HomeMy WebLinkAbout113006 EDAW - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 4ivzoo9
DA4/1/20008
PRODUCER Lockton Companies LLC L Los Angeles
19800 MacA t Blvd Suite 550
CA License#OF15767
Irvine CA 92612
949 252-4400
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
NAIC #
INSURED EDAW Inc a Delaware Corporation
1075642 240E Mountain Avenue
Fart Collins CO 80524 2821
INSURER A New Hampshire Insurance Company
23841
INSURER B Insurance Company of the State of PA
19429
INSURER C
INSURER D
INSURER E
COVERAGES AECTE01 OE
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT THE ISSUING
MTt&BETWEEN
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PFR
ERIOD 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
LTR
ADDI.
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MWDD/)rY)
POLICY EXPIRATION
DATE(MMIDD"
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE
T XXscXXXX
COMMERCIAL GENERAL LIABILITY
DRAMAGE TO RRENT D
$ XXXXXX}C
MED EXP (Any one person)
$ XXXXXXX
CLAIMS MADE 0OCCUR
NOT APPLICABLE
PERSONAL S ADV INJURY
$ XXXXXXX
GENERAL AGGREGATE
$ XXXXXXX
GEN L AGGREGATE LIMIT APPLIES PER
PRO
POLICY JECT LOC
PRODUCTS COMPIOPAGG
$ XXXXXXX
AUTOMOBILE
LIABILITY
ANYAUTO
COMBINED SINGLE LIMIT
(Eaaccident)
$ XXXXXXX
BODILY INJURY
(Per person)
$ XXXXXJIX
ALL OWNED AUTOS
SCHEDULED AUTOS
NOT APPLICABLE
INJURY
BODILYam
(Per am tleM)
$ }XXXXX
;(
HIRED AUTOS
NON OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
ANYAUTO
NOT APPLICABLE
AUTOONLV EAACCIDENT
$ XXXXXXX
OTHER THAN EA ACC
$ XXX7{XXX
AUTO ONLY AGO
$ XXXXXXX
L
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
UMBRELLA
DEDUCTIBLE FORM
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXXXX
AGGREGATE
$ XXXXXXX
$ XXXXXXX
$ xxxxxxx
RETENTION $
J{_XYXX3LK
A
A
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
ANY PR0PRIET0RrPARTNERrFXECU9VE
OFFIIfM d sWtoe M FxcLuOEOt
SPECIAL PROVISIONS Below No
WC1929178(AOS)
WC 1929179(CA)
WC1929181 (FL)
WC1929182 (OR)
4/1/2008
4/I/2008
4/1/2008
4/1/2008
4/I/2009
4/l/2009
4/1/2009
4/1/2009
X WC STATU OTH
TORV LIMITS ER
EL EACH ACCIDENT
$ 1000000
E L DISEASE EA EMPLOYEE
$ 1 000 000
EL DISEASE POLICY LIMIT
$ 1000000
A
BA
OTHERTHER
Worker s Compensation
WC1929184 OH WAWV W
WC 1929183
WC1929180 )
4/l/2008
4/1/2008
4/1/2008
4/l/2009
4/1/2009
4/l/2009
Statutory Lmets See Above
DESCRIPTION OF OPERATIONSILOCATIONSIVENICLE$/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE PROJECT 404030071 01 / OLD TOWN SQUARE PLAZA RENOVATIONS P 957 A Waiver of Subrogation is afforded to the certificate holder where
required by written contract See attached Waiver of Subrogation endorsement
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City Of Fort Collins DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Attn John Stephen Cppo/Senor Buyer NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
P rt Box 580 Fort Collins CO 80522-058 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES
AUTHORIZED REPRES
ACORD 25(2001/08) Fors no MM 9Mi oemmute onion to .too Nona inn Prod firth.. N. nd No tM i W ee AEeTEo, 0 ArnOn rnoono Arrn.r .rnea