HomeMy WebLinkAboutEDAW INC - INSURANCE CERTIFICATEACORD
� CERTIFICATE OF LIABILITY INSURANCE
DATE
06/01/M/DD/YYYY)
06/01 /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-4
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDNY)
POLICY EXPIRATION
DATE (MM/DDNY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES Ea occurence
$
VIED EXP (Any one person)
$
I�
CLAIMS MADE a OCCUR
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GENERAL AGGREGATE LIMIT APPLIES PER
PRO-
POLICY JECT LOC
PRODUCTS - COMP/OP AG
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
(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 $
WORKERS COMPENSATION AND
WC STATU- OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYE
$
If yes, describe under
SPECIAL PROVISIONS below
.L. DISEASE - POLICY LIMIT
OTHER
$1MIA PER LOSS/$1MM AGGREGATE
D
CONTRACTORS
"CPL 1814870"
06/01/09
06/01/10
$100,000 SIR
POLLUTION LIABILITY
CLAIMS MADE"""
DEFENSE INCLUDED
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: PROJECT #04030071.01 / OLD TOWN SQUARE PLAZA RENOVATIONS P-957
CERTIFICATE HOLDER LOS-000790468-35 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 THE INSURER, ITS AGENTS OR REPRESENTATIVES.
aUT URI E& ESE Insurance
S
4 a Ris &Insurance Services
David Denihan
ACORD 25 (2001/081 n ACORD CORPOROT10N 19RR
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.
Acord 25 (2001/08) o ., _ n___ •