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HomeMy WebLinkAbout454406 BIOHABITATS INC - INSURANCE CERTIFICATE (2). "'i CERTIFICATE OF LIABILITY INSURANCE `� DATE (MMDD0Z3 12/30/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Klein Agency, LLC. P.O. BOX 219 Timonium MD 21094 CONTACT NAME: PHONE (410)832-7600 IA/C No,FAX (410)832-1849 E-MAIL INSURERS AFFORDING COVERAGE NAIC 0 INSURERA:National Surety Co INSURED Bi.ohabitatS, Inc. 'er,I-yfo6 2081 Clipper Park Road T Baltimore NM 21211-1406 INSURER B:Amerl Can Automobile Ins. Co. INSURER C:TraVelers Casualty6 Sure Cc INSURERD:Continental Casualty Company INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:14-15 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSA LTR TYPE OF INSURANCE ADDL SUM POLICY NUMBER POLICY EFF POLICY EXP LIMA GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 PREMISES $ 1,000,000 X COMMERCIAL GENERAL LIABILITY A 7 CLAIMS -MADE OCCUR NBC80893476 /1/2014 /1/2015 MED EXP (Any we arson $ 10,000 PERSONAL S ADV INJURY S 2,000,000 X ContraCtural Liability GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 $ 17 POLICY X PRO LOC AUTOMOBILE LIABILITY EOMaB`NE SINGLE LIMITcent) It 11000,00 BODILY INJURY (Par person) $ B }{ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS nW0302216 /1/2014 /1/2015 BODILY INJURY (Per accident) $ PROPERTY DAMAGE IPer $ 8 X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 2,000,000 AGGREGATE S 2,000,000 A EXCESS LIAR CLAIMS -MADE DIED I I RETENTION$ $ PkBCS0893476 /1/2014 /1/2015 C WORKERS COMPENSATION UB4014T893 XI WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN 1 state! Coverage E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,00 OFFICERIMEMSER EXCLUDED? (Mandatory In NH) NIA Endorsement /1/2014 /1/2015 E.L. DISEASE -POLICY LIMIT $ 1 000 000 I/yyes, describe under UE SCRIPTION OF OPERATIONS below A iCvred State ! a Covered D Professional Liability ECH288389268 /1/2014 1/1/2015 Each Claim $5,000,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space Is required) Project: I-25 Wetlands Biohabitats Project: 12904-01 See attached for specific additional insured wording. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins, Colorado ACCORDANCE WITH THE POLICY PROVISIONS. Attn: P.O. John Stephen BOX 508 AUTHORIZED REPRESENTATNE Fort Collins, CO 80522 Justin Klein/LISA'P`— ACORD 25 (2010105) INS025 (201005).01 © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS If required under an insured written contract, executed prior to any loss, City of Fort Collins, Colorado are an Additional Insured under the General Liability Policy, but only with respects to liability arising from work performed by or on behalf of Biohabitats, Inc. If required under an insured written contract, executed prior to any loss, City of'Fort Collins, Colorado are an Additional Insured under the Automobile Policy, but only with respects to liability arising from the operation of vehicles by employees of Biohabitats, Inc. If required under an insured written contract, executed prior to any loss, Waiver of Subrogation is provided for City of Fort Collins, Colorado under the General Liability, Automobile Liability and Workers Compensation Policies. It is further understood that coverage provided the Additional Insured under the General Liability and Automobile Liability shall be primary and non-contributory to any other coverage available to the Additional Insured. I OFREMARK COPYRIGHT 2000, AMS SERVICES INC. I A� �® CERTIFICATE OF LIABILITY INSURANCE 12/30/2o� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endorsements . PRODUCER Klein Agency, LLC. P.O. Boa 219 Timonium MD 21094 CONTACT NAME: PHONE U. (410) 832-7600 FA�C No: (d101 $32-1849 E-MAIL SR INSUREPAS) AFFORDING COVERAGE HAIG4 INSURER A:Natlonal Surety CO INSURED Biohabitats, Inc. 2081 Clipper Park Road Baltimore MD 21211-1406 INSURER B:American Automobile Ins. CO. INSURERC:TraVelers Casualty S Surety CO INSURER D:COntinental Casualty Company NSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:14-15 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AC POLICY NUMBER POLICY EFF Y POLICY EXP MMIDDNY LIMITS GENERAL UABILITY EACH OCCURRENCE $ 2,000,000 PREMISES Ea occurrancel $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEOCCUR NBC80893476 /1/2014 /1/2015 MED EXP(Any one person) $ 10,000 PERSONAL S ADV INJURY S 2,000,000 X Contractiral Liability GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG E 4,000,000 $ POLICY X PRO- LOG AUTOMOBILE LIABILITY COMBINEDSINGLE LIMITEa 11000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 0302216 /1/2014 /1/2015 BODILY INJURY (Per accident) $ PROPERTY DAMAGE d e^ $ NONOWNED HIRED AUTOS AUTOS E X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2.000,000 A EXCESS LIAB CLAIMS -MADE OED RETENTION $ $ CS0893476 /1/2014 /1/2015 * WORKERS COMPENSATION JB4014T893 XI WC STATU- OTH- AND EMPLOYERS' LIABILITY � ANY PROPRIETOR ARTNERIEXECUTIVE 1 States Coverage E.L. EACH ACCIDENT $ 1,000,000 AI OFFICEREMBER EXCLUDEO9 (MimiteryIn NH) NIA ndoraament /1/2014 1/1/2015 E.L. DISEASE -EA EMPLOYE $ 1 00D 000 E.L DISEASE -POLICY LIMIT E 1 000,00 Ity descres under DESCRIPTION OF OPERATIONS 0 is a covered State D Professional Liability ECH288389268 /1/2014 /1/2015 Each Clan $5,000,000 A99re9ale $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AIII ACORD 101, Additional Remarks Schedule, If more apace Is required) See attached for specific additional insured wording Project: MOMurry Natural Area Restoration Phase 2, and Sterling Pond Restoration CFRTIFIr:ATF Hint nF:p CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins John Stephen, CPPO, LEED AP AUTHORIZED REPRESENTATIVE 215 N Mason Fort Collin, CO 80522 Justin Klein/LISA ACORD 25 (2010105) INS025 (2D1 oo5pi ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS If required under an insured written contract, executed prior to any loss, the City of Fort Collins are Additional Insured under the General Liability Policy, but only with respects to liability arising from work performed by or on behalf of Biohabitats, Inc. If required under an insured written contract, executed prior to any loss, the City of Fort Collins are Additional Insured under the Automobile Policy, but only with respects to liability arising from the operation of vehicles by employees of Biohabitats, Inc. If required under an insured written contract, executed prior to any loss, Waiver of Subrogation is provided for the City of Fort Collins under the General Liability, Automobile Liability and Workers Compensation Policies. It is further understood that coverage provided the Additional Insured under the General Liability and Automobile Liability shall be primary and non-contributory to any other coverage available to the Additional Insured. I OFREMARK COPYRIGHT 2000, AMS SERVICES INC. I