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HomeMy WebLinkAboutInsurance Certificate: Ecology and Environment Inc . . • • , , . . . -----"""% in - • : • "_ - ACCPRO • . . ... . . . . ..H.. , ,. . , • , , , . • . .„... 'CERTIFICATE OF:LIABILITY INSURANCE. ,, DATE(IIIINVOMYTYY) • , . - . . . ' ' 4)29/2.021 THIS CERTIFICATE IS ISSUED AS A.MATTER,OF.INFORMATION ONLY AND.CONFERS No:RIGHts ueoN THE CERTIFICATE HOLDER„THIS. , ., CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENDS;'EXTEND OR ALTER THE COVERAGE AFFORDEB,'BY THE POLICIES , BELOW. THIS CERTIFICATE OF INSURANCE DOES.NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),,AUTHORIZED ' REPRESENTATIVE OR ORODubEkANoTHECERTIFICATEHOLDER. ' . . IMPORTANT:. If the certIfIcate.holderis;an ADDITIONAL INSURED,the policy(les)must have ADDITIONALANSURED provisions:or be.endorsed, If SUBROGATION.IS WAIVED,'subject td.the.terms aruitOndlitIonS of the'pOliCy,.cartaln,pOlialet:may requIre:an endorsement.•A statement on • . , this,certlfleate does not,cOnfer rig htS to,the.aedifIcate hOlder In lien'of tuck endorSernent(S)., , . •• , , • PRODUCER . ',':CNOAMNTEA::CT,MIS 'Service ream . Arthur GallagherRiskVanagenent.adivieeS. Inc. ' • . • PHONE- FAX. 250 ParkAvenue,5th Flea' • • rAteA . Exe,212,994.77.100,•........ .: .... ., . ...,...• (No.No):112-99477074. ,• . .• Nevii.York"NY 10177' . . ,ADDRESS: GG.B.INSPUS:CERTREQUESTS@AJG;COM ' ' . • , • , ,INSURER(S)AFFORDING COVERAGE . , 16535 INSURED , • . I INSURERA:Zurich Arneriben,InsUrarice•Obinbany .. . „„ ,„°, .. . , . W'rGY .°! INSURER Bt Liberty insurance CorObratioti, 42404 • , • Ecology and Environment,Inc: .. . . . • 368.PleatentView Drive • 'INSURER C: , ' • • .• , . . •' Lancaster NY14086 . , itiSilFtER b.: , . . . . • ' , INSURER E.:: ' • ' • • ' • . . , . • . , , INSUREWF: .r . • . • . . ' . COVERAGES • • CERTIFICATE NUMBER:914157476 • • ' '• • REVISION NUMBER: • 'THIS.IS TO CERTIFY THAT THE POLICIES.OF:INSURANCE•LISTEII BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE-FOR THE,POLICY.PERIOD. • INDICATED. NOTWITHSTANDING ANY REQUIFIEMENT;TERM OR,CONOITION 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'CONDITIONSSOF•suo POLICIER.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADDL SUBR' •1, , POLICY EFF POLICY EXP • '' ' LTR . TYPE OF INSURANCE. NSD WVD POLICY NUMBER. . (MMIDD/YYYY); (IBM/DDNYYY).. . . . 1.1114ITS A 'X COMMERCIAL GENERAL LIABILITY "GL005355190,8. • ' , •51112021 5/1/2022 tAcr-roccLikHENcE ' .$3:500;000' ' DAMAGE TO RENTED, CLAIMS-MADE;'X OCCUR ' ' ' • PREMISES(Es occurrence). 5:300,000• : •X dontrectuallieb • • . . .. . MED:EXP"(Any:one person) _.$7:500 •PERSONAL&Aoy:mut:1y • 0,600,000, • :. GENVAGGREGATE LIMIT APPLIES ,:PER: : .' ' . . GENE..:•,i-- . HAL AGGREGATE $7000,000 PRO • . • . X POLICY 7,EcT- • LOC ' ' PRODUCTS.-COMP/OP AGO $5•500,60 . . , . . S , OTHER: • . . , ' ' . . • . . a AuTONosiLeLiAtiiiiiv. . ' ' • As7-621-004060,031 . , 5/112021 5/1/2022 .FECAMErl$INGLE LIMIT X ANY AUTO ' , . . .. sootYINj))RY-IPOr:PersPn) '$ AUTOS ON!Y. , SCHEDULED • • .. ' ' 'BODILY:INJURY(Per'accident)'E • , AUTOS . ' - HIRED NON-OWNED . ''ROPERTYDAMAOE ' ,s• — ' • AUTOS ONLY .. AUTOS ONLY . •Per•accident) , ., • . . • . $• , • . , . .. , ' •A 'X• UMBRELLA LIAB AUC014438645 . . . 5/1/2021 ' 5/1/2022 :EACH DedUFIRENct $5;00.0,000 • . . OCCUR ... EXCESS LIAB • ' CLAIMS-MADE , ' AGGREGATE $5,000,000: ' • • ' .•, . .DED i . ' RETENTIONS. . . . . . . . ;B ,vypnIteascompENSATioN AND YIN• WAT-62D-094060-011 5/1/202.1 • 511/2022, X. STAi•UtE, '24:EMPLOYERS'LIABILITY . ANYPROPRIETOR/PARTNER/EXECUTIVE. ,., ' . . •SL,EACH ACCIDENT . . $2,000,000 °I" OFFICER/MEMBER EXCLUDED? ' 10 A .' . . • (Mandatrinj In:NH)" '. „ " " ' . • ' .E.L.DISEASE,-EAEMPLOYEE 0;606,006, • • II.yes,describe under. _, . DESCRIPTION OF OPERATIONS:below. ' . . , • ' • . EL.DISEASE•POLICY:LIMIT .$2000,000 A. Property . - MC P481 930408; . 