HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (15)-MARSH: CERTIFICATE OF INSURANCE cLHIIFICATE NIIMRFR
SEA-000784423 01
PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS
MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
P. O. BOX 193880 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
CALIFORNIA LICENSE NO. 0437153 COMPANIES AFFORDING COVERAGE
COMPANY
102734-CONST-ALL- A ST. PAUL FIRE & MARINE INS. CO.
INSURED
COMPANY
EDAW, INC.
B COMMERCE AND INDUSTRY/INS. CO. OF THE STATE OF PA
240 E. MOUNTAIN AVENUE
COMPANY
FORT COLLINS, CO 80524
C ZURICH AMERICAN INS CO
COMPANY
D
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THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
A
GENERALLIABILITY
CK09402588
07/01/03
07101/04
GENERAL AGGREGATE
$ 2,000.000
X
PRODUCTS - COMP/OP AGG
$ 2,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMSMADE
PERSONAL&ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNER'S& CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 500,000
MED EXP (Any oneperson)
$ 10,000
A
AUTOMOBILE
LIABILITY
CK09402588
07/01/03
07/01/04
COMBINED SINGLE LIMIT
$ 1,000,000
X
ANY AUTO
_
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
f X
XX
I HIRED AUTOS
NON-OWNEDAUTOS
BODILY INJURY
(Per accident)
$
X
(DEDUCTIBLE: NIL
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
_
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
WC-3281444, 3281445/3281450
07/01/03
07/01/04
WC
X STA H
LIMITTS ER
EL EACH ACCIDENT
$ 1,000,000
THE PROPRIETOR/ X INCL
PARTNERSIEXECUTIVE
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OFFICERS ARE: EXCL
THER
C
PROFESSIONAL LIABILITY
EOC 9379410-00
03/24/04
03/24/05
PER CLAIM 1,000,000
AGGREGATE 1,000,000
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS
RE: PROJECT #4F002.01 / GARDENS ON SPRING CREEK CHILDREN'S GARDEN
THIS CERTIFICATE IS ISSUED AS RESPECTS LIABILITY ARISING OUT OF THE WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED.
PROFESSIONAL LIABILITY IS WRITTEN AT AN AGGREGATE LIMIT OF LIABILITY NOT LESS THAN THE AMOUNT SHOWN.
D(177t #ft ° f�iL°17 R`
S14N r11WON . � ..
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL EKYVAY14%X10L MAIL 10 DAYS WRITTEN NOTICE TO THE
CITY OF FORT COLLINS
ATTN: JAMES B. O'NEILL 11
CERTIFICATE HOLDER NAMED HEREIN,
DIRECTOR OF PURCHASING RISK MGMT.
P.O. BOX 580
E
FORT COLLINS, CO 80522-0580
cXXXXXXXXXXXX
MARSH USA INC.
BY: Michio Nekota ��lLoL
MM1t3102y VALID AS OF: 06/18/04
