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HomeMy WebLinkAbout630618 RS&H INC - INSURANCE CERTIFICATEClient#: 54281 RS&H ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/20/2019 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). CONTPRODUCER NAME: Katie Kresner _ _ NAME: Greyling Ins. Brokerage/EPIC PHONE 770.552.4225 FAX 866.550.4082 (AI3780 Mansell Road, Suite 370 E-MAILCac, No: ADDRESS: Katie.Kresner@greyling.com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Ins. Co. 29424 INSURED INSURER B : Hartford Casualty Ins. Co. 29424 RS&H, Inc. Lloyds of London 10748 Deerwood Park Blvd South INSURER C: Llo Y Jacksonville, FL 32256 INSURER D: COVERAGES CERTIFICATE NUMBER: 19-20 REVISION NUMRFR- 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. LTR TYPE OF INSURANCE DDLISUBIR INSR WVD POLICY NUMBER MM/DDY� MMOIU EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 2000NOK8018 6/28/2019 06/28/2020 EACH OCCURRENCE $1 OOO 000 CLAIMS -MADE � OCCUR PREMISES{Ea oNcwrDence $1,000,000 MED EXP (Any one person) $1 O 000 _ PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- _ POLICY [7X ECT Fx—] LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY CEa OMBINED SINGLE LIMIT accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ 6/28/2019 06/28/202 B X UMBRELLA LIAB X OCCUR 20HHUOK8019 EACH OCCURRENCE $10000 000 AGGREGATE $1 O 000 000 EXCESS LIAB CLAIMS -MADE DED X RETENTION.$_1 0000 _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ $ NIA _ _ PER OTH- TAT T R _ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Professional Liab B0146LDUSA1904894 6/28/2019 06/28/202 Per Claim $5,000,000 C Excess Prof Liab B0146LDUSA1904895 6/28/2019 06/28/202q Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is named as an Additional Insured with respects to General Liability where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, we will endeavor to provide 30 days' written notice (except 10 days for nonpayment of premium) to the Certificate Holder. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 N. Mason St ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80524-0000 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1656551/M1656250 KKRE1