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HomeMy WebLinkAboutTHE SEAR BROWN GROUP - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE CSR roc DATE (MM/DD/YWY) SEARB-1 09 15 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lucas & Dake Co . , Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1399 Monroe Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rochester NY 14618 Phone:585-461-3690 Fax:585-461-1504 INSURED The Sear Brown Group Inc. 300 Meridian Centre Suite 250 Rochester NY 14623 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: security Ins Cc of Hartford INSURER B: INSURER C: INSURER D: INSURER E: NAIC # 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. LTR NSR TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY XPIRA N DATE MM/D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PROJECT LOC POLICY 7 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER A Professional Liab. PL703126 01/15/01 01/15/04 Ea. Claim 5000000 Aggregate 5000000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS A $250,000 deductible applies to professional liability. All operations of the named insured including project #020224, E. Prospect Roadway Widening Final Design. HCM Ilrl r 1 C nwV wY rt CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL City of Fort Collins IMPOSfNO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ` r .. P.O. Box 580 REPRESENYATIVES.� L AtL Fort Collins, CO 80522 AUTHORIZEDRrE VE w� 198 ACORD CERTIFICATE OF LIABILITY INSURANCR DW DATE(MM)DD/YY) 1 1 09/12/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Landmark Group of Brighton ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1956 W Henrietta Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rochester NY 14623-1308 Phone: 585-272-1956 Fax: 585-272-7709 INSURERS AFFORDING COVERAGE The Sear -Brown Group Inc. 300 Meridian Centre-Auite 250 Rochester NY 14618 COVERAGES INSURER A: OneBeacon America Insurance INSURER B: OneBeacon Insurance Company INSURERC: American Employer's Ins. Co. INSURERD: Diamond State Insurance Co. 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. ILTNR R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDNY POLICY EXPIRATION DATE MMIDDIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR R774352 12/31/02 12/31/03 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X I PRO- JECT F7 LOC PRODUCTS - COMPIOP AGO $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AW35041 „ T -ti 12/3j1�/;,Q(1. �I ; :,i71 Y 4 ij.I�y.��11..1) 2M • LU ?�31/03 '� I�"iJj 11N5 COMBINED SINGLE LIMIT (Ea accident) $ 1 DDD DUD X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE I (Per accident) $ GARAGE LIABILITY ANY AUTO RIS MF AGEAGE AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ D EXCESS LIABILITY X OCCUR F_]CLAIMSMADE DEDUCTIBLE RETENTION $ WGU0000937 12/31/02 12/31/03 - EACH OCCURRENCE $ 5,000,000 AGGREGATE $5,000,000 $ $ C - WORKERS COMPENSATION AND EMPLOYERS'LIABILITY H220997 12/31/02 12/31/03 WC TAIU- X I TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT I $ 1 DDD DUD OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: E Prospect Roadway Widening Final Desing Proj #020224. City of Fort Collins, CO, its officers & employees are included as Additional Insureds on GL ppolicy per CG2033 limited to the liability arising out of the named insured operations CERTIFICATE HOLDER I N I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION CFTC-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL '40 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City Of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 580 REPRESENTATIVES. AUTHORIZ RESE ATIVE Fort Collins CO 80522 ACORD 25S (7197) 1- ©ACORD CORPORATION 1988