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HomeMy WebLinkAbout555611 MCKINSTRY ESSENTION - INSURANCE CERTIFICATEMCKICO.-01 MJOHNSON ,a�co� za CERTIFICATE OF LIABILITY INSURANCE DATE 09/27/2017Y) 09/27/2017 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 Hub International Northwest LLC 12100 NE 195th Street, Suite 200 Bothell, WA 98011 CONTACT NAME: PHONE FAX (A/C, No, Ext): (425) 489-4500 (AIC, No):(425) 485-8489 A II"DARIEs : now.info@hubinternational.com INSURE S AFFORDING COVERAGE NAIC # INSURER A: The Travelers Indemnity COm an 125658 INSURED INSURER B : Travelers Property Casualty Company Of America 125674 McKinstry Essention, LLC INSURER C :The Travelers Indemnity Company of America 125666 PO Box 24567 Seattle, WA 98124-0567 1 INSURER D : Steadfast Insurance Company 126387 INSURER E INSURER F : COVERAGES CERTIFICATE NLIMRFR- REVIctnN All IMRGR• 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 LTIRTYPE OF INSURANCE ADDL�SUBR POLICY NUMBER POLICY EFF /tDD/YYYYI POLICY EXP LIMITS A, X COMMERCIAL GENERAL LIABILITY F7 OCCUR TC2KCO-5643B901-IND-17 01/31/2017 01/31/2018 EACH OCCURRENCE $ 2,000,000 PAMAGTOCLAIMS-MADE TED occurrence) n�$ 300,00X 0 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X PRCOT- LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ccident)$ 1,000,000 X BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X VTC2JCAP-5643B913-TIL-17 01/31/2017, 01/31/2018 BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -AWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE 1 DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY �, / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH If yes, describe under DESCRIPTION OF OPERATIONS below N / A I I VTH-UB-5D739674-17 10/01/2017 10/01/2018 �( PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D PROF/POLL incl MOLD EOC 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