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HomeMy WebLinkAboutTHE MCINTOSH GROUP LLC - INSURANCE CERTIFICATE (3)A`OROF CERTIFICATE OF LIABILITY INSURANCE TE YY) DA2/13/216 016 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: Melissa Pratt McLaughlin Brunson Insurance Agency, LLP PHONE FAX 12801 North Central Expressway A/C No Ext: (214) 503-1212 A/C No:(214) 503-8899 E-MAIL ADDRESS: Suite 1710 Dallas TX 75243 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Berkley Insurance Company 32603 INSURED (918) ses-esss INSURERB: Phoenix Insurance Company 25623 The McIntosh Group, LLC INSURER C: Charter Oak Fire Insurance Co 25615 INSURER D: Travelers Indemnity Company 25658 1850 South Boulder Avenue Suite 300 INSURER E: Hartford AccidentSIndemnity Co 22357 Tulsa OK 74119 INSURER F : COVERAGES CERTIFICATE NUMBER: Cert ID 31678 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 LTR TYPE OF INSURANCE ADDL INSR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 B X COMMERCIAL GENERAL LIABILITY Y y 6804F980649 2/2/2016 2/2/2017 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 CLAIMS -MADE FxI OCCUR MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 POLICY X JEOT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ C ANY AUTO Y Y BA4F980902 2/2/2016 2/2/2017 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ D X UMBRELLA LIAB X OCCUR Y Y CUP4F982514 2/2/2016 2/2/2017 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 CESS LIAB CLAIMS -MADE DED I I RETENTION $ $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ N/A Y 46WECAN5017 2/2/2016 2/2/2017 X I WC STATU- OTH- TCRYLIMITI ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) if yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Professional Liability Y AEC-9003929-01 7/6/2015 7/6/2016 Per Claim/Annual $ 2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The claims made professional liability coverage is the total aggregate limit for all claims presented within the annual policy period and is subject to a deductible. Thirty day notice of cancellation in favor of the certificate holder on all policies. The City, its officers, agents and employees are named as additional insureds on the general and auto liability coverages as required by contract. RE: Ft. Collins ADA RFP CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Purchasing Division AUTHORIZED REPRESENTATIVE 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins CO 80522 ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD