HomeMy WebLinkAboutTHE MCINTOSH GROUP LLC - INSURANCE CERTIFICATE (6),acorra® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
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 endorsement(s).
PRODUCER CONTACT
McLaughlin Brunson NAME: Cameron Brown
A Risk Strateg'es Comppany PHONE ,�: 214 503-1212 (Fa,No: 214 503-8899
12801 N CENTRAL EXPY, STE 1710 E-MAIL
Dallas, TX 75243 ADDRESS: certificate@mclaughlinbrunson.com
INSURERISI AFFORDING COVERAGE NAIC #
INSURED
The McIntosh Group, LLC
1850 South Boulder Avenue
Suite 300
Tulsa OK 74119
r• % CENAccc r'CDTICIr`ATC A111IU1Pr-D• en�nooco REVISION NIIMRFR'
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 ADDL UBR _ T POLICY EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDD/YYW
B
✓
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE �✓ OCCUR
✓
�/
6806H929185
2/2/2018
2/2/2019
EACH OCCURRENCE
$ 2,000,000
DAMAGE TO RENTE15-
PREMISES Ea occurrence
$ 1 000 000
MED EXP (Any one person)
$10,000
PERSONAL&ADV INJURY
$2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$4,000,000
PRODUCTS - COMP/OP AGG
$ 4,000,000
✓❑ JPRO-
POLICY LOC
$
OTHER:
B
AUTOMOBILE LIABILITY
✓
✓
BA4F980902
2/2/2018
2/2/2019
Ea COMBaccideINED SINGLE LIMIT
$ 1 000 000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
AHIRED NON -OWNED UTOS ONLY L.,
11, AUTOS ONLY
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
D
�/
UMBRELLA LIAB
�/
OCCUR
,/
CUP4F982514
2/2/2018
2/2/2019
EACH OCCURRENCE
$ 2 000 000
AGGREGATE
$ 2 00O 000
EXCESS LABCLAIMS-MADE
DED RETENTION $
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/MEMBEREXCLUI a
(Mandatory in NH)
NIA
✓
46WECAN5017
202018
2/2/2019
H
STATUTE ER
E.L. EACH ACCIDENT
$ 1 ,000 000
E.L. DISEASE • EA EMPLOYEE
$ 1 00,000
E.L. DISEASE - POLICY LIMIT
$ 1 000 000
If yes, describe under
DESCRIPTION OF OPERATIONS below
A
Professional Liability
AEC 9015760-03
7/6/2017
7/6/2018
Per Claim/Annual Aggregate $5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
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
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 (30) day notice of cancellation in favor of the certificate holder on all policies.
CFRTIFICATF HOLDER CANCELLATION
ins
City of Fort Collins
Purchasingg Division
PO Box 580
215 N. Mason St. 2nd Floor
Fort Collins CO 80522
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
Cameron Brown
V 1968-20 b ACUKU cuKNUKA I IUN. Ail rlgnis reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
40208858 1 18/19 GL/AL/UL/WC/PL I Stephanie Chandler 1 2/5/2018 10:55:21 AM (CST) I Page 1 of 1
