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