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HomeMy WebLinkAbout555611 MCKINSTRY ESSENTION LLC - INSURANCE CERTIFICATE (4)___111i MCKICO.-01 MJOHNSON ,a►c CERTIFICATE OF LIABILITY INSURANCE DATE Y01 ��_ 9 01 /30/29 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 PHONE FAX 12100 NE 195th Street, Suite 200 A/c, No, Ext : (425) 489-4500 c, No :(425) 485-8489 Bothell, WA 98011 AIL ADDRESS: now.info@hubinternational.com INSURED McKinstry Essention, LLC PO Box 24567 Seattle, WA 98124-0567 r.T&iTJ MI 7y rei miLl raid 3 it drA7.1b iwo\11"121 MI--I INSURER A: The Travelers Indemnity Company INSURER B : Travelers Property Casualty Company of America INSURER c : The Travelers Indemnity Company of America INSURER D: Steadfast Insurance Company INSURER E : INSURER F : DC\/ICVIkI kit IRAGCD- 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. INTRR TYPE OF INSURANCE AID NSD SUBR WVD POLICY NUMBER PMLppY EFF fYYM POLICY FJ(P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE i_X OCCUR X 'WA Stop Gap GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F_x I jpeT LOC OTHER: X VTC2KCO-5643B901-IND-19 01/31/2019 01/31/2020 EACH OCCURRENCE $ 2,000,000 DAMAGE TORENTED 300,000 MED EXP (Any oneperson) 10,000 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X VTC2J-CAP-5643B913-TIL-19 01/31/2019 01/31/2020 COMBINED SINGLE LIMIT cci n 1,000,000 BODILY INJURY Perperson) BODILY INJURY Per accident $ P�20PERTY AMAGE er accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOWPARTNER/EXECUTIVE OFFICER/MEMEER EXCLUDED? (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A! UB-9K158609-18-25-G 10/01/2018 10/01/2019 X PTA gRH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE 11 $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 D PROF/POLL incl MOLD EOC 6738794-06 01131/2019 01/31/2020 1OCC/AGG LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: City of Fort Collins Master Professional Services Agreement Additional Insured as required by written contract: City of Fort Collins. See attached endorsement. CITY OF FORT COLLINS ATTN: PURCHASING DEPT. 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 V T ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD