HomeMy WebLinkAbout582736 RK MECHANICAL INC - INSURANCE CERTIFICATE (4)ACOR" CERTIFICATE OF LIABILITY INSURANCE
111
DATE (MMlDD/YYYY)
F 6/26/2018
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 endorsements .
PRODUCER
Commercial Risk Solutions
6600 E Hampden Ave Ste 200
Denver CO 80224
CONTACT
NAME: - Valerie Brown _
PHONE FAX
A C No Ext : 303-996-7847 a c No 303 757-7719
A MAIL , vbrown crsdenver.com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: National Fire Ins Co/Hartford
20478
INSURED RKMEC-1
INSURER B : Continental Insurance CO.
35289
RK Mechanical, Inc.
3800 Xanthia Street
INSURER C: Valley Fore Insurance Co.
20508
INSURERD:
Denver CO 80238-3306
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:693090864 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
L
POLICY NUMBER
POLICY EFF
MM/DD YYYY
POLICY EXP
MM/D /YYY
LIMITS
C
X
COMMERCIAL GENERAL LIABILITY
Y
6018488113
6/30/2018
6/30/2019
EACH OCCURRENCE
$1,000,0_00
I I
DAMAGE TO RENTED
X
CLAIMS -MADE u OCCUR
PREMISES Ea occurrence
$ 500.000
MED EXP (Any oneperson)
$ 15,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY I IJECT PRO ❑ LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
6019488127
6/30/2018
5,3012019
COMBINED SINGLE LIMIT
Ea accent
id
$1,000,000
�
X
l ANY AUTO
BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOSONLY AUTOS
BODINJURY (Per accident)
�Y
$
X
PROILYPEI RTY DAMAGE
Per accident
$ -
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
B
X
UMBRELLA LIAB
X
OCCUR
6012136075
6130/2018
6/30/2019
EACH OCCURRENCE
$10,000,000
AGGREGATE
$10,000.000
EXCESS LIAB_
CLAIMS -MADE
DED Fjq RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
I PER OTH-
STATUTE ER
ANYPROPRIETORrPARTNER/EXECUTIVE
OFFICER�MEMBEREXCLUDED?
NIA
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
$ No Coverage
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ No Coverage
C
Leased/Rented
601 M88113
6130/2018
6/30/2019
Limit
180,000
Equipment
I
Deductible
1.000
DESCRIPTION OF OPERATIONS i LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
City of Fort Collins is included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as
required by written contract. All policy terms, conditions and exclusions apply.
City of Fort Collins
P. O. Box 580
Fort Collins CO 80522
GANGtLLA
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
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD