HomeMy WebLinkAboutInsurance Certificate: Carollo Engineers ACORD. CERTIFICATE OF LIABILITY INSURANCE 6/E29 2012Y
06/29/2012
PRODUCER 0564249 1-800-833-7337 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Heffernan Insurance Brokers/ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Heffernan Professional Practices HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
14608 O•Brien Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Menlo Park, CA 94025 INSURERS AFFORDING COVERAGE
INSURED INSURER A:Hanover Insurance Company
Carollo Engineers
INSURER B:National Union Fire Insurance Company
2700 Ygnacio Valley Road, #300 INSURER C:Massachusetts Bay Insurance Company
Walnut Creek, CA 94598 INSURER Continental Casualty Company
I INSURER E:
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.
INS, WEE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICYEXPIRATION LIMITS
A GENERAL LIABILITY ZHF894489201 12/31/11 12/31/12 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(My ilre) 181,000,000
CLAIMS MADE OCCUR MEDEXP(Anyeneperson) $25,000
PERSONAL&ADV INJURY S 1,000,000
GENERAL AGGREGATE 52.000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2,000,000
JPCT
POLICY X PRO- F L�
�
A AUTOMOBILE LIABILITY AHF891168501 12/31/11 12/31/12
COMBINED SINGLE LIMIT $ 1,000,000
X ANY AUTO (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY
$
NON-OWNED AUTOS (Per acciae nt)
PROPERTY DAMAGE
(Per accident) $
AGE E LIIABIILITY AUTO ONLY-EA ACCIDENT $
$
OTHER THAN
AUTO ONLY AGG 8
B E%C EBB LIABILITY BE21423028 12/31/11 12/31/12 1 EACH OCCURRENCE Is 1,000,000
X OCCUR F-1 CLAIMS MADE AGGREGATE 1$1,000,000
Is
DEDUCTIBLE Is
RETENTION $ Is
C I WORKERS COMPENSATION AND WDF895749902 12/31/11 12/31/12 X WC STATU- I FR 1
EMPLOYERS'LEA BILITY E.L.EACH ACCIDENT g1,000,000
E.L.DISEASE-EA EMPLOYEE$1,000,000
E.L.DISEASE-POLICY LIMIT 1$1,000,000
OTHER
D Professional Liability AEH288354410 07/04/12 07/04/13 Aggregate $1,000,000
Unlimited Retroactive Date Per Claim $1,000,000
Deductible s400,000
DESCRIPTION OF OPERATIONS WATIONWEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS
All operations of the named insured. Professional Liability is written in aggregate limits of liability not less than
the amount shown. Re: Water Conservation & Reuse Study (WCRS) and Comprehensive Water Plan (CWMP). Carollo Project #:
8406A.00. The City of Ashland, Oregon, and its elected officials, officers and employees are included as additional
insureds with respects to General & Auto Liability.
CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION*10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Ashland DATE THEREOF,THE ISSUING INSURER WILL EMAIL 30* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
20 East Main Street axx
]({Y ��A'X](XYYYYYYYXYYYXYWXXWXYYX WYYYXXXXXYYYYYYYYY
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE {f�/
USA
I
ACORD 25-S(7/97) brandiek O ACORD CORPORATION 1988
28043513
J
Policy Number: AHF891168501 COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERSCOVERAGEFORM
With respect to coverage provided by this endorsement, the provisions of the coverage Form
apply unless modified by this endorsement.
This endorsement identifies person(s)or organization(s)who are"insureds"under the Who is An
Insured Provision of the coverage Form. This endorsement does not alter coverage provided in
the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another
date is indicated below.
Endorsement Effective: 12/31/2011
Named Insured: Carollo Engineers
SCHEDULE
Name of Person(s)or Organization(s)• Any person or organization with whom you agreed in a
written contract,written agreement or permit,to provide
insurance such as is afforded under this policy,but only
with respect to your covered autos.
(If no entry entry appears above, information required to complete this endorsement will be
shown in the Declarations as applicable to the endorsement).
Each person or organization shown in the Schedule 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 contained in Section II of the Coverage Form.
CA 20 48 02 99 Copyright,Insurance Services Office, Inc., 1998 Page 1 of 1
Policy Number:AHF891168501
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO COVERAGE
BROADENING ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form
apply unless modified by the endorsement.
1. CANCELLATION EXTENSION
d. Any business entity for which you
Paragraph A. CANCELLATION 2. b. of the have a financial interest greater
COMMON POLICY CONDITIONS is than 50%of the voting stock or
replaced with the following: otherwise have a controlling
b. 60 days before the effective date interest after the effective date of
of cancellation if we cancel for this policy or that is newly
any other reason. acquired or formed by you during
the term of this policy.
SECTION I-COVERED AUTOS
The coverage provided by this
2. EMPLOYEE HIRED "AUTOS" provision is afforded until
Description Of Covered Auto expiration or termination of this
Designation Symbols; Symbol 8 is policy, whichever occurs earlier.
replaced by the following:
The coverage provided by this
8= Hired "Autos" Only - Only those "autos" provision does not apply to any
you lease, hire, rent or borrow; including business entity described in d.
"autos"your employee hires at your above that qualifies as an
direction, for the purpose of conducting your insured under any other
business. This does not include any"auto" automobile liability policy issued
you lease, hire, rent, or borrow from any of to that business entity as a
your"employees" or partners or members of named insured or would have
their households. been an insured except for the
exhaustion of the policy limits or
SECTION II -LIABILITY COVERAGE the insolvency of the insurer.
3. BROADENED NAMED INSURED The coverage provided by this
provision does not apply to
The following is added to the SECTION II - "bodily injury"nor"property
LIABILITY COVERAGE, Paragraph 1. Who damage" arising from an
Is An Insured provision: accident that occurred prior to
your acquiring or forming the
business entity described in d.
above.
Policy Number:AHF891168501
4. EMPLOYEES AS INSUREDS SECTION III- PHYSICAL DAMAGE
COVERAGE.
The following is added to the SECTION II-
LIABILITY COVERAGE, Paragraph 1. Who 7. EXPENSE OF RETURNING A STOLEN
Is An Insured provision: "AUTO" and SIGN COVERAGE
e. Any employee of yours is an The following is added to SECTION III -
"insured"while using a covered PHYSICAL DAMAGE COVERAGE, A.1.
"auto"you do not own, hire or COVERAGE:
borrow in your business or your
personal affairs. d. Expense Of Returning A Stolen
5. SUPPLEMENTARY PAYMENTS "Auto"
We will pay for the expense of
The following amends SECTION II- returning a covered "auto"to you.
LIABILITY COVERAGE, Paragraph 2.
Coverage Extensions provision: e. Sign Coverage
Paragraph (2) is replaced by the following: We will pay for loss to signs,
(2) Up to$2500 for cost of bail bonds murals, paintings or graphics,
(including bonds for related traffic as part of equipment, which are
law violations) required because displayed on a covered "auto".
of an "accident"we cover. We do
not have to furnish these bonds. The most we will pay for"loss" in
Paragraph (4) is replaced by the following: any one "accident" is the lesser of:
(4) All reasonable expenses incurred 1. The actual cash value of
by the "insured"at our request, the property as of the
including actual loss of earnings time of the "loss"; or
up to$500 a day because of time 2. The cost of repairing or
off from work. replacing the damaged or
6. AMENDED FELLOW EMPLOYEE stolen property with other
EXCLUSION property of like kind and
quality; or
3. $2,000.
The following is added to the SECTION II-
LIABILITY COVERAGE, B. Exclusions 8. GLASS BREAKAGE DEDUCTIBLE
Paragraph 5. Fellow Employee exclusion:
The following is added to SECTION III-
This exclusion does not apply if the PHYSICAL DAMAGE COVERAGE A.
"bodily injury"arises from the use of a COVERAGE paragraph 3. Glass
covered "auto"you own or hire. This Breakage - Hitting a Bird or Animal -
coverage is excess over any other Falling Objects or Missiles:
collectible insurance
Any deductible shown in the
Declarations as applicable to the
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155 (9-97)
Policy Number:AHF891168501
covered "auto"will not apply to glass direction, for the purpose of
breakage if such glass is repaired, rather conducting your business, for a
than replaced. period of 30 days or less, of like kind
and use as the "autos"you own,
9. TRANSPORTATION EXPENSE subject to the following:
Paragraph 4. Coverage Extension. of The most we will pay for any one
SECTION III- PHYSICAL DAMAGE loss is the lesser of the following:
COVERAGE, A.COVERAGE is replaced
with the following: a. $50,000 per accident,or
b. cash value, or
4. Coverage Extension c. the cost of repair,
We will pay up to$50 per day to a minus the deductible equal to the
maximum of$1500 for temporary lowest deductible applicable to any
transportation expense incurred by owned "auto"for that coverage. Any
you because of the total theft of a deductible shown in the
covered "auto"of the private Declarations does not apply to "loss"
passenger type. We will pay only caused by fire or lightning. Subject
for those covered "autos"for which to the limit and deductible stated
you carry either Comprehensive or above, we will provide coverage
Specified Causes of Loss Coverage. equal to the broadest coverage
We will pay for temporary provided to any covered "auto"you
transportation expenses incurred own, that is applicable to the loss.
