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HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (12)CERTIFICATE NUMBER MARSH AR✓H CERTIFICATE OF INSURANCE LOS-000495083-19 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 CA License #0437153 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 777 South Figueroa Street AFFORDED BY THE POLICIES DESCRIBED HEREIN. Los Angeles, 901 Attn: Lori Bryson on 213-346-5464 COMPANIES AFFORDING COVERAGE — COMPANY 6510B-PROF-CAS-06_07 WS A ACE American Insurance Company INSURED COMPANY EDAW, INC. B N/A 240 E. MOUNTAIN AVENUE COMPANY FORT COLLINS, CO 80524 C TWIN CITY FIRE INSURANCE COJHARTFORD COMPANY D Illinois Union Insurance Company COVERAGE$ 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 OATE(MMIDOIYY) POLICY EXPIRATION DATE(MMIODIYY) LIMITS A GENERAL LIABILITY 'HDOG20590695 04/01/06 104/01/07 GENERAL AGGREGATE $ 2,000,000 X PRODUCTS-COMP/OP AGG $ 4,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR PERSONAL & ADV INJURY $ 2,000,000 EACH OCCURRENCE $ 2,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE(An onefinn $ 1,000,000 MED FXP (Any one arson) $ 5,000 A OMOBILELIABILITY AUTOMOBILE ISA H08222186 04/01/06 04/01/07 COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Peramident) $ HIRED AUTOS NON -OWNED AUTOS 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 C WORKERS COMPENSATION AN EMPLOYERS' LIABILITY 57WENP6960 107/01/05 , 07/01/06 X u TORV LIMITS ER EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR! X INCL PARTNERSIEXECUTIVE OFFICERS ARE: ' EXCL EL DISEASE -POLICY LIMIT $ 1 ,000,000 EL DISEASE -EACH EMPLOYEE $ 1,000,000 OTHER $1,000'000 D ARCHITECTS & ENG. EON G21654693-002 04/01/06 04/01/07 PER CLAIM/AGGREGATE PROFESSIONAL LIABILITY -CLAIMS MADE- DEFENSE INCLUDED 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. SEE ATTACHED WAIVER OF SUBROGATION ENDORSEMENT. CERTIFICATE BOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _Q DAYS WRITTEN NOTICE TO THE CITY OF FORT COLLINS ATTN: JAMES B. O'NEILL II CERTIFICATE HOLDER NAMED HEREN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR DIRECTOR OF PURCHASING RISK MGMT. LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE P.O. BOX 580 FORT COLLINS, CO 80522-0580 ISSUER OF THIS CERTIFICATE. MARSH USA INC. By: David Denihan ,�js�,/y/A�M MM1(3102) VALID AS OF: 04/01/06 DATE (MWDDrYY) ADDITIONAL INFORMATION LOS-000495083-19 04/01/06 PRODUCER COMPANIES AFFORDING COVERAGE Marsh Risk &Insurance Services COMPANY CA License #0437153 777 South Figueroa Street E N/A Los Angeles, CA 90017 Attn:Lori Bryson 213-346-5464 COMPANY F 06510B-PROF-CAS-06 07 WS INSURED EDAW, INC. COMPANY 240 E. MOUNTAIN AVENUE G FORT COLLINS, CO 80524 COMPANY H TEXT POLICY NUMBER: HDO G20590695 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s): AS REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclu-sions apply: with respect to liability for "bodily injury", This insurance does not apply to "bodily injury" "property damage" or "personal and advertising or "property damage" occurring after: injury" caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or 2. The acts or omissions of those acting on equipment furnished in connection with such work, your behalf; on the project (other than service, maintenance or repairs) to be performed by or on behalf of the in the performance of your ongoing operations for additional insured(s) at the location of the covered the additional insured(s) at the location(s) desig- operations has been Completed; or -nated above-nated above 2. That portion of "your work" out of which the injury or damage arises has been put to its in- -tended use by any person or organization other than another contractor or subcontractor en -gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 CERTIFICATE HOLDER CITY OF FORT COLLINS ATTN: JAMES B. O'NEILL II DIRECTOR OF PURCHASING RISK MGMT, P.O. BOX 580 FORT COLLINS, CO 80522-0580 MARSH USA INC. BY David Denihan Pa` WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on inception date of the policy unless adifferent date is indicated below. This endorsement, effective 12.01 AM 07/0V05 forms apart of Policy No. 57VVEPiPOW Issued to FDAW, Inc. By: Twin City Fire Irsurance Company We have the right to recover our payments from anyone liable for an injury covered by 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 named in the agreement. Schedule AS REQUIRED BY WRITTEN CONTRACT Courtersigied Form W C 99 0 03 B Punted m U. S.A (Ed. 8/00)