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424631 KENNEDY / JENKS CONSULTANTS - INSURANCE CERTIFICATE (4)
ACORD,. CERTIFICATE OF LIABILITY INSURANCE 10/1/2015ols DADD/YYYY) 9/29//29/2014 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 endomement(s)• PRODUCER Lockton CompanleS 444 W. 47th Street, Suite 900 Kansas Cityy MO 64112-1906 (816)960-9000 CONTACT INC,No, Est : VAA aD No E-MAIL AFFORDINGCOVERAGE INSURERA: Zurich American Insurance Compmy 16535 INSURED KENNEDY/JENKS CONSULTANTS, INC. 1370659 303 SECOND STREET, SUITE 300 SOUTH SAN FRANCISCO CA 94107 INSURER B: Lexington Insurance CompatTy 19437 NSURER C INSURER COVERAGES CERTIFICATF NIIMRFR- 17591 R9Q RFVICrnm NUMBER: YXvXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TORMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL IN SUBR POLICY NUMBER POLICY EFF 10/12014 POLICY EXP p 10/1/2015 LIMIT,A X COMMERCIAL GENERAL LIABILITY Y N GL05833581 EACH OCCURRENCE WPOLICYPERIODINDICATED. CLAIMS -MADE OCCUR DAMAGE TO RENTEDX REMI Ea D«Nnen MED EXP An we rson PERSONAL S ADV INJURY 0 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY JECT LOC GENERAL AGGREGATE $ 2 0OO OOO PRODUCTS-COMPIOP AGE $ 2000000 OTHER A AUTOMOBILE LIABILITY Y Y BAP9326879 10/1/2014 10/1/2015 COMBINED SINGLE LIMIT Es accidern $ 1,000,000 X BODILYINJURY (Per penXn) $ XXXXXXX ANY AUTO AUTOWNED SCHEDULED X BODILY INJURY (Par accident $ XXXXXXX NON -OWNED HIRED AUTOS X AUTOS X PROPERTY DAMAGE eracciden $ XXXXXXX $ XXXXXXX UMBRELLA EMS EXCESS LIAB OCCUR CLAIMS -MADE NOTAPPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLO ERS'LIABILIITY YIN N WC9326878 10/1/2014 10/1/2015 X STATUTE --To TH EL EACH ACCIDENT $1000000 ANY OFFICERIMEMBER EXCUDED?ECUTIVE �NIA IM/anMtory In NH) if DESCRIPTION um r OF OPEFATIONa Gebw EL. DISEASE - FA EMPLOYEE 1,000,000 E I. DISEASE -POLICY LIMIT 1 1000000 B PROFESSIONAL LIABILITY N N 026154151 10/I/2014 10/1/2015 $ 1,000,000 PER CLAIM $1,000,000 ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached If more space is required) REF: 7144 GREASE TRAP INSPECTIONS, THE CITY OF FORT COLLINS, ITS OFFICERS, AGENT'S AND EMPLOYEES ARE ADDITIONAL INSUREDS WITH RESPECT TO GENERAL AND AUTO LIABILITY, WHERE REQUIRED BY WRITTEN CONTRACT. VXINV CLLM 1IVn 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 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS FINANCIAL SERVICES, PURCHASING DIVISION 215 NORTH MASON STREET, 2ND FLOOR P.O. BOX 580 FORT COLLINS CO 80522-0580 /J? ACORD 25 (2014101) ©1 8.2014 ACORD CORPORATION. All riahts reserved Fine ACORD name and logo are registered marks of ACORD