMAIL
ADDRESS.
INSURERS) AFFORDING COVERAGE
MAID
INSURER A: Phoenix Insurance Company
INSURED RK Mechanical, Inc.
INSURER B:Travelers Prop Casualty ofAM
25674
RK Service
RK Integration, LLC
3800 Xanthia Street
INSURER c:Travelers Indemnity Co of AM
INSURER D:
INSURER E
Denver, CO 80238-3306
INSURER F
COVERAGES CERTIFICATE NUMBER: 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS.
I
LTRR
TYPE OF INSURANCEiumvaa
At
SUBIR
POLICY NUMBER
MMIODIYI'YY
MMIDDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE 1XI OCCUR
X
C0325D9401
06/30/2014
06/3012015
PREMISES Ea occurrence
$ 300,000
MEDEXP(Anyone person)
$ 10,00
PERSONAL& ADV INJURY
$ 1,000,00
GEN'L AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000,00
POLICY T jECT = LOC
PRODUCTS. COMPIOPAGG
$ 2,000,00
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,00
BODILY INJURY (Par person)
$
B
X ANY AUTO
810325DS401
06/30/2014
06/30/2015
ALL OWNED SCHEDULED
AUTOS AUT
BODILY INJURY(Per accident)
$
X X .ON AUTOS
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Per ex dime
$
$
X
UMBRELLA UAB
X
OCCUR
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
Y 10,000,00
B
EXCESS LIAR
CLAIMSMADECUP325D9401
06/30/2014
06/30/2015
DED I X I RETENTION $ 10,000
$
WORKERS COMPENSATION
AM EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEY.ECUTIVE ❑N
OFFICERIMEMBER EXCLUDED?
IA
NO COVERAGE THROUGH CRS
H
STATUTE ER
EL EACH ACCIDENT
$
EL DISEASE- EA EMPLOYEE
$
(Mandatory, in NH)
V yes descrite under
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS haloes
C
Leased/Rented
6607A336833
06/30/2014
06/30/'2015
Limit 180,00
Equipment
Died 1,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required)
City of Fort Collins is included as additional insured on the General
Liability with respect to ongoing operations of the named insured for the
certificate holder as required by written contract. All policy terms,
conditions and exclusions apply.
cityftc
City of Fort Collins
P. O. 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
—P911y
O 1988-2014
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD