HomeMy WebLinkAbout582736 RK MECHANICAL INC - INSURANCE CERTIFICATE (5)AC"R" CERTIFICATE OF LIABILITY INSURANCE
FDATE (MM,'DD/YYYY)
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
;
— Fax _-
o • 303-996-7847 A,c No : 303 757-7719
E-MAIL $: vbrown@crsdenver.com
INSURERS AFFORDING COVERAGE
NAIC p
INSURER A: National Fire Ins Co/Hartford
20478
INSURED RKMEC-1
RK Mechanical, Inc.
3800 Xanthia Street
INSURER B : Continental Insurance Co.
355289
INSURER C: Valley Forge Insurance Co.
20508
INSURER D :
Denver CO 80238-3306
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1685002012 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
ADDLSUBR
_
POLICY NUMBER
POLICY EFF
MM/D /YYYY
POLICY EXP
D/YYYY
LIMITS
C
X
COMMERCIAL GENERAL LIABILITY
Y
6018488113
8/30/2018
6/30/2019
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE FKOCCUR
DAMAGE PREMISES TO RENTED
Ea occurrence
$ 500,000
MED EXP (Any oneperson)
$15,000
PERSONAL 8 ADV INJURY
$1,000,000
AGGREGATE LIMIT APPLIES PER:
PRO-
EK JET F7 LOG
GENERAL AGGREGATE
$ 2.000,000
GEN'L
PPOLICY
PRODUCTS - GOMP,'OP AGG
$ 2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
Y
601B488127
&30/2018
6/30/2019
COMBINED SINGLE LIMIT
Ea accident)
$ 1,000,000
X
BODILY INJURY (Per person)
_
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
8
X
UMBRELLA LIAB
X
OCCUR
8012136075
6/30/2018
6/30/2019
EACH OCCURRENCE
$10,000,000
AGGREGATE
$10.000,000
EXCESS LIAB
CLAIMS -MADE
DED 1 X I RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANYPROPRIETOR'PARTNER/EXECUTIVE
OFFICERrMEMBER EXCLUDED,
N/A
PER OTF6
STATUTE ER
E.L. EACH ACCIDENT
$No Coverage
E.L- DISEASE - EA EMPLOYEE
$ No Coverage
i (Mandatory In NH)
i if yes, describe under
I DE SGRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ No Coverage
C
I
Leased/Rented
Equipment
6018488113
6/30/2018
I
6130/2019
Limit
Deductible
180,000
1,000
DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
City of Fort Collins its officers, agents and employees are included as additional insured for ongoing operations on the General Liability and included as
additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. General Liability
policy has been endorsed to provide 30 days notice of cancellation except 10-day notice for non-payment of premium. All policy terms, conditions and
exclusions apply.
Gtr11lr14.AI!t rIVLutK GANGtLLAIIUN
City of Fort Collins
P. O. Box 580
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
01988-2015 ACORD CORPORATION. All rights reserved.
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