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Home My WebLink AboutInsurance Certificate: Construction Engineering Consultants ;usan Wilson BBNW (2/4) 01/27/2015 10:55:37 AM -080( AC RU CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYYI 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 NAME Susan Wilson, AAI, AIC -37 S5 Brown & Brown Northwest PHONE (541) 772-1111 AFAX o tsal> 772 IC No 3256 Hillcrest Park Drive E-MAIL swilson@bbnw.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC d Medford OR 97504 INSURER A:American Casualty Co of Reading 0427 INSURED INSURER B:Continental Casualty Company CONSTRUCTION ENGINEERING CONSULTANTS INSURER C: PO BOX 1724 INSURERD: INSURER E : MED FORD OR 97501 INSURER F COVERAGES CERTIFICATE NUMBER:CL1441033467 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. LTR SIR ADDL WEIR POLICY EFF POLICY EXP TYPE OF INSURANCE imloa POLICY NUMBER MMIDDNWY MMID /YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 7iGt: 10 RE1 X COMMERCIAL GENERAL LIABILITY X PREMISES a occurrence $ 300,000 A CLAIMS-MADE X❑ OCCUR 067238517 /15/2014 3/15/2015 MEDEXP An one person $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PCT LOC $ AUTOMOBILE LIABILITY l Ea accident 1,000,000 ANYAUTO BODILY INJURY (Per person) $ A ALL OWNED SCHEDULED 067238517 /15/2014 %15/2015 AUTOS AUTOS BODILY INJURY (Per accident) $ NON-OWNED Per PERTntD A $ HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 71EXCESS LIAR HCLAIMS-MAOE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WCSTAMRS OT TORY AND EMPLOYERS' LIABILITY YIN - ANY PROPRIETOR/PARTNER/EXECUTIVE N /A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ DIfEsSCdescribe under RIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Professional Liability FH114001378 6/3/2014 6/3/2016 Limit: $2,000,000 Deductible: $5,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Re: Engineering & Surveying Services for proposed asphalt overlay of Wightsnan St between Siskiyou Blvd & Quincy Street. General Liability Policy includes Blanket Additional Insured, Primary & Non-contributory coverage & Blanket Waiver of Subrogation when required by written contract per endorsement SB146968A (attached). Subject to policy terms, limits, conditions and exclusions. CER11FICATE HOLDER CANCELLATION (541) 488-5311 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Ashland, OR & its elected ACCORDANCE WITH THE POLICY PROVISIONS. officials, officers & employees 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 S Wilson, AAI, AIC/SU ACORD 25 (2010/05) ® 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (2otoo5).at The ACORD name and logo are registered marks of ACORD Susan Wilson 1313NW (3/4) 01/27/2015 10:56:40 AM -080( SB 6 016 CMA (Ed/06) IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH C., OF THIS ENDORSEMENT FOR THESE DUTIES. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE BLANKET WAIVER OF SUBROGATION Architects, Engineers and Surveyors This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS A. WHO IS AN INSURED (Section C.) of the 4. The insurance provided to the additional insured Businessowners Liability Coverage Form is amended does not apply to 'bodily injury,' 'property to include as an insured any person or organization damage,' "personal and advertising injury" arising whom you are required to add as an additional insured out of an architect's, engineer's, or surveyor's on this policy under a written contract or written rendering of or failure to render any professional agreement; but the written contract or written services including: agreement must be: a. The preparing, approving, or failing to prepare 1. Currently in effect or becoming effective during the or approve maps, shop drawings, opinions, term of this policy; and reports, surveys, field orders, change orders 2. Executed prior to the "bodily injury," "property or drawings and specifications by any damage," or "personal and advertising injury.' architect, engineer or surveyor performing services on a project of which you serve as B. The insurance provided to the additional insured is construction manager; or limited as follows: b. Inspection, supervision, quality control, 1. That person or organization is an additional engineering or architectural services done by insured solely for liability due to your negligence you on a project of which you serve as specifically resulting from 'your work" for the construction manager. Q additional insured which is the subject of the 5. This insurance does not apply to "bodily injury," written contract or written agreement. No "property damage," or 'personal and advertising coverage applies to liability resulting from the sole injury' arising out of: negligence of the additional insured. a. The construction or demolition work while you 2. The Limits of Insurance applicable to the are acting as a construction or demolition additional insured are those specified in the contractor. This exclusion does not apply to written contract or written agreement or in the work done for or by you at your premises. Declarations of this policy, whichever is less. These Limits of Insurance are inclusive of, and not C. BUSINESSOWNERS GENERAL LIABILITY in addition to, the Limits of Insurance shown in the CONDITIONS - Duties In The Event of Occurrence, Declarations. Offense, Claim or Suit (Section E.2.) of the 3. The coverage provided to the additional insured Businessowners Liability Coverage Form is amended within this endorsement and section titled to add the following: LIABILITY AND MEDICAL EXPENSE An additional insured under this endorsement will as DEFINITIONS - "Insured Contract" (Section soon as practicable: F.9.) within the Businessowners Liability Coverage ~ Form, does not apply to 'bodily injury' or `property y • Give written notice of an occurrence o~ an offense damage" arising out of the 'products-completed to us which may result in a claim or suit under operations hazard" unless required by the written this insurance; ° contract or written agreement. SB-146968-A Page 1 of 2 (Ed. 01/06) ,usan Wilson t313NW (4/4) 01/27/2015 10:57:45 AM -080( SB-14696B-A (Ed. 01 /06) 2. Tender the defense and indemnity of any claim or against that 'suit' If no other insurer defends, we 'suit' to us for a loss we cover under this will undertake to do so, but we will be entitled to Coverage Part; the additional insured's rights against all those 3. Tender the defense and indemnity of any claim or other insurers. 'suit' to any other insurer which also has When this insurance is excess over other insurance for a loss we cover under this Coverage insurance, we will pay only our share -of the Part; and amount of the loss, if any, that exceeds the sum 4. Agree to make available any other insurance of: which the additional insured has for a loss we (a) The total amount that all such other insurance cover under this Coverage Part. would pay for the loss in the absence of this We have no duty to defend or indemnify an additional insurance; and insured under this endorsement until we receive (b) The total of all deductible and self-insured written notice of a claim or 'suit' from the additional amounts under all that other insurance, insured. We will share the remaining loss, if any, with any D. OTHER INSURANCE (Section H. 2. & 3.) of the other insurance that is not described in this Businessowners Common Policy Conditions are Excess Insurance provision and was not bought deleted and replaced with the following: specifically to apply in excess of the Limits of 2. This insurance is excess over any other insurance Insurance shown in the Declarations of this Coverage Part. naming the additional insured as an insured whether primary, excess, contingent or on any E. TRANSFER OF RIGHTS OF RECOVERY AGAINST other basis unless a written contract or written OTHERS TO US (Section K.2.) of the agreement specifically requires that this insurance Businessowners Common Policy Conditions is deleted be either primary or primary and noncontributing and replaced with the following: to the additional insured's own coverage. This 2. We waive any right of recovery we may have insurance is excess over any other insurance to against any person or organization against whom you which the additional insured has been added as have agreed to waive such right of recovery in a an additional insured by endorsement. written contract or agreement because of payments 3. When this insurance is excess, we will have no we make for injury or damage arising out of your duty under Coverages A or B to defend the ongoing operations or "your work' done under a additional insured against any "suit" if any other contract with that person or organization and included insurer has a duty to defend the additional insured within the 'products-completed operations hazard.' SB-146968-A Page 2 of 2 (Ed. 01/06)