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HomeMy WebLinkAbout555611 MCKINSTRY ESSENTION LLC - INSURANCE CERTIFICATE (5)MCKICO: 01 MIJOHNSON ,a►�oR� CERTIFICATE OF LIABILITY INSURANCE �91252019 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 endorsements . PRODUCER N CT Hub International Northwest LLC PHONE FAx P.O. Box 3018 _(A/c, No, Ext : (425 489-4500 A/C, No :(425) 485-8489 Bothell, WA 98041 E-MAIL now. info@hubintemational.com ADORE S$' INSURERS AFFORDING COVERAGE NAICS INSURER A: The Travelers Indemnity Company 25658 INSURED INSURER B : Travelers Property Casualty Company of America 25674 McKinstry Essention, LLC INsuRERc:Charter Oak Fire Insurance Company 25615 PO Box 24567 INSuRERo:Steadfast Insurance Company 26387 Seattle, WA 98124-0567 COVERAGES CFRTIFICATF NUMRFR• ocvlclnu w tuoco. 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. R15R LTR TYPE OF INSURANCE ADDL man SUBR POLICY NUMBER POLICY EFF POLICY EXP A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE U OCCUR X WA Stop Gap X C2KCO-5643B9014ND-19 1/312019 1/31/2020 EACH OCCURRENCE 21000,000 DAMAGE TO RENTED MED EXP An one arson $ 300,000 10,000 PERSONAL B ADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY ❑X JpECT —1 LOC OTHER: GENERAL AGGREGATE 4,000,000 PRODUCTS-COMP/OP AGG 41000,000 III B AUTOMOBILE LJABILrry ANYAUTo OWNED SCHEDULED AURTECis ONLY ALTOS ED AUTOS ONLY AUTOS ONLY X C2J-CAP-5643B913-TIL-19 1/31/2019 1/31/2020 MBINED S COINGLE LIMIT 10000,000 X BODILY INJURY Per arson BODILY INJURY Per accident PParOemd;;n AMAGE UMBRELLA LIAR EXCESS LWB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTIONS C WORKERS COMPENSATION AND EMPLOYERS' LIABILRY YIN ANY PROPRIETOR/ DFFICER/MEM EXCLUDED? /EXECUTNE N (Mandatory In a yes, describe under DESCRIPTION OF OPERATIONS below NIA UB-9K158609-19-25-G 10MI2019 10/12020 X PER OTH• E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE • EA EMPLO ,OOB E.L. DISEASE -POLICY LIMIT 11000,000 D PROFIPOLL incl MOLD EOC 6738794-06 11312019 71312020 OCC/AGG LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mm apace In requead) RE: City of Fort Collins Master Professional Services Agreement Additional Insured as required by written contract: City of Fort Collins. See attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: PURCHASING DEPT. ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE � CJ "" AGUKU ZD (ZUTb/U3) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD