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HomeMy WebLinkAboutInsurance Certificate: OBEC Consulting Engineers, Inc. 0 /YYY ) A~ CERTIFICATE OF LIABILITY INSURANCE DA 03/2012018 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 CONTACT NAME: Parker, Smith & Feek, Inc. PHONE Eat: 425-709-3600 FAX AIC Not, 425-709-7460 2233 112th Avenue NE AIC E-MAIL L Bellevue, WA 98004 ADDRESS: INSURERS AFFORDING COVERAGE 10 INSURERA: Continental Casualty Company INSURED OBEC Consulting Engineers, Inc INSURER B: Sentinel Insurance Company . 920 Country Club Road, Suite 100B INSURER C: Hartford Ins. Co. of the Midwest Eugene, OR 97401 INSURER O: Lexington Insurance Co. INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS A GENERAL LUBIUTY 6024757366 3/20/2018 312012019 EACH OCCURRENCE s 2,000,000 X COMMERCIAL GENERAL LIABILITY PREM SES Ea.N.T ante S 300,600 CLAIMS-MADE OCCUR MED EXP(Any one person) 5 10,000 PERSONAL S AOV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S 4,000,000 POLICY X PRO- X LOC S B AUTOMOBILE LIABILITY 52UECPT7813 3/2012018 3/20/2019 Ea acccidentSINGLE LIMIT S 2,000,000 Ix ANY AUTO BODILY INJURY(Per person) $ ALL OWNED HEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X Ni PROPERTY DAMAGE S HIRED AUTOS AUTOS Per accident S A UMBRELLA LIAB X OCCUR 6024757383 3/20/2018 3/2012019 EACH OCCURRENCE $ 1.000.000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DIED X RETENTIONS 10,0OD $ C WORKERS COMPENSATION 52WBCRT5496 X WCSTATU OTH- AND EMPLOYERS' LIABILITY YIN 3120/2016 3/2012019 ANY PROPRIETORIPARTNER/EXECUTIVEF-I WA Stop Gap E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory I. Ni E. L.. DISEASE - EA EMPLOYE S 1,000,000 It yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S D Professional Liability 035713726 9/25/2017 9/25/2018 $5,000,000 each claim: $10,000,000 Agg Ded: $100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACOR0101, Additional Remarks Schedule, If more space is required) Project No. 05-15 - Railroad Crossing Improvement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Engineering Dept 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 Ptv v i I © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 2 of 2 (JB000) A~ CERTIFICATE OF LIABILITY INSURANCE oA03120/2018w1 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 CONTACT NAME: Parker, Smith & Feek, Inc. PHONE 425-709-3600 FAX 425-709-7460 2233112th Avenue NE ac NO mt: INC Nb: E-MAIL Bellevue, WA 98004 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Continental Casually Company INSURED OBEG Consulting Engineers, Inc. INSURER B: Sentinel Insurance Company 920 920 Country Club Road, Suite 1006 INSURER 0: Hartford Ins. Co. of the Midwest Eugene, OR 97401 INSURER D: Lexington Insurance Co. INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADOL STIR POLICY NUMBER MMIODY/YYEFF YY MMIOOYEXP LIMITS TR A GENERALUABILITY 6024757366 3/20/2018 3/20/2019 EACH OCCURRENCE $ 2,000,000 AMA ETOR NTED X COM MERCIAL GENERAL LIABILITY PREMISES Eaeccunence $ 300,000 CLAIMS-MADE OCCUR MED EXP(Any one person) S 10,000 PERSONAL B ADV INJURY $ 2.000.000 GENERAL AGGREGATE S 4.000.000 GEWL AGGREGATE LIM IT APPLI ES PER: PRODUCTS-COMPIOPAGG $ 4,000,000 POLICY X PRO- X LOC $ B AUTOMOBILE LIABILITY 52UECPT7813 312012018 3/20/2019 E MBINED SINGLE LIMIT S 2,000,000 actiderin Ix ANY AUTO SO DI LY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accklerl $ AUTOS NAUTOS ON-OWNED PROPERTY DAMAGE HIREDAUTOS X AUTOS Peraccdent S S A UMBRELLA LIAB X OCCUR 6024757383 312012018 3/2012019 EACH OCCURRENCE S 1.000.000 X EXCESS LIAB CLAIMS-MADE AGGREGATE S 1.000'000 DED X RETENTIONS 10,000 S C WORKERS COMPENSATION 52WECRT5496 X WCSTATU- OTH- AND EMPLOYERS' LIABILITY YIN 312012018 312012019 LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTIVE WA Stop Gap E.L. EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? ~ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYE 5 1.000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S D Professional Liability 035713726 9/25/2017 9/25/2018 $5,000,000 each claim; $10,000,000 Agg Ded:$100,000 DESCRIPTION OF OPERATIONS ILOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Design of a New 15-Inch Sanitary Sewer along A Street from 1st St. to 7th St. (PWE: Project No. 2013-17). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Morgan Wayman 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 ({f4 plvvz / I 1tf , V (D 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 2 of 2 013000) 1 ® DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03120/2018 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 CONTACT NAME: Parker, Smith & Feek, Inc. PH°NE 425-709-3600 FAX 425-709-7460 2233 112th Avenue NE E-MAIL o Ext : AIC No Bellevue, WA 98004 ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURER A: Continental Casualty Company INSURED OBEC Consulting Engineers, Inc. INSURER B: Sentinel Insurance Company 920 C 920 Country Club Road, Suite 1006 INSURER C: Hartford Ins. Co. of the Midwest Eugene, OR 97401 INSURER D: Lexington Insurance Co. INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADOLSUBR POLICY EFF POLICY EXP LIMITS LTR D POLICY NUMBER MM/DDIYI'YY MMIDDIYYYY A GENEFOLLIABILITY 6024757366 3120/2018 3/2012019 EACH OCCURRENCE s 2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence$ 300.000 CLAIMS-MADE Fx7OCCUR MED EXP(Any one person) $ 10,000 PERSONAL BADV INJURY $ 2,000,000 GENERALAGGREGATE S 4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 5 4,000,000 POLICYFXJEC PROT X LOG $ B AUTOMOBILE LIABILITY 52UECPT7813 3/20/2018 3/2012019 EOa BIN DSINGLE LIMIT 2,000,000 X ANY AUTO BODI LY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S X HIRED AUTOS X AUTOS Peracciden[ A UMBRELLA LIAB X OCCUR 6024757383 3/20/2018 3/20/2019 EACH OCCURRENCE S 1,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE S 1,000,000 DED X RETENTION$ 10,000 s TH- C WORKERS COMPENSATION 52WBCRT5496 X WCSTATU- DER AND EMPLOYERS'LIABILITY YIN 3120/2018 3/28/2819 ANY PROPRIETORIPARTNERIEXECUTIVE WA Stop Gap E.L. EACH ACCIDENT 5 1,000,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE 5 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ D Professional Liability 035713726 9/252017 9/25/2018 $5,000,000 each claim; $10,000,000 Agg Ded: $100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Contract for Personal Services - East Main Street Improvements Funding Application Support. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Scott Fleury, Dir. Of Engineering 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 ~ 4 piv~ © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 2 of 2 (JB000) Y) A~ CERTIFICATE OF LIABILITY INSURANCE D 03//AEM200/2018 /201 B 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 CONTACT NAME: Parker, Smith & Feek, Inc. PHONE 425-709-3600 FAX 425-709-7460 2233 112th Avenue NE AIC N0 EA AIC No: E-MAIL Bellevue, WA 98004 ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty Company INSURED OBEC Consulting Engineers, Inc INSURER B: Sentinel Insurance Company . 920 Country Club Road, Suite 1008 INSURER C: Hartford Ins. Co. of the Midwest Eugene, OR 97401 INSURERD: Lexington Insurance Co. INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADD UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I R M POLICYNUMBER MMIDD/YYYY MMIDD/YYYY LIMITS A GENERAL LIABILITY 6024757366 3/2012018 3/20/2018 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY OAMA SRFNTED 300,000 X PREMISES Eaoccunence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ 18,606 PERSONAL &ADV INJURY $ 2,000,090 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 4,000,000 POLICY X PRO- X LOG $ B AUTOMOBILE LIABILITY 52UECPT7813 3120/2018 3/20/2019 EOa eBI tlED SINGLE LIMIT $ 2,000,000 X ANY AUTO X BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Peraccident) S AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS Per accident 3 A UMBRELLA LIAB X OCCUR 6024757383 3/20/2018 312012019 EACH OCCURRENCE $ 1.000.000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 OED X RETENTIONS 10,000 $ C WORKERS COMPENSATION 52WBCRT5496 X WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN 3/20/2018 3/2012019 ANY PROPRIETORIPARTNEWEXECUTIVE WA Stop Gap E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ D Professional Liability 035713726 0/25/2017 9/2512018 $5,000,000 each claim; $10,000,000 Agg Ded: $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Provide in-service inspection and seismic resiliency analysis for North Mountain St., Hersey St., Water St. and Nevada St. Bridges. The City of Ashland, Oregon, and its elected officials, officers and employees are an additional insured and coverage is primary and non-contributory on the general liability and automobile policies per the attached endorsements/forms. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Scott Fluery 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 y4t &,/L ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 2 of 6 (JB000) COMMERCIAL AUTOMOBILE HA 99 16 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include: C. Lessors as Insureds (1) Any legal business entity other than a Paragraph A.1. - WHO IS AN INSURED - of partnership or joint venture, formed as a Section II - Liability Coverage is amended to subsidiary in which you have an add: ownership interest of more than 50% on e. The lessor of a covered "auto" while the the effective date of the Coverage Form. "auto" is leased to you under a written However, the Named Insured does not agreement if., include any subsidiary that is an "insured" under any other automobile (1) The agreement requires you to policy or would be an "insured" under provide direct primary insurance for such a policy but for its termination or the lessor and the exhaustion of its Limit of Insurance. (2) The "auto" is leased without a driver. (2) Any organization that is acquired or Such a leased "auto" will be considered a formed by you and over which you covered "auto" you own and not a.covered maintain majority ownership. However, "auto" you hire. the Named Insured does not include any D. Additional Insured if Required by Contract newly formed or acquired organization: (1) Paragraph A.1. -WHO IS AN INSURED (a) That is a partnership or joint - of Section II - Liability Coverage is venture, amended to add: (b) That is an "insured" under any other f. When you have agreed, in a written policy, contract or written agreement, that a (c) That has exhausted its Limit of person or organization be added as Insurance under any other policy, or an additional insured on your O d 160 days or more after its business auto policy, such person or acquisition or formation by you, organization is an "insured", but only unless you have given us notice of to the extent such person or the acquisition or formation. organization is liable for "bodily Coverage does not apply to "bodily injury" or "property damage" caused injury" or "property damage" that results by the conduct of an "insured" under from an "accident" that occurred before paragraphs a. or b. of Who Is An you formed or acquired the organization. Insured with regard to the B. Employees as Insureds ownership, maintenance or use of a covered "auto." Paragraph A.1. - WHO IS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add: C 2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 1 of 5 3 of 6 (JBOOO) The insurance afforded to any such E. Primary and Non-Contributory if additional insured applies only if the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in 1.D. - Additional (1) During the policy period, and Insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract, and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary if you have requires such insurance be provided agreed in a written contract or written to the additional insured. agreement that this insurance be (2) How Limits Apply primary. If other insurance is also If you have agreed in a written contract primary, we will share with all that other insurance by the method described in or written agreement that another Other person or organization be added as an Insurance 5.d. additional insured on your policy, the (4) Primary And Non-Contributory To Other most we will pay on behalf of such Insurance When Required By Contract additional insured is the lesser of: If you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written is primary and non-contributory with the agreement; or additional insured's own insurance, this insurance is primary and we will not (b) The Limits of Insurance shown in seek contribution from that other the Declarations. insurance. Such amount shall be a part of and not Paragraphs (3) and (4) do not apply to other in addition to Limits of Insurance shown insurance to which the additional insured in the Declarations and described in this has been added as an additional insured. Section. (3) Additional Insureds Other Insurance When this insurance is excess, we will have no duty to defend the insured against any "suit" if If we cover a claim or "suit" under this any other insurer has a duty to defend the Coverage Part that may also be covered insured against that "suit". If no other insurer by other insurance available to an defends, we will undertake to do so, but we will additional insured, such additional be entitled to the insured's rights against all insured must submit such claim or "suit" those other insurers. to the other insurer for defense and When this insurance is excess over other indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a of: written contract or written agreement (1) The total amount that all such other that this insurance is primary and non- insurance would pay for the loss in the contributory with the additional insured's absence of this insurance; and own insurance. (4) Duties in The Event Of Accident, Claim, (2) The total of all deductible and self-insured amounts under all that other insurance. Suit or Loss If you have agreed in a written contract We will share the remaining loss, if any, by the method described in Other Insurance 5.d. or written agreement that another person or organization be added as an 2. AUTOS RENTED BY EMPLOYEES additional insured on your policy, the Any "auto" hired or rented by your "employee" additional insured shall be required to on your behalf and at your direction will be comply with the provisions in LOSS considered an "auto" you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following: OR LOSS - OF SECTION IV - BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. © 2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 2 of 5 4 of 6 08000) SB146968B 0616 Page I oft 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. 