during the period beginning 24
hours after the theft and ending, If the loss arises from an accident
regardless of the policy's expiration, for which you are legally liable and
when the covered "auto" is returned the lessor incurs an actual financial
to use or we pay for its "loss". loss from that accident, we will
cover the lessor's actual financial
10. HIRED AUTO PHYSICAL DAMAGE loss of use of the hired "auto"for a
period of up to seven consecutive
The following is added to SECTION III- days from the date of the accident,
PHYSICAL DAMAGE COVERAGE,A. subject to a limit of$1,000 per
COVERAGE: accident.
5. Hired Auto Physical Damage 11. AUDIO, VISUAL AND DATA
ELECTRONIC EQUIPMENT
If hired "autos"are covered "autos" COVERAGE
for Liability Coverage and if Physical
Damage Coverage of The following is added to SECTION III-
Comprehensive, Specified Causes PHYSICAL DAMAGE COVERAGE,A.
of Loss, or Collision is provided COVERAGE:
under this Coverage Form for any
"auto"you own, then the Physical 6. Audio,Visual and Data Electronic
Damage Coverage(s) provided is Equipment Coverage
extended to "autos"you hire without
a driver or your employee hires, We will pay for"loss"to any
without a driver, at your electronic equipment that receives
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155 (9-97)
Policy Number:AHF891168501
or transmits audio, visual or data
signals and that is not designed b. Permanently installed
solely for the reproduction of sound. in the opening of the dash or
This coverage applies only if the console normally used by
equipment is permanently installed the manufacturer for the
in the covered "auto" at the time of installation of a radio.
the "loss"or the equipment is
removable from a housing unit With respect to coverage herein, the
which is permanently installed in the LIMIT OF INSURANCE provision of
covered"auto'at the time of the PHYSICAL DAMAGE COVERAGE
"loss", and such equipment is is replaced by the following:
designed to be solely operated by
use of the power from the "auto's" 1. The most we will pay for all
electrical system, in or upon the "loss"to audio,visual or data
covered"auto", including its electronic equipment and any
antennas and other accessories. accessories used with this
However ,this does not include equipment as a result of any
tapes, records or discs. one "accident" is the lesser of
The exclusions that apply to a. The actual cash value of
PHYSICAL DAMAGE COVERAGE, the damaged or stolen
except for the exclusion relating to property as of the time of
Audio, Visual and Data Electronic the "loss"; or
Equipment, also apply to coverage b. The cost of repairing or
provided herein. In addition, the replacing the damaged or
following exclusions apply: stolen property with other
property of like kind and
We will not pay , under this quality; or
coverage, for either any electronic c. $500.
equipment or accessories used with
such electronic equipment that is: 2. An adjustment for
depreciation and physical
1. Necessary for the normal condition will be made in
operation of the covered determining actual cash value
"auto"or the monitoring of at the time of the "loss".
the covered "auto's"
operating system; or 3. Deductibles applicable to
PHYSICAL DAMAGE
2. Both: COVERAGE, do not apply
to this Audio, Visual and Data
a. An integral part of the Electronic Equipment
same unit housing any Coverage.
sound reproducing
equipment designed If there is other coverage provided
solely for the by this policy for audio, visual and
reproduction of sound if the data electronic equipment,the
sound reproducing coverage provided herein is
equipment is permanently
installed in the covered
"auto", and
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155 (9-97)
Policy Number: AHF891168501
excess. However, you may elect to covered"auto". If"loss" is
apply the limit or any portion thereof caused by theft, this
of coverage provided herein to pay number of days is added
any deductible that is applicable to the number of days it
under the provisions of the other takes to locate the covered
coverage. "auto" and transport it to a
repair shop.
12. RENTAL REIMBURSEMENT and
MATERIAL TRANSFER EXPENSE 2. 60 days.
The following is added to SECTION III - Our payment is limited to the lesser
PHYSICAL DAMAGE COVERAGE, A. of the following amounts:
COVERAGE:
1. Necessary and actual
7. Rental Reimbursement and expenses incurred,
Material Transfer Expense including loss of use.
This coverage provides only those 2. $3000.
Physical Damage Coverages where
a premium is shown in the This auto rental expense coverage
Declarations. It applies only to a does not apply while there are spare
covered "auto"described or or reserve "autos" available to you
designated to which the Physical for your operations.
Damage Coverages apply.
If"loss" results from the total theft of
We will pay for auto rental expenses a covered "auto"of the private
and the expenses, incurred by you passenger type, we will pay under
because of "loss"to a covered this coverage only that amount of
"auto", to remove and transfer your your rental reimbursement
materials and equipment from the expenses which is not already
covered "auto" . Payment applies in provided for under the SECTION
addition to the otherwise applicable III- PHYSICAL DAMAGE
amount of each coverage you have COVERAGE, A.4. Coverage
on a covered "auto". No deductibles Extension.
apply to this coverage.
13. AIRBAG COVERAGE
We will pay only for those auto
rental expenses incurred during the The following is added to SECTION III-
policy period beginning 24 hours PHYSICAL DAMAGE COVERAGE, B.
after the "loss"and ending, Exclusions, paragraph 3.
regardless of the policy s expiration,
with the lesser of the following The portion of this exclusion relating to
number of days: mechanical or electrical breakdown does not
apply to the accidental discharge of an
1. The number of days airbag. This coverage is excess of other
reasonably required to collectible insurance or warranty. No
repair or replace the deductible applies to this Airbag Coverage.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155 (9-97)
Policy Number: ARF891168501
14. AUTO LOAN PHYSICAL DAMAGE imposed under a lease for excessive use,
EXTENSION abnormal wear and tear or high mileage;
security deposits not refunded by the lessor;
The following is added to SECTION III- cost for extended warranties, Credit Life
PHYSICAL DAMAGE COVERAGE, C. Insurance, Health, Accident or Disability —_
Limit Of Insurance provision: Insurance purchased with the loan; and
carry over balances from previous leases.
When a "loss" results in a total loss to a
covered auto you own for which a Loss This coverage applies only to the initial lease
Payee is designated in this policy,the most for the covered "auto" which has not
we will pay for"loss" in any one "accident' is previously been leased. This coverage is
the greater of: excess over all other collectible insurance.
1. The actual cash value of the SECTION IV-CONDITIONS
damaged or stolen property as of
the time of the "loss"; or 16. DUTIES IN THE EVENT OF
ACCIDENT, CLAIM,SUIT OR LOSS
2. The outstanding balance of the
initial loan, less any amounts for The following is added to SECTION IV-
taxes, overdue payments, overdue BUSINESS AUTO CONDITIONS, A. Loss
payment charges, penalties, Conditions,2. Duties In The Event Of
interest, any charges for early Accident, Claim, Suit Or Loss:
termination of the loan, costs for
Credit Life Insurance, Health, d. Knowledge of any"accident",
Accident or Disability Insurance claim, "suit'or"loss"will be
purchased with the loan, and deemed knowledge by you when
carry-over balances from previous notice of such "accident',
loans. claim, "suit'or"loss" has been
received by:
15. AUTO LEASE PHYSICAL DAMAGE
EXTENSION (1) You, if you are an individual;
(2) Any partner or insurance
The following is added to SECTION III- manager if you are a
PHYSICAL DAMAGE COVERAGE, C. partnership; or
Limit Of Insurance provision: (3) An executive officer or
insurance manager if you are
If, because of damage, destruction or theft a corporation.
of a covered "auto",which is a long-term
leased "auto", the lease agreement between 17. BLANKET WAIVER OF
you and the lessor is terminated, "we" will SUBROGATION
pay the difference between the amount paid
under paragraph C. LIMIT OF INSURANCE Paragraph 5.Transfer Of Rights Of
1. or 2. and the amount due at the time of Recovery Against Others To Us,
"loss" under the terms of the lease SECTION IV- BUSINESS AUTO
agreement applicable to the leased "auto" CONDITIONS, A. Loss Conditions is
which you are required to pay: less any fees replaced by the following:
to dispose of the auto; any overdue
payments; financial penalties
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155 (9-97)
Policy Number:AEF891168501
5. Transfer Of Rights Of Recovery 19. HIRED AUTO-WORLDWIDE
Against Others To Us COVERAGE
If any person or organization to or The following is added to SECTION IV-
for whom we make payment under Business Auto Conditions, B. General
this Coverage Form has rights to Conditions, paragraph 7. Policy Period, —_
recover damages from another, Coverage Territory provision:
which have not been waived through
the execution of an "insured e. Outside the coverage territory
contract", written agreement, or described in a., b., c., and d.
permit, prior to the "accident'or above for an "accident" or"loss"
"loss" giving rise to the payment, resulting from the use of a
those rights to recover damages covered "auto"you hire,without a
from another are transferred to us. driver, or your employee hires
That person or organization must do without a driver, at your direction,
everything necessary to secure our for the purpose of conducting your
rights and must do nothing after the business, for a period of 30 days
"accident" or"loss" to impair them. or less, provided the suit is
brought within The United States
18. UNINTENTIONAL FAILURE TO of America or its territories or
DISCLOSE INFORMATION possessions.
The following is added to SECTION IV SECTION V- DEFINITIONS
BUSINESS AUTO CONDITIONS. B.
General Conditions, paragraph 2. 20. MENTAL ANGUISH
Concealment, Misrepresentation Or
Fraud: Paragraph C. "Bodily injury", SECTION V-
DEFINITIONS is replaced by the following:
Your unintentional error in disclosing, or
failure to disclose, any material fact C. "Bodily injury" means bodily injury,
existing after the effective date of this sickness or disease sustained by a
Coverage Form shall not prejudice your person including death or mental
rights under this Coverage Form. anguish resulting from any of these.
However, this provision does not affect
our right to collect additional premium or
exercise our right of cancellation or
nonrenewal.
Includes copyrighted material of Insurance Services Office, Inc.with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155 (9-97)
Architects and Engineers
The following policy language is from Commercial General Liability Coverage Forms
The following are mandatory forms on the policy identified on the Certificate of Insurance:
421.OT78(09 09)CALIFORNIA COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT
• Additional Insured by Contract,Agreement or Permit
Under Section II-Who Is An insured, Paragraph 4. is added as follows:
4. a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide
insurance, is an insured, but only with respect to:
(1) "Your work"for the additional insured(s)at the location designated in the contract, agreement or permit;or
(2) Premises you own, rent,lease or occupy.
This insurance applies on a primary basis if that is required by the written contract,written agreement or permit.
b. This provision does not apply:
(1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily
injury',"property damage","personal injury"or"advertising injury'.
(2) To any person or organization included as an insured by an endorsement issued by us and made part of this Coverage
Part.
(3) To any person or organization included as an insured under item 2 of this endorsement.
(4) To any lessor of equipment:
(a) After the equipment lease expires;or
(b) If the "bodily injury', "property damage", 'personal injury' or"advertising injury" arises out of sole negligence of
the lessor.
(5) To any:
(a) Owners or other interests from whom land has been leased which takes place after the lease for the land ex-
pires;or
(b) Managers or lessors of premises if:
(i) The occurrence takes place after you cease to be a tenant in that premises;or
(ii) The "bodily injury", "property damage", 'personal injury' or "advertising injury' arises out of structural
alterations, new construction or demolition operations performed by or on behalf of the manager or lessor.
• Aggregate Limit Per Location
(1) Under Section III - Limits of Insurance the General Aggregate Limit applies separately to each of your "locations"
owned by or rented to you.
(2) Under Section V- Definitions,definition 23. is added as follows:
23. "Location"means premises involving the same or connecting lots,or premises whose connection is interrupted
only by a street, roadway,waterway or right-of-way of a railroad.
CG 2503(05 09) DESIGNATED CONSTRUCTION PROJECT(S)GENERAL AGGREGATE LIMIT
• Aggregate Limit of Insurance(Per Project)
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designated Construction Projects:
Your projects away from premises owned by or rented to you
A. For all sums which the insured becomes legally obligated to pay as damages caused by"occurrences" under Section I—Coverage
A, and for all medical expenses caused by accidents under Section I — Coverage C, which can be attributed only to ongoing
operations at a single designated construction project shown in the Schedule above:
1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and that
limit is equal to the amount of the General Aggregate Limit shown in the Declarations.
