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HomeMy WebLinkAboutTHE MCINTOSH GROUP LLC - INSURANCE CERTIFICATE (5)A�Ro® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYVVY) 7/5/2018 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 endorsement(s). PRODUCER McLaughlin Brunson A Risk Strategies Company 12801 N CENTRAL EXPY, STE 1710 Dallas, TX 75243 NTACT NAME: Cameron Brown PHONE .E>nr 214 503-1212 ac No: 214 503-8899 MAIL ADDRESS: certificate mclau hlinbrunson.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: Berkley Insurance Company 32603 INSURED The McIntosh Group, LLC 1850 South Boulder Avenue INSURERS: Phoenix Insurance Company 25623 INSURERC: Hartford Accident and Indemnity Company 22357 INSURERD: Travelers Indemnity Company 25658 Suite 300 INSURERE: Tulsa OK 74119 INSURER F : COVERAGES CERTIFICATE NUMBER: a�nnr,17n 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 I OF INSURANCE ADDLTYPE INSD SUER POLICYNUMBER MM DPOLIDYIYYYY MM/DDLI Y /YYYY LIMITS B �/ COMMERCIALGENERALLIABILITY �/ �/ 6806H929185 2/2/2018 2/2/2019 EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑✓ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1 000,000 MED EXP (Any one person) $ 10 000 PERSONAL & ADV INJURY s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG s4,000,000 POLICY ✓❑ JE� 7 LOC $ OTHER: B AUTOMOBILE LIABILITY ✓ ✓ BA4F980902 2!2/2018 2/2/2019 Eo aid DtsINGLE LIMIT $1 000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 1DAMAGE HIRED NON -OWNED ✓ AUTOS ONLY ✓ AUTOS ONLY BODILY INJURY (Per accident) $ PPReOPP�tl $ D V UMBRELLA LIAB �/ OCCUR ,/ CUP4F982514 2/2/2018 2/2/2019 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5 000,000 EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUC �N (Mandatory in NH) NIA ✓ 46WECAN5017 2/2/2018 2/2/2019 ,/ STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1.000.000 E.L. DISEASE - POLICY LIMIT 1 $ 1 000 000 If as, describe under DESCRIPTION OF OPERATIONS below A Professional Liability AEC-9021395-04 7/6/2018 7/6/2019 Per Claim/Annual Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace 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. GERTIFICAt E HULUER t ANUMLLA I IUN City of Fort Collins Purchasing 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 W lytftS-LUI0 AGUKU t UKrUKA I IUN. AU rlgncs reServeu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 43005170 1 18/19 GL/AL/UL/WC/PL I Joy Carlson 1 7/5/2018 5:12:52 PM (EDT) I Page 1 of 1