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HomeMy WebLinkAboutInsurance Certificate: Ecology and Environment, Inc. _ Page 1 of 1 , CC>R" CERTIFICATE OF LIABILITY INSURANCE 07/2DATE(MM/7/220018Y) 18 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(les) 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 endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Willis of New York, Inc. PHONE FAX -1-4167-2378 c/o 26 Century Blvd (A/C, Na, E. 1-877-945-7378 _ I_LC No~188E-MAIL P.O. Box 305191 SS: certificates@willia.com ADDRE - - - - Nashville, TN 372305191 USA _ INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Great Divide Insurance company 25224 INSURED INSURERB: Federal Insurance Company 20281 Ecology and Environment, Inc. - - 368 Pleasant View Drive INSURER C: Lancaster, NY 14086 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: W7003056 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 - - _ADDL'SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IbISD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X j COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 - _ - -DAIAVAGE-TO 1,000,000 CLAIMS-MADE X OCCUR PREMISES SEa occurrence $ _ A IX 'Blanket Contractual Liability MED EXP (Any one person) $ 30,000 Y GLP2005977-16 08/01/2018 08/01/2019 PERSONAL &ADVINJURY, $ 3,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3, 000, 000 ~ PRO- 3,000,000 POLICY X JECT 1 X i LOC PRODUCTS - COMP/OP AGG j $ - - OTHER: 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 LEa academe---_ X ANY AUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED BAP2005983-16 108/01/2018 108/01/2019 BODILY INJURY (Peraccid $ AUTOS ONLY AUTOS J HIRED ROPERTY DAMAGE $ AUTOS ONLY j i AUTOS ON ED rP ~ I (per aocldent)i $ UMBRELLA LIAB X O B CCUR I EACH OCCURRENCE - $ 15, 000, 000 X EXCESS LIAB 08/01/2019 -CLAIMS-MADE' 7987-27-63 08/01/2018 Prod/Compl Opa $ 15, 000, 000 DED RETENTIONS $ 15, 000, 000 I WORKERS COMPENSATION i X 1 PER OTH- I AND EMPLOYERS' LIABILITY Y/N STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? No IN/A I WCA2005979-16 08/01/2018108/01/2019, - - - '(Mandatory in NH) , E.L. DISEASE - EA EMPLOYEET$ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A (,Pollution 6 Professional Liab. CCP2005976-16 08/01/201808/01/2019 Aggregate Limit 1$11,000,000 (Pollution - Occurrence) Each Poll. Condition :$11,000,000 !(Professional - Claims-made) 'Each Prof. Claim 1$11,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) E&E's contract number: 1009838 The city of Ashland, Oregon, and its officials, officers and employees are included as additional insured on the General Liability and Automobile Liability on a primary and non-contributory basis as required by written contract. CERTIFICATE HOLDER 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 Ashland AUTHORIZED REPRESENTATIVE 20 East Main Street Ashland, OR 97520 C/ © 1900-2015 ACORD CORPORATION. All rights resarved. ACORD 25 (2016/03) The ACORD name and logo are registered marks Of ACORD su 1D 16509410 BATCH: 809946 2 of 3 453 Policy #GLP2005977-16 Term: 8/l/18 - 8/1 /19 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS This endorsement modifies insurance provided under the following: Contractors and Consultants Liability General Liability Business Automobile Liability In consideration of the premium charged and notwithstanding anything contained in this policy to the contrary, it is hereby agreed and understood that the following provisions shall apply: If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to those certificate holder(s) who are Additional Insureds and require notice of cancellation through a written contract or agreement and are on file with the producer of record. In the event this policy is to be cancelled, the agent of record will provide the Company with a list of certificate holders who are Additional Insureds and require notice of cancellation through a written contract or agreement within five (5) business days. This list will also include mailing addresses. Any notification rights provided by this endorsement apply only to active certificate holder(s) who are Additional Insureds and issued a certificate of insurance applicable to this policy period. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) who are Additional Insureds on file with the producer of record will be sufficient proof of notice. This endorsement shall not apply for the following reasons: a. non-payment of premium or; b. the policy is non-renewed for any reason. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. © 2006 by Berkley specialty underwriting Managers LLC, an affiliate of Nautilus Insurance Company and Great Divide Insurance Company. All rights reserved. ©1985-2006 by Insurance Services Office, Inc., material used by permission. BSUM 1200 11-11 Page 1 of 1 Corporate Auto Policy #BAP2005983-16 Term: 8/1/18 - 8/1/19 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS This endorsement modifies insurance provided under the following: Contractors and Consultants Liability General Liability Business Automobile Liability In consideration of the premium charged and notwithstanding anything contained in this policy to the contrary, it is hereby agreed and understood that the following provisions shall apply: If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to those certificate holder(s) who are Additional Insureds and require notice of cancellation through a written contract or agreement and are on file with the producer of record. In the event this policy is to be cancelled, the agent of record will provide the Company with a list of certificate holders who are Additional Insureds and require notice of cancellation through a written contract or agreement within five (5) business days. This list will also include mailing addresses. Any notification rights provided by this endorsement apply only to active certificate holder(s) who are Additional Insureds and issued a certificate of insurance applicable to this policy period. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) who are Additional Insureds on file with the producer of record will be sufficient proof of notice. This endorsement shall not apply for the following reasons: a. non-payment of premium or, b. the policy is non-renewed for any reason. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. 2006 by Berkley Specialty Underwriting Managers LLC, an affiliate of Nautilus Insurance Company and Great Divide Insurance Company. All rights reserved © 1985-2006 by Insurance Services Office, Inc., material used by permission. BSUM 1200 11-11 Page 1 of 1 Policy #CCP2005976-16 Term: 8/1/18 - 8/1/19 ENDORSEMENT This endorsement forms a part of the policy to which it is attached. Please read it carefully. NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS This endorsement modifies insurance provided under the following: Contractors and Consultants Liability General Liability Business Automobile Liability In consideration of the premium charged and notwithstanding anything contained in this policy to the contrary, it is hereby agreed and understood that the following provisions shall apply: If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to those certificate holder(s) who are Additional Insureds and require notice of cancellation through a written contract or agreement and are on file with the producer of record. In the event this policy is to be cancelled, the agent of record will provide the Company with a list of certificate holders who are Additional Insureds and require notice of cancellation through a written contract or agreement within five (5) business days. This list will also include mailing addresses. Any notification rights provided by this endorsement apply only to active certificate holder(s) who are Additional Insureds and issued a certificate of insurance applicable to this policy period. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) who are Additional Insureds on file with the producer of record will be sufficient proof of notice. This endorsement shall not apply for the following reasons: a. non-payment of premium or, b. the policy is non-renewed for any reason. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. 1. 2006 by Berkley Specialty Underwriting Managers LLC, an affiliate of Nautilus Insurance Company and Great Divide Insurance Company. All rights reserved BSUM 1200 11-11 © 1985-2006 by Insurance Services office, Inc., material used by permission. Page 1 of 1