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HomeMy WebLinkAboutVAUGHT FRYE RIPLEY DESIGN INC - INSURANCE CERTIFICATE�r DATE (MM/DD/YYYY) .ACO � CERTIFICATE OF LIABILITY INSURANCE, 6 2009 PRODUCER, Phone: 303-837-BSOO Fax: 303-831-5295 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION.. Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1515 W nkoo Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR y p' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80202 INSURED Vaught Frye Ripley Design Inc. V.F. Ripley Associates 401 West Mountain Ave., Suite 201 Fort Collins CO 80521 Cf1VF0AfSFR INSURERS AFFORDING COVERAGE NAIC # INSURERA:Hartford Insurance Group INSURER B:Hartf ord Insurance Service C INSURERC:XL Specialty Insurance Co. INSURERD: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING 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 LT DD'L POLICY NUMBER POLICY EFFECTIVE A / POLICY EXPIRATION DATE MM/DD LIMITS A GENERAL LIABILITY 34SBADZ2993 2/4/2009 2/4/2010 EACH OCCURRENCE $1 000 000 DAMAG O REN ED PREMISES Ea occurrence $ 3 000,000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx__1 OCCUR MED EXP (Any one person) $ 1 000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2,000,000 1-1 POLICY jRa LOC A AUTOMOBILE LIABILITY 34UECP08278 7/1/2009 7/1/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000, ANYAUTO BODILY INJURY $ ALL OWNEDAUTOS It SCHEDULED AUTOS (Per person) BODILY INJURYNON-OWNEDAUTOS HIRED AUTOS (Peraccidenl)$ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANYAUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY 34SBADZ2993 2/4/2009 2/4/2010 EACH OCCURRENCE $ 1 000 000 X OCCUR CLAIMSMADE AGGREGATE $ 1 00O 000 $ $ DEDUCTIBLE $ X RETENTION $10 000 WORKERB 34WEGKC6664 7/1/2009 7/1/2010 X ToRYLAUTS OIR AND EMPLOYERS' AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 00O 000 OFFICER/MEMBER EXCLUDED? ❑ E.L. DISEASE - EA EMPLOYEE $ 1 000 000 (Mandatory In NH) If Yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1 000 000 C. OTHER DPR9619058 7/l/2009 7/1/2010 Limit $2,000,000 Professional Liability Aggregate $2,000,000 Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS f required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory Continued ... I.CKIIrIL,AIC r1ULUCK I+MrvLCLLAIwry 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 City Of Fort Collins Attn: Purchasing CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 215 North Mason Street SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Fort Collins CO 80522 THE INSURER, ITS AGENTS OR REPRESENTATIVES. 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of 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 This Certificate of Insurance 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 26 (2009/01) DES basis. Per project aggregate applies to General Liability. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers, Compensation. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. (Attachments) Additional Insured: City of Ft. Collins THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. Policy Number: Endorsement Number: Effective Date: Effective hour is the same as stated on the Information. Page of.'the :policy. Named Insured and Address: WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED :BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST ANY PERSON OR ORGANIZATION FOR WHOM YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT :FROM US:. THIS AGREEMENT SHALL NOT OPERATE DIRECTLY OR INDIRECTLY TO BENEFIT ANYONE NOT. .NAMED IN THE AGREEMENT. B. THIS PROVISION 3. DOES NOT .APPLY INTHE: STATES. OF :PENNSYLVANIA: AND UTAH. Nothing herein contained shall be held to vary, waive, alter, or extend' any of the terms, conditions, agreements or declarations of. the policy, other than as herein stated. This endorsement shall not be binding unless countersigned :by a duly authorized agent of the company,. provided that if this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof, countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute. valid countersignature of this endorsement.. Countersigned by Form G-2240-3 B Printed in U.S.A. Process Date Authorized, Representative SE0 Page 1 of 2 Policy Expiration Date: THIS ENDORSEMENT CHANGES THE. POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS. This endorsement modifies: insurance provided under the following - BUSINESS AUTO COVERAGE FORM A. Any person or .organization whom you are required by contract to name . as additional insured is an "insured" for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an "insured" under the WHO. IS AN:INSURED. provision -of Section 11 - LIABILITY. COVERAGE.. B. For any person or organization for whom you are :required by contract to provide a. waiver of subrogation; the Loss Condition - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US: is applicable. Form HA 99 13 01,87 Printed in U.S.A. rn W in kP 0 i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT .. AGGREGATE LIMITS (PER PROJECT) This endorsement modifies insurance provided under the following: BUSINESS UlABIL" COVERAGE FORM A. Section D. LIABILITY AND MEDICAL. EXPENSES LIMITS OF INSURANCE is amended as follows: 1. The General Aggregate Limit under Section D. LIABILITY AND MEDICAL EXPENSES LIMIT OF INSURANCE applies separately to each of your "projects". 2. The _Cmits shown in the beciaraWns for Liability and Medical Expenses, Damage To Premises Rented To You and Medical Expenses continue to .apply: 31 When coverage for liability arising: out .of the "products -completed operations hazard' is provided, any payments for damages because of `bodily Injury' or -property damage' Included In the 'products -completed operations hazard - will reduce the Products -Completed Operations Aggregat6 Limit, and not reduce: the General Aggregate Limit.. 4. If the applicable °project' has been abandoned, delayed, or abandoned.and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, .specifications or timetables, the 'project" will still be deemed to be the same'projecr. S. The provisions of Section D. LIABILITY AND MEDICAL EXPENSES :LIMIT OF INSURANCE not otherwise modified by this .endorsement shall continue to apply as stipulated. B.. Additional Definitions The followingdefinition is added to Section G. LIABILITY AND MEDICAL EXPENSES DEFINITIONS: 1. 'Project' means 'your work' at location(s) :away from premises owned or rented to you. (6) When You Are .Added As An Additional. Insured To Other Insurance That is. other insurance available to. :you: covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been. added as an additional 'insured by that Insurance; or (7) When You Add Others As An Additional Insured To This Insurance That is other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this Coverage Part: (a) Primary Insurance When Required By. Contract This insurance is primary if you have agreed in a written contract, written agreement or permit that this insurance: be. primary. If other insurance is also. primary, we, will share withall that other insurance by the method described in c. below. (b) Primary And Non -Contributory To Other Insurance When Required By Contract 0. ,you hava :agreed in a. written contract, written .agreement :or permit thatthis insurance is primary and non-contributory with the additional insured's own insurance, this insurance iS primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not apply to otherinsuranceto which the additional insured has .been added. as an additional insured. When. this insurance is excess; we will have no duty under this Coverage Part to defend the insured, against any "suit" if any other insurer has a duty to defend the insured, against that '-suit" . If no 'other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against. all those other insurers. BUSINESS. LIABILITY COVERAGE FORM When this insurance is excess over other insurance, we will pay only our share of the amount. of the loss, .4 any, that exceeds the: sum of; (1) The total .amount that. all. ;such other insurance would pay for the: loss In the. ,absence of this. insurance; and (2) The total of ail deductible and sell - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not :described. in this Excess Insurance provision and. was not bought specifically to apply In. excess of #16 Limits. of Insurance shown In the Declarations of this Coverage Part: c. :Method .Of Sharing If all the other insurance permits contribution by equal.shares, we will follow this method also: Under this approach, each: insurer .contributes equal amounts until it has paid its applicable omit of insurance or .none of .the loss remains, Whichever comes first. If any of theother insurance does .ndt permit contribution by equal shares, we will contribute by limits. Under this method, each ers insurshare is based on the. ratio :of its applicable lirrOt of 'insurance to. the total applicable limits of.insurance of all insurers. 8. Transfer Of Rights Of Recovery Against .Others To Us a. Transfer Of Rights Of Recovery If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Coverage..Part,. those rights are transferred to us. The insured must do nothing after loss to Impair them. At our request, the insured will bring: "suit^ or transfer those rights to us and help us enforce them. Thiscondition does not apply to.Medical Expenses Coverage. b. Waiver Of ,Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, Including Supplementary Payments, we have. made under this Coverage Part, we also waive: that right, provided the insured waived their rights :of recovery against such person.:or organization in a ;contra t, agreement or permit that was executed prior to the ;injury. or damage. Form SS 00 08 04 05 Pan. 47 A# -1. BUSINESS LIABILITY COVERAGE FOAM contract, written :agreement or because of a (e) Any failure tomake such permit I issued by a state or political inspections, adjustments, tests or subdivislon, that such person or organization servicing as the vendor has be added as an additional :insured on your agreed to make or normally policy, provided the injury or damage occurs undertakes to make in the usual subsequent to the execution of the contract or course.of. business, in connection agreement, or the issuance of the permit, with the distribution or sale of the A person or organization Is. an additional Produce: Insured under this provision only for that M Demonstration, installation, period of time required by the contract, servicing or repair operations, agreement or permit. except such operations performed However, no such person or organization Is an. at the vendor's premises in connection with the sale of the additional Insured_under.this provision: if such. nor product: person organization is. Included as an additional Insured by an endorsement issued (g) Products which, after distribution by us and made a part of this Coverage Part, or sale by you, have been labeled: .including all .persons or organizations added or relabeled, or used as a. as additional insureds under the specific container; part or ingredient of any additional insured coverage grants in Section other .thing or substance by or for F..— Optional Additional Insured. Coverages. the Vendor; or a. Vendors: (h) "Bodily injury" or "property Any person(s) or organizaton(s).