2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under
Coverage A, except damages because of 'bodily injury' or"property damage" included in the "products-completed operations
hazard",and for medical expenses under Coverage C regardless of the number of:
Includes copyrighted material of Insurance Services Offices,Inc.,with its permission
a. Insureds;
b. Claims made or"suits"brought;or
c. Persons or organizations making claims or bringing"suits".
3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated
Construction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the
General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General
Aggregate Limit for any other designated construction project shown in the Schedule above. _
4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue
to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations,such limits will be subject
to the applicable Designated Construction Project General Aggregate Limit.
B. For all sums which the insured becomes legally obligated to pay as damages caused by"occurrences"under Section I—Coverage
A, and for all medical expenses caused by accidents under Section I — Coverage C, which cannot be attributed only to ongoing
operations at a single designated construction project shown in the Schedule above:
1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount
available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable;
and
2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit.
C. 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 Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project
General Aggregate Limit.
D. If the applicable designated construction 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 construction project.
E. The provisions of Section III—Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated.
421-0452(06 07)OTHER INSURANCE—PRIMARY AND NON-CONTRIBUTORY(ADDITIONAL INSURED)
• Additional Insured by Contract,Agreement or Permit Amended—Primary& Non-Contributory
The following is added to Section IV—Commercial General Liability Conditions
4.Other Insurance
a. Additional Insureds
If you agree in a written contract, written agreement or permit that the insurance provided to any person or organization
included as an Additional Insured under Section II—Who is An Insured, is primary and non-contributory,the following applies:
If other valid and collectible insurance is available to the Additional Insured for a loss we cover under Coverages A or B of this
Coverage Part,our obligations are limited as follows:
1.Primary Insurance
This insurance is primary to other insurance that is available to the Additional Insured which covers the Additional Insured
as a Named Insured. We will not seek contribution from any other insurance available to the Additional Insured except:
I. For the sole negligence of the Additional Insured;
If. when the Additional Insured is an Additional Insured under another primary liability policy;or
fit. when 2. below applies.
If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then,
we will share with all that other insurance by the method described in 3.below.
2. Excess Insurance
This insurance is excess over:
(1) Any of the other insurance,whether primary,excess,contingent or on any other basis:
(a) That is Fire, Extended Coverage,Builder's Risk, Installation Risk or similar coverage for"your work";
(b) That is Fire insurance for premises rented to the Additional Insured or temporarily occupied by the Additional
Insured with permission of the owner;
(c) That is insurance purchased by the Additional Insured to cover the Additional Insured's liability as a tenant
for"property damage"to premises rented to the Additional Insured or temporarily occupied by the Additional
with permission of the owner;or
(d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to
Exclusion g. of Section I—Coverage A—Bodily Injury And Property Damage Liability.
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When this insurance is excess, we will have no duty under Coverages A or B 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.
When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if 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 all deductible and self-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 the Limits of Insurance shown in the Declarations of this Coverage Part.
3. Method Of Sharing
If all of 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 limit of insurance or none of the loss remains,whichever comes
first.
If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each
insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers.
CG0001 (12 07)COMMERCIAL GENERAL LIABILITY COVERAGE FORM
e Separation of Insureds
Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named
Insured,this insurance applies:
a. As if each Named Insured were the only Named Insured;and
b. Separately to each insured against whom claim is made or"suit"is brought.
CG 2404(05 09)WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
e Waiver of Subrogation
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
Persons or organizations with whom you have a written contract,executed prior to the"bodily injury"or"property damage,'
that requires you to waive your rights of recovery
The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions:
We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we
make for injury or damage arising out of your ongoing operations or"your work"done under a contract with that person or organization
and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the
Schedule above.
Named Insured:carollo engineers Policy No.:ZHF894489201
Additional Insured: Any person or organization with whom you have agreed in written contract,
executed prior to lose, to name as additional insured.
This Notice does not form a part of the insurance contract.
No coverage is provided by this Notice,nor can it be construed to replace any provisions of the policy(including its endorsements).If there is any conflict between this Notice and the
policy
(Including its endorsements),the provisions of the policy(including hs endorsements)shall prevail.
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