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 is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement; but the written contract or written agreement must be: 1. Currently in effect or becoming effective during the term of this policy; and 2. Executed prior to the: a. "Bodily injury" or "property damage"; or b. Offense that caused the "personal and advertising injury"; for which the additional insured seeks coverage B. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations specified in the written contract or written agreement; or c. "Your work" that is specified in the written contract or written agreement, but only for "bodily injury" or "property damage" included in the "products-completed operations hazard", and only if: (1) The written contract or written agreement requires you to provide the additional insured such coverage; and (2) This Coverage Part provides such coverage. 2. The Limits of Insurance applicable to the additional insured are those specified in the written contract or written agreement or in the Declarations of this policy, whichever is less. These Limits of Insurance are inclusive of, and not in addition to, the Limits of Insurance shown in the Declarations. 3. The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications by any architect, engineer or surveyor performing services on a project of which you serve as construction manager; or b. Inspection, supervision, quality control, engineering or architectural services done by you on a project of which you serve as construction manager. 4. The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of construction or demolition work while you are acting as a construction or demolition contractor. C. Under Businessowners Liability Conditions, the condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended to add the following: An additional insured under this endorsement will as soon as practicable: 1. Give written notice of an occurrence or an offense to us which may result in a claim or "suit" under this insurance; http://formnet-ci.cna.com/npohtm/scn I4680.htm 3/19/2018 SB 146968B 0616 Page 2 of 2 2. Tender the defense and indemnity of any claim or "suit" to us for a loss we cover under this Coverage Part; 3. Except as provided for in paragraph D.2. below: a. Tender the defense and indemnity of any claim or "suit" to any other insurer which also has insurance for a loss we cover under this Coverage Part; and b. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a claim or "suit" from the additional insured. D. With respect only to the insurance provided by this endorsement, the condition entitled Other Insurance of the BUSINESSOWNERS COMMON POLICY CONDITIONS is amended to delete paragraphs 2. and 3. and replace them with the following: 2. This insurance is excess over any other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, But if required by the written contract or written agreement, this insurance will be primary and noncontributory relative to insurance on which the additional insured is a Named Insured. 3. When this insurance is excess, we will have no duty under Business Liability insurance to defend the additional insured against any "suit" if any other insurer has a duty to defend the additional insured against that "suit" If no other insurer defends, we will undertake to do so, but we will be entitled to the additional 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: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) 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. E. The condition entitled Transfer of Rights of Recovery Against Others to Us of the BUSINESSOWNERS COMMON POLICY CONDITIONS is amended to deleted paragraph 2. and replace it with the following: 2. We waive any right of recovery we may have against any person or organization with whom you have agreed to waive such right of recovery in a written contract or agreement 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 within the "products-completed operations hazard." All other terms and conditions of the Policy remain unchanged. http://formnet-ci.cna.com/npohtm/scn I4680.htm 3/19/2018