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HomeMy WebLinkAbout424631 KENNEDY / JENKS CONSULTANTS - INSURANCE CERTIFICATE (7)ACOR"` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) Ill 10/l/2016 1 9/25/2015 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas Cityy MO 64112-1906 (816) 960-9000 CONTACT NAME: FAII AIC, No, Ext : A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Com am 16535 INSURED KENNEDY/JENKS CONSULTANTS, INC. 1370659 303 SECOND STREET, SUITE 300 SOUTH SAN FRANCISCO CA 94107 INSURER B : Lexington Insurance Company 19437 INSURER C INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 12591859 REVISION NUMBER: XXXXXXX 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N GL05833581 10/l/2015 10/1/2016 EACH OCCURRENCE 1,000,000 CLAIMS -MADE � OCCUR PREMISES (Ea TO occur ence) $ 1,000,000 MED EXP (Any oneperson)5 OOO PERSONAL & ADV INJURY $ 1 000 000 GEN-L AGGREGATE LIMIT APPLIES PER. POLICY PE � LOC GENERAL AGGREGATE $ 2,000 000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY Y Y BAP9326879 10/l/2015 10/1/2016 (CEO,aBcld.ntSINGLE LIMIT $ 1 000 000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO ALLOWNED SCHEDULED AUTOS X BODILY INJURY (Per accident $ XXXXXXX X PROPER aucid ntDAMAGE $ XXXXXXX HIRED AUTOS X AUUTOS NED $ XXXXXXX UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB NOT APPLICABLE HCLAIMS-MADE AGGREGATE $ XXXXXXX DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBER EXCLUDED? ANY PROPRIETOR/PARTNER/EXECUTIVE � (Mandatory in NH) If yes, es describe under DESCRIPTION OF OPERATIONS below NIA N WC9326878 10/1/2015 10/1/2016 X STATUTE OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 B PROFESSIONAL LIABILITY N N 026154151 10/l/2015 10/1/2016 $ 1,000,000 PER CLAIM $1,000,000 ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) REF: 7144 GREASE TRAP INSPECTIONS. THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSUREDS WITH RESPECT TO GENERAL AND AUTO LIABILITY, WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION 12591859 CITY OF FORT COLLINS FINANCIAL SERVICES, PURCHASING DIVISION 215 NORTH MASON STREET, 2ND FLOOR P.O. BOX 580 FORT COLLINS CO 80522-0580 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 r_19•31.3614KIi nctj ll ©1 88-2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD