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HomeMy WebLinkAbout555611 MCKINSTRY ESSENTION LLC - INSURANCE CERTIFICATE (7)/_ —a"ll MCKICO.-01 MJOHNSON ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)1/28/2016 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 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: Hub International Northwest LLC PHONE 425 489-4500 FAX 12100 NE 195th St. (ac. No. Et): ( ) lac, No►: (425) 485$489 Suite 200 ADDRESS: now.info@hubinternational.com Bothell, WA 98011 INSURER(S) AFFORDING COVERAGE NAIC # INSURED McKinstry Essention, LLC PO Box 24567 Seattle, WA 98124-0567 INSURER A: The Travelers Indemnity Company 25658 INSURER B : Travelers Property Casualty Company of America 25674 INSURER C : Steadfast Insurance Company 126387 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 iAD�L �UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN D WVD POLICY NUMBER MM/DD MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 CLAIMS -MADE a OCCUR X VTC2KCO-5643B901 -IND-1 6 01/31/2016 01/31/2017 DAMAGIES _RENTEPREMISrence $ 300,00 X WA Stop Gap _ MED EXP An one (Any person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,00 GGEEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 POLICY X PRO- JECT 7 LOC PRODUCTS - COMP/OP AGG $ 4,000,000 I�1 OTHER. $ AUTOMOBILE LIABILITY, COMBINED SINGLE LIMIT Ea accident) $ 1,000,00 B X ANY AUTO X VTC2JCAP-5643B913-TIL-16 01/31/2016 101/31/2017 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED _ AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident_ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ LI DED RETENTION $ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITYSTATUTE /N ER ACCIDENT $ 1,000,000 B ANY VTE-US-5D73967-4-15 10/01/2015 10/01/2016 N N/A FFICERMEMBER/EXCLUDED?ECUTIVE E.L.DISCEASEA $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below -- E.L. DISEASE - POLICY LIMIT $ - 11000,00 C PROF & POLL iEOC6738794-03 01/31/2016 01/31/2017 OCC/AGG 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: City of Fort Collins Master Professional Services Agreement Additional Insured as required by written contract: City of Fort Collins. See attached endorsement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PURCHASING DEPT. PO BOX 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD