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Home My WebLink About310503 ECONOMIC & PLANNING SYSTEMS - INSURANCE CERTIFICATE (6)AC6J? o® CERTIFICATE OF LIABILITY INSURANCE DATE v2o2oYY) 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsemenL A statement on this certificate does not confer rights to the certificate holder In lleu of such endorsement § . PRODUCER Andreini & Company -San Mateo 220 West 20th Ave San Mateo CA 94403 COMIcr— NAME: Kelly Totten PHONE FAX • 650-378r4322._ .. _ _- ._. _ _. _ - AIc No : 650-378-4361 ADonLFss: ktotten andreini.com INSURE S AFFORDING COVERAGE NAIC a INSURERA: Federal Insurance Company 20281 INSURED ECONO-5 Economic & Planning Systems 400 Capitol Mail, 28th Floor INSURERS: Republic indemnity Cc of Calif 43753 INSURER C: Continental Casualty Company 20443 INSURERD: Sacramento CA 95814 . INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:2046877011 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. �POLICY TRR TYPEOFINSURANCE I o wvD POLICYNUMBER MIWDD/YY PD MIDNYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 35929623WCE 4/1/2D20 4/1/2021 EACH OCCURRENCE $1,000,000 CLAIMS -MADE a OCCUR DAMAGE TO RENTED PREMISES IEa oddlRence $1,000,000 MED EXP Any onePerson) $ 10,000 PERSONAL & ADV INJURY $ see insurer C GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3.060,600 PRO - POLICY JLOC PRO- PRODUCTS- COMP/OP AGG $3i006,000 X Per Project Agg $3,000,000 OTHER: Per Proect/Loc A AIrTOMOBILELIABILIiY "- E - 4 v v 73558746 4l1I2020 4/1/202t ''OOMBINED SINGLE LIMIT Ea acntlent $1,000,000 BODILY INJURY (Per person) $ ANY. AUTO OWNED SCHEDULED AUTOS ONLY AUTOS. BODILY INJURY (Per accident) $ XI HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE __ Per accident $. A X UMBRELLAUAB X OCCUR 79871994 4/1/2D20 4/1/2021 EACH OCCURRENCE $1,000.000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $1,000,000 DED I X I RETENTION n _.$- B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y 16150817 4/1/2020 4/1/2021 X $7qA UrE I I ERH E.L. EACH ACCIDENT $.1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? � MIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C - Enors&.Omissions 425343942 4/112020 4/1@021 Per Claim 2,000,000 Adv/Personal InJory Retro 111183 Retention-$10,000 - .Annual Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AddlUonal Remarks Schedule, may be attached It more apace Is requbred) 30 days notice, of cancellation except 10 days for non-payment of premium per policy provisions. 'City of Fort Collins is additional insured on a primary and noncontributory basis with regard to General and Auto Liability and Waivers of Subrogation apply per attached policy provisions. EPS #143002- Fort Collins On -Call Financial Services City of Fort Collins Financial Services Purchasing Div 215 N Mason St 2nd FL Fort Collins CO 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE All ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 2 of 10 766 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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 the person or organization named in the Schedule. (This agreement applies only to the extent that 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 Schedule. Schedule State Person or Organization Job Description Colorado This endorsement provides a blanket waiver of subrogation applicable to all jobs for persons or organizations whom the Named Insured has agreed by written contract to furnish this waiver. The charge for this endorsement shall be 2% of total manual premium, subject to a minimum premium of $100. This charge will be billed on your next invoice based on current manual premium, and the final charge will be calculated and billed at the final audit. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. Republic Indemnity Company of California Company Number 27561 Insured Economic and Planning Systems, Inc. Policy Number 161508-17 Endorsement Number 7 Endorsement Effective April 01, 2020 Printed On March 09, 2020 Countersigned by : WC000313 (Ed. 04-84) 0 1983 National Council on Compensation Insurance. Insured Copy 3 of 10 766 CHUB B• Liability Insurance Endorsement Polley Period APRIL 1, 2020 TO APRIL 1, 2021 Effective Dare APRIL 1, 2020 Policy Number 3592-95-23 WCE Insured ECONON HC & PLANNING SYSTEMS INC Name of Company FEDERAL INSURANCE COMPANY Date Issued JANUARY 15, 2020 This Endorsement applies to the following forms: GENERAL LIABILITY Under Who Is An Insured, the following provision is added Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insurer); • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organizatioou is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Liability Insurance Addiraw Inured - Scheduled Person Or Organlzaflon continued Form 80-02-2367 (Rev. "7) Endorsement Page 1 7 of 10 766 cHUaBe Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance - Scheduled this insurance Is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative ON Liab�7ity Insurance Addibonel Insured - Scheduled Person Or Organizatlon last page Form 80-02-2367 (Rev. 5-07) Endorsement Page 2 8or10 766 POIjCy #35929623WCE Conditions (continued) Transfer Or Waiver Of We will waive the right of recovery we would otherwise have had against another person or Rights Of Recovery organization. for loss to which this insurance applies, provided the inured has waived their rights ggajnt OMM of recovery against such person or organization in a contract or agreement that is executed before such loss. To the extent that the insured's rights to recover all or part of any payment made under this insurance have not been waived, those rights are transferred to us, The insured mast do nothing after loss to impair them, At our request, the bmuvd will bring suit or transfer those rights to us and help us enforce them, This condition does not apply to medical expenses. Lkoflry Msr rertee Form 80-02 20�0 (Rev. 4-01) Coftd Page 24 of $2 9 of 10 766 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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 the person or organization named in the Schedule. (This agreement applies only to the extent that 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 Schedule. Schedule State Person or Organization Job Description California This endorsement provides a blanket waiver of subrogation applicable to all jobs for persons or organizations whom the Named Insured has agreed by written contract to furnish this waiver. The charge for this endorsement shall be 5% of total manual premium, subject to a minimum premium of $250. This charge will be billed on your next invoice based on current manual premium, and the final charge will be calculated and billed at the final audit. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. Republic Indemnity Company of California Company Number 27561 Insured Economic and Planning Systems, Inc. Policy Number 161508-17 Endorsement Number 6 Endorsement Effective April 01, 2020 Printed On March 09, 2020 Countersigned by : WC000313 (Ed. 04-84) ® 1983 National Council on Compensation Insurance. Insured Copy 10 of 10 766