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HomeMy WebLinkAboutTHE MCINTOSH GROUP LLC - INSURANCE CERTIFICATE (2)AFRO® CERTIFICATE OF LIABILITY INSURANCE DATE M7/2MIDDNM/DD/YYYY) ( 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 McLau hlin Brunson A Risk �trategles Comppany 12801 N CENTRAL EXPY, STE 1710 Dallas, TX 75243 CONTACT NAME: Cameron Brown PHONEo FAX A/C NExt: 214 503-1212 A/C No: 214 503-8899 ADDRESS: certificate mclau hlinbrunson.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Berkley Insurance Company 32603 _ INSURED The McIntosh Group, 1850 South Boulder Avenue INSURERS: Phoenix Insurance Company 25623 INSURERC: Hartford Accident and Indemnity Company 22357 INSURERD: Travelers Indemnity Company 25658 Suite 300 Tulsa OK 74119 INSURER E : INSURER F : COVERAGES CERTIFICATE Nt1MRER' dounAAnd REVISION NLlli 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. 1�TR TYPE OF INSURANCE ADDL UBR POLICY NUMBER MMIDD/YPOLICY EYYY MM DD/YYYY LIMITS B V COMMERCIAL GENERAL LIABILITY ✓ �/ 6806H929185 2/2/2019 2/2/2020 EACH OCCURRENCE $2,000,000 CLAIMS -MADE FV_1 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1 ,000 000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY ✓� ECT PRO- 71 LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: B AUTOMOBILE LIABILITY ✓ ✓ BA4F980902 2/2/2019 2/2/2020 CO aocldeDiSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ .11 HIRED AUTOS ONLY ✓ AUTOS ONEDY PPROPERTY �ac cdenDAMAGE $ D �/ UMBRELLA LIAB �/ OCCUR �/ �/ CUP4F982514 2/2/2019 2/2/2020 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5 000 000 EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N N/A ✓ 46WECAN5017 2/2/2019 2/2/2020 ,/ SEATUTE OERH E.L. EACH ACCIDENT $ 1 ,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT 1 $ 1 000 000 A ,Professional Liability ✓ AEC-9030250-05 I 7/6/2019 1 7/6/2020 Per Claim/Annual Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / 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. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Purchasingg 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 49804604 1 19/20 GL/AL/UL/WC/PL I Joy Carlson 1 7/2/2019 4:08:52 PM (EDT) I Page 1 of 1