HomeMy WebLinkAboutTHE MCINTOSH GROUP LLC - INSURANCE CERTIFICATEA �® CERTIFICATE OF LIABILITY INSURANCE
DATE 'C
1IYYYY)
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 McLaughlin Brunson
A Risk 5trate les Com an
g p y
12801 N CENTRAL EXPY, STE 1710
Dallas, TX 75243
CONTACT
NAME: Cameron Brown
PHONE
o EXc : 214 503 1212 a/c No): 214 503-8899
A/C No'
E-MAIL
ADDRESS: certificate@mclaughlinbrunson.com
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURERA: Berkley Insurance Company
32603
INSURED
The McIntosh Group, LLC
1850 South Boulder Avenue
Suite 300
INSURER B: Phoenix Insurance Company
25623
INSURERC: Hartford Accident and Indemnity Company
22357
INSURERD: Travelers Indemnity Company
25658
INSURERE:
Tulsa OK 74119
INSURER F :
COVERAGES CERTIFICATE NUMBER: 46901117 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
LTR
TYPE OF INSURANCE
U R
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MMIDDIYYYY
LIMITS
B
�/
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
�/
�/
6806H929185
2/2/2019
2/2/2020
EACH OCCURRENCE
$2,000,000
DAMAGE TO RENTEY
PREMISES Ea occurrence
$ 1 ,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 2,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
PRO -
POLICY ✓❑ ECT 7 LOC
OTHER:
GENERAL AGGREGATE
$4,000,000
PRODUCTS - COMP/OP AGG
$ 4,000,000
$
B
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
✓ AHIRED UTOS ONLY ✓ NON-OWNED
AUTOSPer
✓
✓
BA41F980902
2/2/2019
2/2/2020
COaBINEDtSINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
accident
$
D
�/
UMBRELLA LAB
EXCESS LIAB
,/
OCCUR
CLAIMS -MADE
CUP41`982514
2/2/2019
2/2/2020
EACH OCCURRENCE
$ 5,000 000
AGGREGATE
$ 5,000,000
DED I I RETENTION $
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
✓
46WECAN5017
2/2/2019
2/2/2020
✓ STATUTE ORH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1 000 000
A
Professional Liability
✓
AEC-9021395-04
7/6/2018
7/6/2019
Per Claim/Annual Aggregate $5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
The City, its officers, agents and employees are named as additional insureds on the general and auto liability coverages as required by
contract. RE: Ft. Collins ADA RFP
The claims made professional liability coverage is the total aggregate limit for all claims presented within the annual policy period and is
subject to a deductible. Thirty (30) day notice of cancellation In favor of the certificate holder on all policies.
GtK I If-IGA I t MULUtK t AV0,1ZLLA 1 IUN
City of Fort Collins
Purchasing Division
PO Box 580
215 N. Mason St. 2nd Floor
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
Cameron Brown
U 9ySS-ZUl O At,UKU L,UKI'UKA I IUIV. An ngnLs reserveo.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
46901117 1 19/20 GL/AL/UL/WC/PL I Joy Carlson 1 2/4/2019 1:25:03 PM (EST) I Page 1 of 1