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HomeMy WebLinkAboutEDAW INC - INSURANCE CERTIFICATE (3)} ACORD. CERTIFICATE OF LIABILITY INSURANCE 0DATE I 3/27/MIDD/YYYY) 03/27/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh Risk & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CA License #0437153 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 777 South Figueroa Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Los Angeles, CA 90017 Attn: Lori Bryson 213-346-5464 06510B-POLL-CAS2-09_10 FTCOL PL INSURERS AFFORDING COVERAGE NAIC # INSURED EDAW, INC. INSURER A: N/A N/A INSURER B: N/A N/A 240 E. MOUNTAIN AVENUE FORT COLLINS, CO 80524 INSURER C: N/A N/A INSURER D: American International Specialty Lines Ins Co 26883 INSURER E: N/A N/A COVERAGES 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 LTR ADD -Li INSR TYPE OF INSURANCE POLICY NUMBER OLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence $ CLAIMS MADE El OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENERAL AGGREGATE LIMIT APPLIES PER PRO - POLICY JECT LOC PRODUCTS - COMP/OP AG AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ It WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY RY_UMIT E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? .L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below .L. DISEASE - POLICY LIMIT $ OTHER D CONTRACTORS "CPL 1814870" 06/01/08 06/01/09 $MM PER CLAIM/$1 MM AGGREGATE POLLUTION LIABILITY """CLAIMS MADE""" $100,000 SIR DEFENSEINCLUDED DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUS IONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: PROJECT #04030071.01 / OLD TOWN SQUARE PLAZA RENOVATIONS P-957 CERTIFICATE HOLDER LOS-000790468-33 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ATTN: JOHN STEPHEN, CPPO/SENIOR BUYER 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P.O. BOX 580 FORT COLLINS, CO 80522-0580 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON q THE IESENTATINN�SURER, ITS AGENTS OR REPRESENTATIVES. %&MaRrshRiskE&InsuranceServices David Denihan ACORD 25 (2001 /08) n ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. Rnvnrcn of Pnnn 1 A CORD, CERTIFICATE OF LIABILITY I N S U RAN C E DATE 03/27/ M/DD/YYYY, 03/27/2009 PRODUCER Marsh Risk & Insurance Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CA License #0437153 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 777 South Figueroa Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Los Angeles, CA 90017 Attn: Lori Bryson 213-346-5464 065108-PROFa-CAS2-09_10 FTCOL ALWC WS INSURERS AFFORDING COVERAGE NAIC # INSURED EDAW, INC. 240 E. MOUNTAIN AVENUE INSURER A: Zurich American Insurance Company 16535 INSURER B: N/A N/A FORT COLLINS, CO 80524 INSURER C: N/A N/A INSURER D: Illinois Union Insurance Co 27960 INSURER E: N/A N/A COVERAGES 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. INS LTR ADD' INSR TYPE OF INSURANCE POLICY NUMBER OLICY EFFECTIVE DATE (MM/DDNY) POLICY EXPIRATION DATE (MMIDDNY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY GLO 596589101 04/01/09 04/01/10 EACH OCCURRENCE 2 000 00 DAMAGE TO RENTED PREMISES Ea occurence $ 1,000,00 MED EXP (Any one person) $ 5,00 CLAIMS MADE F-X] OCCUR PERSONAL & ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 2,000,00 GENERAL AGGREGATE LIMIT APPLIES PER POLICY PRO JECT LOC PRODUCTS - COMP/OP AG 4 000,00 A AUTOMOBILE X LIABILITY ANY AUTO BAP 5965893 01 04/01/09 04/01/10 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,0010 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $, GARAGE LIABILITY _ AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC 'IT ATU- OTH- EMPLOYERS' LIABILITY L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? .L. DISEASE - EA EMPLOYE $ L. DISEASE -POLICY LIMIT $ If yes, describe under SPECIAL PROVISIONS below OTHER $1 000 000 D ARCHITECTS & ENG. EON G21654693 04/01/09 04/01/10 PER CLAIM/AGGREGATE PROFESSIONAL LIABILITY CLAIMS MADE"" DEFENSE INCLUDED DESCRIPTION OF OPE RATIONSILOCATIONSIVEH ICLES/EXCLUS IONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 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 HOLDER LOS-000789502-30 CANCELLATION CITY OF FORT COLLINS ATTN: JAMES B. O'NEILL II DIRECTOR OF PURCHASING RISK MGMT. P.O. BOX 580 FORT COLLINS, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE THEE INSURER, ITS AGENTS OR REPRESENTATIVES. ,oUtTMaRrsh RiskE& Irrance Services David Denihan ACORD 25 (2001 /08) 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. pav'&Ma ref Dann 1