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HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (20)rium 4 Ir 3 } h j* h 4 j 4 €; Fi h S CER R Fk TI000727563 x 11 .. " ...... .... S - 01 3 PRODUCER MARSH RISK & INSURANCE SERVICES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS P. O. BOX 193880 NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE SAN FRANCISCO, CA 94119-3880 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE CALIFORNIA LICENSE NO.0437153 AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY 102734-CONST-ALL- A ST. PAUL FIRE & MARINE INS. CO. INSURED INC. COMPANY 40 E. 240 E. MOUNTAIN AVENUE g COMMERCE AND INDUSTRYANS. CO. OF THE STATE OF PA FORT COLLINS, CO 80524 COMPANY C ZURICH AMERICAN INS CO COMPANY D r. rf3 4 -tiy riry ,ryr !$� •4:,•:L:y hr} ry ';4 r44} v' v''4 '4i':.i'MX �+Y',:.' 'c.i4; n.i:i+ h Fv, r. £3i i+ r .FA '3y. r �.:. "?, ry• Fi F.F. N `2i�S. t v�''1 ? vi 'F•i }•V h}, n Ai .:.. u.-• r , r r .._ , S • ' ...,... i. Tin r..t : _i:.Y. 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMlDDNY) DATE (MM/DD/YY) A GENERAL LIABILITY CK09402588 07/01/03 07/01/04 GENERAL AGGREGRATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $ 2,000,000 - CLAIMS MADE �X OCCUR PERSONAL &ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 X CONTRACTUAL LIABILITY FIRE DAMAGE (Any we fire) $ 500,000 MED EXP (Any we person) $ 10,D00 A AUTOMOBILE LIABILITY CK09402588 07/01/03 07/01/04 X ANY AUTO COMBINED SINGLE LIMIT $ 1,000.000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIREDALITOS BODILYINJURY $ X NON -OWNED AUTOS (per ecddanq PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: 'l`''Fp EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND WC-3281444, 3281445/3281450 07/01/03 07/01/04 XWC STATU- OTH- EMPLOYERS' LIABILITY TORV LIMITS ER EL EACH ACCIDENT $ 1,D00,000 THE PROPRIETOR/ PARTNERSrEXECUTIVE INCL EL DISEASE -POLICY LIMIT $ 1,000,000 OFFICERS ARE: EXCL EL DISEASE -EACH EMPLOYEE $ 1 000 000 OTHER C PROFESSIONAL LIABILITY EOC 9379410-00 03/24A04 03/24/05 PER CLAIM 1,000,000 AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ALL OPERATIONS OF THE NAMED INSURED. GENERAL LIABILITY ONLY: CITY OF FORT COLLINS PURCHASING DIVISION AND ITS AFFILIATED ENTITIES ARE NAMED AS ADDITIONAL INSUREDS BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS IN: PROJECT NAME: COMMUNITY HORTICULTURE CENTER, EDAW JOB S7FO8210. PROFESSIONAL LIABILITY IS WRITTEN AT AGGREGATE LIMITS OF LIABILITY NOT LESS THAN THE AMOUNT SHOWN. ii hh�#h IN. _-v. h.... p •r.• -•' v.. .$.3f3 a.h3hiA� a. r.•dcv.�+ ry, rvh:3 hh.3X n SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS PURCHASING DIVISION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL WME01108 A MAIL 30 DAYS P.O. BOX 580 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, FORT COLLINS, CO 80522-0580 MARSH USA INC Niekota �GcrQ��4,Q•r,3�Li BY: Michl.o. �• : li, 11 r2 lim 23333• v€ "i 3im 3S.rrv •�,4vu'2§r,•,v a.. }:i hF i .ij.. _l DnA0th "4:03r22/04; DATE (MM/DD" 03/22/04 PRODUCER COMPANIES AFFORDING COVERAGE MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 COMPANY SAN FRANCISCO, CA 94119-3880 E CALIFORNIA LICENSE NO.0437153 COMPANY 102734-CONST-ALL- F INSURED EDAW, INC. COMPANY 240 E. MOUNTAIN AVENUE G FORT COLLINS, CO 80524 COMPANY t. Paul Fire and Marine Insurance Co. 40502 Rev. 01-80 Endorsement 1997 All Rights Reserved Named Insured: EDAW, Inc. Policy No. CKo9402588 Effective Date: ADDITIONAL PROTECTED PERSONS ENDORSEMENT COMMERCIAL GENERAL LIABILITY - INCLUDING COMPLETED WORK - PRIMARY NON-CONTRIBUTORY This endorsement changes your Commercial General Liability Protection How Coverage is Changed There are two changes which are described below. 1. The following is added to the Who Is Protected Under this Agreement section. This change adds certain protected persons and limits their protection. Additional protected person. The Person or organization named below Is an additional protected person as required by contract or agreement entered into by you. but only for covered injury or damage arising out of: - your work for that person or organization; - your completed work for that person or organization if your contract or agreement requires such coverage; premises you own, rent, or lease from that person or organization; or - your maintenance, operation, or use of equipment leased from that person or organization. We explain what we mean by your work and your completed work in the Products and completed work total limit section. CITY OF FORT COLLINS PURCHASING DIVISION P.O. BOX 580 FORT COLLINS, CO 80522-0580 If the additional protected person is an architect, engineer, or surveyor, we won't cover injury or damage arising out of the performance or failure to perform architect, engineer, or surveyor professional services. Architect, engineer, or surveyor professional services includes: - the preparation or approval of maps, drawings, opinions, reports, surveys, change orders, designs, or specification; and - supervisory, inspection, or engineering services. 2. The following is added to the Other primary insurance section. This change broadens coverage. We'll consider this insurance to be primary to and non-contributory with the Insurance issued directly to additional protected persons listed below if: - your contractspecifically requires that we consider this insurance to be primary or primary and noncontributory; or - your request before a loss that we consider this insurance to be primary or primary and non- contributory insurance. Other Terms All other terms of your policy remain the same. MARSH USA INC. nn BY: Michio Nekota MARSH CERTIFICATE OF INSURANCE �LHIIfICATEN- MRER� SEA-000784423 01 PRODUCER THIS CERTIFICATE IS ISSUED AS A 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 OUrrR+ TF iifi 1tasuperBi3deEandraplaGee }.Rresciot�styissued°# tiflGa ,Cacftle olK •pe7otl,flotedtsdtow. A 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 POLICY EXPIRATION LIMITS DATE (MM/DDIYY) DATE (MM/DDIYY) A GENERAL LIABILITY CK09402588 07/01/03 07/01/04 GENERAL AGGREGATE $ 2,000,000 COMMERCIAL GENERAL LIABILITY X PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE OCCUR 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 ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 X F ALL OWNED AUTOS BODILY INJURY $ SCHFDULFD AUTOS (Per person) __ Ix 1 HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) DEDUCTIBLE: NIL 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 $ B WORKERS COMPENSATION AND WC-3281444, 3281445/3281450 07101l03 07/01l04 we srA U- H EMPLOYERS' LIABILITY X TORY LIMITS ER -• ELEACHACCIDENT $ 1,000,000 THEPROPRIETOR/ X PARTNERS/EXECUTIVE INCL EL DISEASE -POLICY LIMIT $ 1,000,000 OFFICERS ARE: EXCL EL DISEASE -EACH EMPLOYEE $ 1,000,000 THE C PROFESSIONAL LIABILITY EOC 9379410-00 03/24/04 03/24/05 PER CLAIM 1,000,000 I AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL 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. I CTRIt#iFfLR ._ CA .. SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL EX&YAZS1SXi� MAIL A DAYS WRITTEN NOTICE TO THE CITY OF FORTCOLLINS ATTN: JAMES B..'NEINEILL II CERTIFICATE HOLDER NAMED HEREIN. DIRECTOR OF PURCHASING RISK MGMT. PLYAKKOVIKAXXXIF P.O. BOX 580 FORT COLLINS, CO 80522-0580 MARSH USA INC. BY: Michio NekotaQ MM1(3w)" VALID AS OF: 06/18/04 �qi e cppT //^�4 c (� k�L����++ p© �/(► kk�'�w CERTIFICATE