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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