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HomeMy WebLinkAbout555611 MCKINSTRY ESSENTION LLC - INSURANCE CERTIFICATEMCKICO.-01 MJOHNSON AcoRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `---� 09/25/2018 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 have ADDITIONAL INSURED provisions or 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: Hub International Northwest LLC ' (AICD,NN, Ext): (425) 489-4500 (A/C, No):(425) 485-8489 12100 NE 195th Street, Suite 200 Bothell, WA 98011 ADDARESS: now. info hubinternational.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: The Travelers Indemnity Company 25658 INSURED INSURER B : Travelers Property Casualty Company of America 25674 INSURER C:The Travelers Indemnity Company of America 25666 McKinstry Essention, LLC INSURER D : Steadfast Insurance Company 26387 PO Box 24567 Seattle, WA 98124-0567 INSURER E 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR pOUCY NUMBER POLICY EFF POLICY EXPLTR OMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR WA Stop Gap X VTC2KC0-5643B901-IND-18 01/31/2018 01/31/2019 EACH OCCURRENCE $ 2,000,000 pREMSES(A AGE E.occuRENTEence $ 300,000 X MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY � PET LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -AWNED AUTOS ONLY AUTOS ONLY VTC2JCAP-5643B913-TIL-18 01/31/2018 01/31/2019 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per.cadent $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY YIN OFFICER MEIETO R EXCLUDED? ECUTIVE F (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A UB-9K158609-18-25-G 10/01/2018 10/01/2019 X PER OTH- TAT T ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1000000 $ ' ' D PROF/POLL incl MOLD EOC 6738794-05 01/31/2018 01/31/2019 OCC/AGG LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: MCK Job #202624, Fort Collins City of Energy Modeling Services City of Fort Collins, its officers, agents and employees are included as Additional Insured per the attached forms/endorsements. GLNJ4JaC� City of Fort Collins 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD