HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (21)ACORD. CERTIFICATE OF LIABILITY INSURANCE
DAT01/03D/YY)
07/01/03
PRODUCER 0641361 1-650-369-5900
Professional Practice Insurance Brokers, Inc.
A Hilb, Rogal and Hamilton Co.
10 California Street
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
Redwood city, CA 94063
Lou Moreno
INSURED
EDAW, Inc.
INSURER A: St. Paul Fire 6 Marine Insurance Company
INSURERB:Comalerce and Industry/Ins. Co. Of the State of PA
240 E. Mountain Avenue
INSURER c: Continental Casualty Company
INSURER D:
Fort Collins, CO 80524
INSURER E:
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
(MM1nQ1YYI
07/01/03
POLICY EXPIRATIONDATE
DATE (MF&DQ1YY�
LIMBS
A
GENERAL LIABILITY
CK09402588
07/01/04
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Ix I OCCUR
FIRE DAMAGE (Any one fire)
$ 500,000
MED EXP (Any y one person)
$ 10, 000
PERSONAL 8 ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
PRO—LOC
JECT X POLICY D
A
AUTOMOBILE
LIABILITY
ANY AUTO
CK09402588
07/01/03
07/01/04
(Ea acclNED dent) SINGLE LIMIT
$ 1, 000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON-OWNEDAUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
OCCUR El CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
H
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC-3281444, 3281445/3281450
07/01/03
07/01/04
X TWCY IM SLI_Mf OTH-�
R
E.L. EACH ACCIDENT
$ 1, 000, 000
E.L. DISEASE - EA EMPLOYEE
$ 1, 000, 000
i
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OTHER
C
Professional Liability
AEA008234067
03/24/03
03/24/04
Per Claim 1,000,000
i
Aggregate 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONVVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
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, EDAN JOB N7FO8210. Professional Liability is written at
aggregate limits of liability not less than the amount shown.
TY OF FORT COLLINS PURCHASING DIVISION
O. BOX 580
art Collins, CO 80522-0580
USA
AV l l{.:li
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL 0MOR MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 900MOCIIIIIIIII0051111=0 SHALL
R
AUT14ORRED REPRESENTATIVE
CORD 25-S (7/97) Viven
1225025
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St. Paul Fire i Marine Insurance Company
BLANKET ADDITIONAL INSURED ENDORSMENT
ARCHITECTS AND ENGINEERS PROGRAM
This blanket endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY POLICY for:
Named Insured: EDAN, Inc.
Policy Period: 07/01/03 to 07/01/04 Policy No. CK09402588
TYPE OF OPERATION
All operations of the Named Insured, including a specific project / job listed on the attached Certificate of
Insurance.
WHO IS AN INSURED (Section II) is amended to include as an insured The Additional Insureds;
Owners, Lessees or Contractors listed below, but only with respect to liability arising out of "your work"
performed for that insured by or for you.
ADDITIONAL INSURED — OWNERS, LESSEES, LOSS PAYABLE OR CONTRACTORS FORM B
Any person or organization to whom or to which you are obligated by virtue of a written contract,
agreement or permit to provide such insurance as afforded by this policy.
PRIMARY COVERAGE — With respect to claims arising out of the operations of the Named Insured,
such insurance as afforded by this policy is primary and is not additional to or contributing with any other
insurance carried by or for the benefit of the Additional Insureds.
CROSS LIABILITY CLAUSE — The naming of more than one person, firm or corporation as insureds
under this policy shall not, for that reason alone, extinguish any rights of the insured against another, but
this endorsement, and the naming of multiple insureds, shall not increase the total liability of the
Company under this policy.
NOTICE OF CANCELLATION
1. If we cancel this policy for any reason other than non-payment of premium, we will mail written notice
at least 30 days before the effective date of cancellation to the Additional Insureds on file with the
Company.
2. If we cancel this policy for non-payment of premium, we will mail written notice at least 10 days before
the effective date of cancellation to the Additional Insureds on file with the Company.
WAIVER OF SUBROGATION — Applicable to Commercial General Liability Coverage:
If the insured has rights to recover all or part of any payment we have made under this policy, those
rights are transferred to us. This insurance shall not be invalidated should the Named Insured waive in
writing, prior to a loss, any or all rights of recovery against any party for a loss occurring. However, the
insured must do nothing after a loss to impair these rights. At our request, the insured will bring "suit' or
transfer those rights to us and help us enforce them. This condition does not apply to Medical Expenses
Coverage.
[ NOTE: MEETS OR EXCEEDS CG 2010 1185 ]
Authorized Representative
ISSUED: 07/01/03