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HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (13)MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
LOS-000494955-21
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh Risk 8 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, 9017 COMPANIES AFFORDING COVERAGE
Attn:Lori Bryson on 2 13-346-5464
COMPANY
6510B-PROF-CAS-06 07 WSAI 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 CO./HARTFORD
COMPANY
D Illinois Union Insurance Company
COVERAGES
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
rypE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDIYY)
'�. POLICY EXPIRATION
DATE(MMIDQ/YY) LIMITS
A
GENERAL
LIABILITY
HDO G20590695
04/01/06
04/01/07
GENERAL AGGREGATE
$ 2,000,000
X
_11CLAIMSMADE1XI
PRODUCTS AGG
$ 4,000,000
COMMERCIAL GENERAL LIABILITY
OCCUR
PERSONAL B ADV INJURY
$ 2,000,000
EACH OCCURRENCE
$ 2,000,000
OWNER'S& CONTRACTOR'S PROT
FIRE DAMAGE (Anyone fire)
$ 1,000.000
MED EXP (Any onePerson)
$ 5,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ISA H08222186
04/01/06
04/01/07
COMBINED SINGLE LIMIT
$ 1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON-OWNEDAUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
j
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 AND
EMPLOYERS' LIABILITY
57WENP6960
07/01/05
07/Oi/06
X A
TORY LIMITS ER
EL EACH ACCIDENT
$ 1,000,000
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OFFICERS ARE -
p
ARCHITECTS & ENG.
EON G21654693-002
04/01/06
04/01/07
$1,000,000
PER CLAIM/AGGREGATE
PROFESSIONAL LIABILITY
"'CLAIMS MADE^
DEFENSE INCLUDED
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: COMMUNITY HORTICULTURE CENTER - EDAW JOB #7FO8210. ALL OPERATIONS OF THE NAMED INSURED. CITY OF FORT COLLINS
PURCHASING DIVISION AND ITS AFFILIATED ENTITIES ARE NAMED AS ADDITIONAL INSUREDS (EXCEPT FOR WORK COMP AND PROFESSIONAL
LIABILITY) BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS. SEE ATTACHED WAIVER OF
SUBROGATION.
CERTIFICATE BOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
CITY OF FORT COLLINS
PURCHASING DIVISION
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _3p DAYS WRITTEN NOTICE TO THE:
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
P.O. BOX 580
FORT COLLINS, CO 80522-0580
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
IA •'
BY: David Denihan ./�/f.1i0•IWsi�AN
MM1(3102) VALID AS OF: 04/01/06
DATE (MMIDDIM
ADDITIONAL INFORMATION
LOS-000494955-21 04/01/06
PRODUCER COMPANIES AFFORDING COVERAGE
Marsh Risk & Insurance Services
COMPANY
CA License t/0437153
777 South Figueroa Street E N/A
Los Angeles, CA 90017
Attn: Lori Bryson 213-346-5464
COMPANY
F
0651OB-PROF-CAS-06 07 WSAI
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 © ISO Properties, Inc., 2004 Page 1 of 1
CERTIFICATE HOLDER<
CITY OF FORT COLLINS
PURCHASING DIVISION
P.O. BOX 580
FORT COLLINS, CO 80522-0580
MARSH USA INC. BY
David Denihan A,OVA tY✓MAN
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