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555611 MCKINSTRY ESSENTION LLC - INSURANCE CERTIFICATE (8)
MCKICO.-01 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)1/27/2017 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 NAME: Hub International Northwest LLC PHONE FAX 12100 NE 195th St. E-M No, Ext): (425) 489-4500 (ac, No):(425) 485-8489 Suite 200 ADDaRESS, now.info@hubintemational.com Bothell, WA 98011 INSURERS AFFORDING COVERAGE NAIC # INSURER A: The Travelers Indemnity Company 25658 INSURED INSURERS: Travelers Property Casualty Company of America 25674 McKinstry Essention, LLC INSURER C :The Travelers Indemnity Company of Connecticut 25682 PO Box 24567 INSURER D : Steadfast Insurance Company 26387 Seattle, WA 98124-0567 1 1—.— � . w i+cl+ P=C ILVI ATC Ku IRAMCO. R9=1L/1CI(1W MI IMRFR• 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. INSIR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X VTC2KCO-5643B901 -IND-1 7 01/31/2017 01/31/2018 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PR MI E Ea occurrence 800,000 $ MED EXP An one person)$ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JPP 1:1 LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED f NON -OWNED AUTOS ONLY AUTOS ONLY X VTC2JCAP-5643B913-TIL-17 01/31/2017 01/31/2018 COa accideDtSINGLE LIMIT $ 1 �000�000 BODILY INJURY Perperson) $ _ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accdent $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED?1000000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA VTE-UB-5D73967-4-16 10/01/2016 10/01/2017 X I PER OTH- TAT T R E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE $ ' ' E.L. DISEASE - POLICY LIMIT 1,000,000 $ D PROF/POLL incl MOLD IIEOC 6738794-04 01/31/2017 01/31/2018 OCC/AGG LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: City of Fort Collins Master Professional Services Agreement Additional Insured as required by written contract: City of Fort Collins. See attached endorsement. CITY OF FORT COLLINS ATTN: PURCHASING DEPT. PO 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD