HomeMy WebLinkAbout555611 MCKINSTRY ESSENTION LLC - INSURANCE CERTIFICATE (6)MCKICO.-01 MJOHNSON
AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
9/25/2019
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 rights to the certificate holder in lieu of such endorsemen s .
PRODUCER NO ACT
Hub International Northwest LLC PHONE
P.O. Box 3018 (A/C, No, En): (425) 489-4500 FiAx No : 425 485-8489
Bothell, WA 98041 now.info0huhintamatienal com
INSURED INSURER a: Travelers Property Casualty Company Of America
McKinstry Essention, LLC INSURER C: Charter Oak Fire Insurance Company
PO Box 24567 INSURER D: Steadfast Insurance Company
Seattle, WA 98124-0567
r_nvcaar_cs rconclrwTc hill tuncn.
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.
a1SR
TYPE OF INSURANCE
hIX'
SUER
POLICY NUMBER POLICY EFF
PMIDDOLICYEXPYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
WA Stop Gap
X
C2KCO-5643B901-IND-19 1/31/2019
EACH OCCURRENCE
1/31/2020 PAMAGETO ILcccu
MED EXP An one arson
PERSONAL S ADV INJURY
GENERATE-COMGATE
PRODUCTS - COMP/OP AOG
2,000,000
g00 000
X
10 000
+
2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY X LOC
❑ JECT
OTHER:
4,000,000
41000,000
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
AUTOS ONLY AUTOS ONLY
VTC2J -CAP -5643 B 913 -TI L-1 9 1/31/2019
1/31/2020
COMBINED SINGLE LIMIT
BODILY INJURY a arson
1,000,000
$
BODILY
BODILY INJURY Per accident
er edmt AMAGE
UMBRELLA LIAe
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
DED RETENTION $
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILRYSTATUTE
ANY PROPRIEfOWPARTNERIEXECUTIVE YIN
WandatoFICER/MEMgER EXCLUDED? ❑N
(MryIn under
If tleaedhe under
DESCRIPTION OF OPERATIONS below
NIA
UB•9K158609-19-25-G 10/1/2019
10/1J2020
X I PER OTH-
ER
E.L. EACH ACCIDENT
1000000
+ +
E.L. DISEASE -EA EMPLOYEE1,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
D PROFIPOLL incl MOLD
EOC 6738794-06
1/31=19
1/31/2020
OCC/AGG LIMIT
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltional Remarks Schedule, may be attached If mom space Is required)
RE: MCK Job #202624, Fort Collins City of Energy Modeling Services
City of Fort Collins, its officers, agents and employees are included as Additional Insured per the attached forms/endorsements.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORIZED
�--.�REPRESENTATIVE
M1 Wmu LO 14U I e/ud) U 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD