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