NUMBER V. 1t1 RISH � IV T �F �IYa7U1-1li1M1+E SEA•000784423-02 PRODUCER MARSH RISK & INSURANCE SERVICES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS P. O. BOX 193880 NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE SAN FRANCISCO, CA 94119-3880 POLICY, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 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 INC. COMPANY 40 E. 240 E. MOUNTAIN AVENUE B HARTFORD FIRE INSURANCE CO FORT COLLINS, CO 80524 COMPANY C TWIN CITY FIRE INSURANCE CO./HARTFORD COMPANY D ZURICH AMERICAN INS CO COV�HAi?ES up IC 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE 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 POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY CK09402588 - 07/01/04 07/01/05 GENERAL AGGREGRATE S 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE ❑X OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 500,000 MED EXP (Any one person) $ 10,000 B AUTOMOBILE LIABILITY 57UENTL6235 07/01/04 07/01/05 X ANYAUTO COMBINED SINGLE LIMIT S 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Per person) $ X HIRED AUTOS BODILY INJURY (per accident) $ X NON-OWNEDAUT09 PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: . 777_777. EACH ACCIDENT .o- S AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM U X WC STATU- OTH- $ C WORKERS COMPENSATION AND 57WENP6960 07/01/04 07/01 05 EMPLOYERS' LIABILITY TOgY LIMITS ER EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT $ 1,000,000 OFFICERS ARE: EXCL EL DISEASE -EACH EMPLOYEE $ 1,000000 OTHER D PROFESSIONAL LIABILITY EOC 9379410-00 03/24/04 03/24/05 PER CLAIM 1,000,000 AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES(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. cEFlTF�cgT�<NaI„p(R CAtdCEt i /4T1©N SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL KNEX)IGIMPIM MAIL 30 DAYS ATTN: JAMES B, O'NEILL II WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, DIRECTOR OF PURCHASING RISK MGMT. NuaxMBOse N�BKKm1�RxXaasc XXXX P.O. BOX 580��X� FORT COLLINS, CO 80522-0580 s1t>U)etsxxKXaXXXXXXXXXXXxxxxxxxxxXXXXXXXxxxxxxwaXxxXXXXXXXXXXXXXXXXXXxx MARSH USA INC BY: Michlo Nekota,,,Q,�.j,Q,L 1'$Kii1T l VALID AS OF: 06/30/04 : ................................... .................................................................... CERTIFICATE NUMBER SEA-000727553.04 PRODUCER MARSH RISK & INSURANCE SERVICES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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 EDAW, INC. 240 E. MOUNTAIN AVENUE COMPANY B HARTFORD FIRE INSURANCE CO COMPANY FORT COLLINS, CO 80524 C TWIN CITY FIRE INSURANCE CO./HARTFORD COMPANY D ZURICH AMERICAN INS CO THIS ISTO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED I4EREIN 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE 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 (MM1DDNY) POLICY EXPIRATION DATE (MMIDDNY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE nX OCCUR OWNER'S & CONTRACTOR'S PROT CK094CI2588 07/01/04 07/01/05 GENERAL AGGREORATE 3 2,0013,000 PRODUCTS-COMP/OP AGG $ 2,000,000 PERSONAL & ADV INJURY S 1,000,000 EACH OCCURRENCE S 1,000,000 FIRE DAMAGE (Any one lire) $ 500,000 MED EXP (Any one person) $ 10,000 B AUTOMOBILE X X X LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NOWOWNEDAUTOS 57UENTL6235 07/01104 07/01/05 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (per accideno $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY. EA ACCIDENT $ OTHER THAN AUTO ONLY EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE S S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL 57WENP6960 07/01/04 07/01/05 X WC STATU- TORY LIMITS - OTH77777777777777 ER EL EACH ACCIDENT $ 1,000,000 EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1,000,000 ID OTHER I PROFESSIONAL LIABILITY EOC 9379410-00 _ 03/24/04 03/24/05 PER CLAIM - 1,000,000 AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ALL OPERATIONS OF THE NAMED INSURED. GENERAL LIABILITY ONLY: CITY OF FORT COLLINS PURCHASING DIVISION AND ITS AFFILIATED ENTITIES ARE NAMED AS ADDITIONAL INSUREDS BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF THE NAMED INSUREDS OPERATIONS IN: PROJECT NAME: COMMUNITY HORTICULTURE CENTER, EDAW JOB #7FO8210. PROFESSIONAL LIABILITY IS WRITTEN AT AGGREGATE LIMITS OF LIABILITY NOT LESS THAN THE AMOUNT SHOWN. CITY OF FORT COLLINS PURCHASING DIVISION P.O. BOX 580 FORT COLLINS, CO 80522-0580 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL W02XX1 R= MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, N�MIeDsecN>�BKoo�[�xNanxx�x>mBcmaoaasDGGBIrxX/BDrxX>�XI�IaE>9cxxxx xXK�xxiolr�x��c 1O1J( IDecrotoecxxxxx KERK 8(SAXHXXXX)QXXXXXXXxxxxxxxxxxxxxxxxxxxxxxXXXXXXXXXXXXXXXXXXXXXXXXXXX MARSH USA INC BY: Michio Nekota rGuat-N7 L DATE (MM/DD/YY) 06/30/04 ................. ucER COMPANIES AFFORDING MARSH RISK &INSURANCE SERVICES P. O. BOX 193880 COMPANY SAN FRANCISCO, CA 94119-3880 CALIFORNIA LICENSE NO.0437153 E COMPANY 102734-CONST-ALL- F INSURED EDAW, INC. COMPANY 240 E. MOUNTAIN AVENUE G FORT COLLINS, CO 80524 COMPANY St, Paul Fire and Marine Insurance Co. 40502 Rev. 01-80 Endorsement 1997 All Rights Reserved Named Insured: EDAW, Inc. Policy No. CK09402588 Effective Date: 07/01/04 ADDITIONAL PROTECTED PERSONS ENDORSEMENT COMMERCIAL GENERAL LIABILITY - INCLUDING COMPLETED WORK - PRIMARY NON-CONTRIBUTORY This endorsement changes your Commercial General Liability Protection How Coverage is Changed There are two changes which are described below. 1. The following is added to the Who Is Protected Under this Agreement section. This change adds certain protected persons and limits their protection. Additional protected person. The Person or organization named below is an additional protected person as required by contract or agreement entered into by you. but only for covered injury or damage arising out of: - your work for that person or organization; - your completed work for that person or organization if your contract or agreement requires such coverage; ises you own, rent, or Peremase from that person or organization; or - your maintenance, operation, or use of equipment leased from that person or organization. We explain what we mean by your work and your completed work in the Products and completed work total limit section. CITY OF FORT COLLINS PURCHASING DIVISION P.O. BOX 580 FORT COLLINS, CO 80522-0580 If the additional protected person is an architect, engineer, or surveyor, we won't cover injury or damage ansing out of the performance or failure to perform architect, engineer, or surveyor professional services. Architect, engineer, or surveyor professional services includes: - the preparation or approval of maps, drawings, opinions, reports, surveys, change orders, designs, or specification; and - supervisory, inspection, or engineering services. 2. The following is added to the Other primary insurance section. This change broadens coverage. We'll consider this insurance to be primary to and non-contributory with the insurance issued directly to additional protected persons listed below if: - your contract specifically requires that we consider this insurance to be primary or primary and noncontributory; or - your request before a loss that we consider this insurance to be primary or primary and non- contributory insurance. Other Terms All other terms of your policy remain the same. MARSH USA INC. BY: Michio Nekola-,,,)q,L