(referred to damage" arising out of the, sole below as vendor), but onl whit respect to negligence of. the. vendor for its bodily injury" or property damage" arising own acts or omissions or those of out of "your products" which are distributed its employees or anyone else or sold In -the regular course of the vendor's acting on its behalf.: However, this business and only If this Coverage. Part exclusion does rat apply to: provides coverage for `bodily Injury" or (1) The exceptions contained in "property damage` included within the Subparagraphs (d) or (f); or "products -completed operations hazard". (4) Such inspections, adjustments, .(1.) The insurance afforded tothe vendor tests or servicing as the_vendor is subject to the following additional has agreed to.make or normally exclusions_, undertakes b. make in the usual This insurance.does not apply to: course of business, in (a) "Bodily injury" or "property oonnection with the distribution or. sale of the products. damage" for which, the vendor is obligated to` :pay damages by (2) This insurance does not. apply, to .any of the assumption of insreason person organization from liability in a contract or agreement. Whom youhave ac quh d such. products, This exclusion does not a PPh+ to or any ingredient, Part or container, liability for damages that the entering into, accompanying or vendor would have In the absence containing:such products, of the contract or agreement; b. Lessors Of Equipment (b). Any express warranty (1) Any Person or organization from unauthorized by you.; whom you lease equipment; but .only t A () Any physical or chemical change with respect to their liability for "bodily in the product made .intentionally injury", "property damage" or by the Vendor; personal and advertising injury - (d) Repackaging, except when caused, in whole or In part, by your maintenance, operation or use of unpacked solely for the purpose of equipment .leased to you by such inspection, demonstration, testing, person organization. or the substitution of parts .under ,or Instructions from the manufacturer, and then repackaged in the original container, Pape 12 of 24 Fnrm RS nn nit ne ns (b) Rented to, In the :care, custody or control of, or over which physical control is :being exercised for any purpose by you,, any of your. "employees", "volunteer workers", any partner or member (if you are a partnership or joint venture); or any member : (if you are: a limited, liability company). b. Real Estate Manager Any person (other than your "employee" or "volunteer worker"), or any organization while acting as your real estate manager. c. Temporary Custodians Of Your Property Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative. has been appointed. d. Legal Representative If You Die Your legal representative if you die,. but only with.respect:to: duties as such. That representative will. have all your rights and duties under this insurance. a. Unnamed Subsidiary Any subsidiary and subsidiary thereof, of .yours which is a legally incorporated entity of which you own. a financial interest of more than 50% of .the voting stock on the. effective date, of this Coverage Part: The Insurance. afforded herein for any subsidiary not shown :in the Declarations as a named insured does . not apply to injury or damage :with. respect to which an insured under this insurance is also an insured under another policy or would be an insured under such policy butfor its termination_ or upon ;the exhaustion of its limits of insurance. 3. Newly Acquired Or Formed Organization Any organization. you newly acquire or form, other than a partnership, joint venture or limited liability company, .and over which you maintain financial interest of more. than 50% of the, voting stock, .will :qualify as a .Named Insured if there is no other similar insurance available to that organization.. However:. a. Coverage under this provision is afforded only until the 180th day after you: acquire or form .the organization or the end of the policy period, whichever is earlier; and BUSINESS LIABILITY COVERAGE .FORM b. Coverage under this provision does not apply to: (1) "Bodily Injury" or "property .damage" that occurred;.or (2) "Personal and advertising .injury" arising out of an offense committed before you acquired or formed the organization. 4. Operator Of Mobile Equipment With respect to "mobile equipment" registered in your name under any motor vehicle registration law,.any person. is an insured while driviig such equipment along. a public highway :with. your permission. Any other person or organization responsible. for the oonduct of such person is also an insured, but only with respect to liiabiliity arising.out of the operation of the :equiipment. and. only if no other insuranoe of any kind is available to that person or organization for this liability. However, no: person ororganization is an insured with respectto: a. 'Bodily Injury" to a co -"employee" of the person driving the equipment;,or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this provision. 51 Operator :of Nonowned Watercraft With respectto watercraft you do not own that s. less than 51 feet long and is:not being.used to. carry persons for a charge, any person is an Insured while operating such watercraft with your permission. Any other person or organization responsible for the conduct: of such person is also an, insured, but only with respect to liability arising out of the operation of the watercraft, and only if no other insurance of any kind is available to that person or organization: for this. liability. However, no person or organization is an insured with respect to:. a. "Bodily injury" to a co "employee"of the person operating the watercraft; or b:. "P.roperty damage" to property: owned by, rented to, in the charge of or occupied by you or the employer of any person who Is an insured under this provision. 6 Additional. insureds. When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you. have agreed, In a written r... C-12 nn n4AA nr.