HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (19)'0
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n C C
L;�� � ss CERTIFICATE NUMBER
PRODUCER
MARSH RISK & INSURANCE SERVICES
P. O. BOX 193880
SAN FRANCISCO, CA 94119-3880
CALIFORNIA LICENSE NO. 0437153
ai SEA-000823948-01
THIS CERTIFICATE IS ISSUED AS A "MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
102734-CONST-WS-
A ST. PAUL FIRE & MARINE INS. CO.
INSURED
COMPANY
EDAW, INC.
240 E. MOUNTAIN AVENUE
B HARTFORD FIRE INSURANCE CO
COMPANY
FORT COLLINS, CO 80524
C TWIN CITY FIRE INSURANCE CO./HARTFORD
COMPANY
D ZURICH AMERICAN INS CO
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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 TR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDNY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
A
GENERALLIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE aOCCUR
CK09402588
07/01/04
07/01/05
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS-COMP/OPAGG
$ 2,000,000
11
PERSONAL &ADV INJURY
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
EINTFRFST
EACH OCCURRENCE
$ 1,000,000
X
FIRE DAMAGE (Any one fire)
$ 500,000
MED EXP (Any oneperson)
$ 10,000
B
AUTOMOBILE
LIABILITY
ANY AUTO
57UENTL6235
07/01/04
07/01/05
COMBINED SINGLE LIMIT
$ 1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
$
C
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
57WENP6960
07/01/04
07/01/05
-
X TORY LIMITS ER-
__ f - _•
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
ELEACHACCIDENT
$ 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE $ 1,000,000
OFFICERS ARE: EXCL
OTHER
D
PROFESSIONAL LIABILITY
EOC 9379410-00
03/24/04
03/24/05
PER CLAIM 1,000,000
AGGREGATE 1,000,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
RE: PROJECT #04030071.01 / OLD TOWN SQUARE PLAZA RENOVATIONS P-957
THIS CERTIFICATE IS ISSUED AS RESPECTS LIABILITY ARISING OUT OF THE WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED.
INSURANCE IS PRIMARY AND NONCONTRIBUTING WITH OTHER INSURANCE MAINTAINED BY THE CERTIFICATE HOLDER.
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QA►4'kT(Q4Y
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
CITY OF FORT COLLINS
ATTN: JOHN STEPHEN, CPPO/SENIOR BUYER
THE INSURER AFFORDING COVERAGE WILL EXA X MAIL A DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN,
P.O. BOX 580
FORT COLLINS, CO 80522-0580
E
MARSH USA INC.
BY: Michio Nekota
t41Mi(3102) ; VALID AS OF: 11/29/04
WAIVE R OF OUR RIGHT TO RECOVSR FROM OTHERS ENDORSEMENT
'This endorsement changes the policy to which it is attached effective on inception
date of the policy unless.a different date is indicated below.
00 toiloWiry 'Weching dauW need be o=Oow only when this endoraeroent is Issued subssQL*m to prepamdon of the poiby).
This endorsement, effective 12:01 AM 07/01/04 forms a part of Pollcy No. 57WENP6960
Issued to EQAW, INC.
By TWIN CITIES FIRE INSURANCE CWgPAW
We have the right to recover our Payments from anyone liable for .an injury covered
this policy. We will not enforce our right against any ,person or organization for
whom you perform work under a written contract that requires you to obtain this
agreement from us.
This.:agreement shall not operate :directly or indirectly to benefit anyone not naive.
in the agreetftent.
Ot edule
,AS RE,QtTXM BY VMITTEN CONTRACT
This does not apply in the states of Pennsylvania and Utah.
Countersigned by