HomeMy WebLinkAbout582736 RK MECHANICAL INC - INSURANCE CERTIFICATE (2)AC"� ® DATE (MWDD�YYYY)
�- CERTIFICATE OF LIABILITY INSURANCE F6/27/2019
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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: Valerie Brown
Commercial Risk Solutions PHONE FAX
6600 E Hampden Ave Ste 200 � 303-996-7847 Arc No:303-757-7719
Denver CO 80224 E-MAIL vbrown(Mcrsdenver.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: National Fire Ins Co/Hartford 20478
INSURED RKMEC-1 INSURERB: Continental Insurance Co. _ ` 35289
RK Mechanical, Inc.
dba RK Service INSURER cValley Forge Insurance Co. 20508
3800 Xanthia Street INSURER0:
Denver CO 80238-3306 INSURER E :
COVERAGES CERTIFICATE NUMBER RQRn1779R REVISIAN NUMRER-
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 OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_CONDITIONS ____...__
ILTR i TYPE OF INSURANCE ffINSI3N� � I POLICY NUMBER MMDD/YYY MM/Dp YYYY umrrs
C
X COMMERCIAL GENERAL LIABILITY
Y
5018488113
6/30/2019
6/30/2020
EACH OCCURRENCE
$ 1,000,D00
CLAIMS -MADE X OGCUR
DAFvTA�-Eib�1ET�7E6—�
PREMIS�S_.LE�_occurrgrcg) -_-
$500,000
$15,000
MED EXP An oneperson)
PERSONAL 8 ADV INJURY
_
$1,000,000`
GEN'L AGGREGATE LIMIT APPLIES PER;
GENERAL AGGREGATE
$ 2,OD0,000
X POLICY X PE 0 x LOC
—_..-.
PRODUCTS-COMP/OP AGG
1 $ 2,0D0,000
OTHER:
A
AUTOMOBILE LIABILITY
Y
6018488127
6/3012019
880/2020
COMBINED SINGLE LIMIT
$1,000'D00
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY 'AUTOS
BODILY INJURY (Per accident)
$
X HIRED AUTOS ONLY X AUNON-OWNED AUTOS ONLY
PROP CR nDAMAGE
$
B
X UMBRELLA LIAB X OCCUR
8012136075
8/30/2019 6/30/2020 EACH OCCURRENCE
$ 10,000,000
EXCESS LIAB CLAIMS -MADE
AGGREGATE
$10,000,000
DED X RETENTION $ 1 a nno
Is
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y r N
ANYPROPRIETOR/PARTNEFL'EXECUTIVE
OFFICERiMEMBEREXCLUDED?
NIA
R TH-
$T_AT11TE R_—__—
E.L-. EACH ACCIDENT---
---- ---
$ No Coverage
$ No Coverage
$ No Coverage
(Mandatory In NH)
If yea, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT I
C Leased/Rented
Equipment
i
I
i
6018488113 6/30/2019 6/30/2020
Limit 180,000
Deductible 1,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required)
City of Fort Collins its officers, agents and employees are included as additional insured for ongoing operations on the General Liability and included as
additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. General Liability
policy has been endorsed to provide 30 days notice of cancellation except 10-day notice for non-payment of premium. All policy terms, conditions and
exclusions apply.
L;LH I IrR:A I t
City of Fort Collins
P. O. 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
Oc 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
303 17567