HomeMy WebLinkAbout586947 RK MECHANICAL INC - INSURANCE CERTIFICATEClient#: 1092527 RKMEC
DATE (MM/DD/YYYY)
ACORDT,, CERTIFICATE OF LIABILITY INSURANCE 2/25/2019
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Client Manager
llSl Insurance Services, LLC NAME:�,v"c°, No, El): 800 873-8500
(ac, No): 303-831-5295
P.O. Box 7050 E-MAIL ADDRESS: den.contractors@usi.com
Englewood, CO 80155
INSURER(S) AFFORDING COVERAGE NAIL #
800 873-8500 16535
INSURER A : Zurich North AmMca
INSURED INSURER B
RK Mechanical, Inc. dba RK Service
INSURER C
3800 Xanthia Street
INSURER D
Denver, CO 80238
INSURER E
R nVFRAnrQ RFRTIF7U ATF NI IMRFR• RFVIRION Nl)MRFR:
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 CONTRACTOR 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
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YY
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
PREMISES Ea occurrence
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENT. AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY F JECT LOG
OTHER'
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
_
_
COMBINED SINGLE LIMIT
Ea accident
BODILY INJURY ;Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE-
Per accident
$
A
UMBRELLA LIAR]
EXCESS LIAR
OCCUR
CLAIMS -MADE
N / A
X
_
WC980940304
_
3/01/2019
EACH OCCURRENCE
$
AGGREGATE
$
DED� I RETENTION $ _
WORKERS COMPENSATION -
AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
$
03/01/202
X PER OTH-
E.L. EACH ACCIDENT
$1 00O 000
E.L. DISEASE - EA EMPLOYEE
- -
$1, 000,000
E.L. DISEASE - POLICY LIMIT
$1 000,000
I
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The Workers' Compensaton policy(s) includes an endorsement providing that 30 days notice of cancellation
will be given to the Certificate Holder will be given to the Certificate Holder by the Insurance Carrier.
k.AIYI.CLLA I IVIY
City f Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
y oTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn: Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 580
Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S25048734/M25040363 PVRZP