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HomeMy WebLinkAbout310503 ECONOMIC & PLANNING SYSTEMS - INSURANCE CERTIFICATE (7),d►oRD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 3/12/2020 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, certaln 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 Andreini & Company -San Mateo 220 West 20th Ave San Mateo CA 94403 CUKTACT NAME: Kelly Totten PHONE FAX • 650-378-4322 A/c No:650-378.436T EMAIL - ___ ADDRESS: ktotten andreini.com INSURE S AFFORDING COVERAGE. NAIC0 INSURERA: Federal Insurance Company 20281 INSURED ECONO.5 INSURER a: Republic Indemnily Cc of Calif 43753 Economic .& Planning Systems 400 Capitol Mall, 28th Floor INSURERc: Continental Casualty Company 20443 INSURER D: Sacramento CA 95814 INSURER E INSURER F.: COVERAGES CERTIFICATE NUMBER:1880674265 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. IT TYPEOFINSURANCE L IN D WVD POUCYNUMBER POLICY WDOMY DmYLR M/D LIMITS A X COMMERCIAL GENERAL LIABILITY Y V 35929623WCE 4/1/2D20 4/1/2021 EACHOCCURRENCE $1,000.000 CLAIMS -MADE I A I OCCUR PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $ see Insurer C GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 RXPOLICY E] JEC [:] LOC PRODUCTS - COMP/OP AGG $ 3.000,000 Per PreectA $3,000,000 OTHER: Per.Proect/Loc A AUTOMOBILE LIABILITY Y Y 73558746 4/1/2D20 4/1/2021 OMacBINED SINGLE LIMIT Ea cdent $1,000,000 BODILY INJURY (Per.person) $ AUTO IANY OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accidem $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR 79871994 411/20,20 411/2021 EACHOCCURRENCE $1,000,000 X AGGREGATE $1,000,000 Excess LIAB CLAIMS -MADE DED I X I RETENTION S.n $. B WORKERSCOMPENSATION AND EMPLOYERS'LWBILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE Y 16150817 4/1/2020 4/1/2021 X STgTUTE ERH E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED7 N / A (Mandatory In NM E.L. DISEASE - EA EMPLOYEE $1,000,000 II yes. describe under DESCRIPTION OF: OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Erron& Omissions Adv/Personal Injury 425343942 - 4/1/2020 - 4/1/2021 Par Claim Annual Aggregate. 2,000,000 2,000,000 Retro IIV83 Retention - $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ACORD 101, AddlKor el.Remarks Schedule, may be attached It more apace Is required) 30 days notice of cancellation except 10 days for non-payment of premium per policy provisions. EPS #: 183024 City of Fort Collins its officers, agents, and employees are additional insured on a primary and non-contributory basis with regard to General and Auto Liability and Waivers of Subrogation apply per attached policy provisions. 30 days notice of cancellation except 10 days for non-payment of premium per policy provisions. SHOULD ANY OF THE ABOVEDESCRIBEDPOLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Jerri Groves ACCORDANCE Ill THE POLICY PROVISIONS. Purchasing Dept. 215 North Mason Street AUTHORIZED REPRESENTATIVE Fort Collins CO 80524 USA ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 2 of 10 767 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 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) 01983 National Council on Compensation Insurance. Insured Copy 3 of 10 767 C H U S ®0 Liability Insurance Endorsement Policy Period APRIL 1, 2020 TO APRIL 1, 2021 Effective Date APRIL 1. 2020 Policy Number 3592-96-23 WCE Insured ECONOMIC & PLANNING SYSTEMS INC Name of Company FEDERAL INSURANCE COMPANY Date Issued JANUARY 15, 2020 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 iffiured 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 insured; • 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 organization 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 Addiffonal Inured - Scheduled Peraon Or organization continued Form 60-02.2367 (Rev.5-07) Endorsement Page t 7 of 10 767 C ICI U B B° 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 contractor agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorired Representative Q� A' Liability Iraurancs AddlYonal Ineurad - Scheduled Pe►sm Or Orgarizatlm lest page Form 80-02-2967(Rev. 5-07) Endorsement Page 2 8 or 10 767 POIiCy #35929623WCE CondMons (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 inbvredhas waived their rights Aonst Others 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 marred must do nothing after loss to impair them. At our request, the insisted will bring suit or transfer those rights to us and help us enforce. them. This condition does not apply to medieal expenses. __ - -.__-- flab" rneurerroe Form 80-02-2000(Rev. 4-01) contrad PQge 24 0132 9 of 10 767 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 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) 0 1983 National Council on Compensation insurance. Insured Copy fooffo 767