5/112021 511/2022' Lir* , $1,000;000 • ' . • . , . . • . • '• . , DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Aconolot AddltIonal Remer19.Schedule,niey:be atteehedif more ripace Is required) r , THIRTY(30):DAYS NOTICE OF CANCELLATION. . • . E&E't,contract number 1009133S.The city of:Ashland,Oregon,and.Its officials officers and employees are Included as,additional insured on the General'. , , •, • Liability and AytoMoblie'LlabilityonL aprimary ancinon7contribOtory,bapis as•regoiredby wdtten.contract. , . . • . . . . . . , . . , . • . ' . ' . . , • . . , . • ' • • • , , . • • ' . • CERTIFICATE HOLDER . . • •CANCELLATION.• • . . . • . • • • . SHOULD ANY.OF THE.ABOVEDECRIBED POLICIEs13tpANcELLED BEFORE • . • • . • . . : • THEL,, EXPIRATION. 'DATE; THEREOF, NOTICE. WILL BE DELIVERED IN ' •. .• ACCORDANCE PRoVisIONR:. . 'City,,,of'Ashland • '• . , • . . . . , 20 East,Main'Street „ ' . • • • 'ApvionizsafIEPRESENTATIVE• • . ,Ahland DR'97520' . . . . ., • — . . , . ' , 0 198840 5 ACORD CORPORATION..All rights r6sofi'ved. • „ . .. . . , . „ , .ACORD•25(2016/03) . . The ACOFID name rid lOgo Ore'registered hiarks,of ACORD. • • • , 2*of 2 7502 . ' POLICY NUMBER: 6080881839 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM N O C7 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: DOWL, LLC Endorsement Effective Date: 05/01/2021 SCHEDULE Name(s) Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR TO LOSS Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 4410 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 THIS PAGE INTENTIONALLY LEFT BLANK CNA. CNA Paramount Excess. and Umbrella: Liability Policy D. Coverage D - Key Employee Exclusions. With respect to.Coverage D — Key,Employee, this insurance does'not apply,to any actual or alleged: 1. Death or Disability death or permanent disability ofe key employeerelating to, or arising out of: a. nuclear reaction or radiation or radioactive contaminatien, however caused; b. sickness or disease, including Mental illness or mental injury; c. pregnancY, childbirth,'rniScarriage &abortion; d. suicide,.attempted suieide or self inflicted bodily injUry,,while sane'or insane; e. thq key employee's intoXiCatipn, impairnient Or Otherwise being,under the influence Of alcohol-Or controlled substances; f war, including undeclared,or civil war; g. warlike action by a military ferce, including action in hindering ordeferidingageinst an actual or expected attack, by any government, sovereign or other aUtherity using military personnel or other agents; or h. insurrection! rebellion, revOlution, usurped power, or action taken by governmental authority in hindering or-defending against any of these. 2. Other Expenses a. expenses the Named insured incurs which the Named Insured would not have incurred if the NarneclinSured had used all reasonable meahete;. find a permanent replabernerit for the key ernployee;'and reduceor discontinue-the key employee replacement expense; es,aOon as possible after the-'Named Ins(fred'S perrnanetit losS Of'the services'of the key employee caused by a covered'accident. b. additional expenses incurred due'to the Named InSured's loss of the services of a Permanent replacement appointed or hired to replace a key eMPleyee, however cauSed. However, this exclusion does not apply if the replacement employee is inelUdeelin'the definition as a key employee and the Named InSured'S loss of the services of the replacement employee is caused by. a covered accident. IV. WHO IS AN INSURED The following persons.ororganizations are Insureds. A. With respect to Coverage A - Excess Follow Form Liability, the Named Insured and any persons or organizations included as an insured under the;provisionsiot underlying insurance are Insureds,and then only for'the same coverage, except for limits ofinsurance,'afforded under:such undeilying insurance. B. With respect to the Coverage B- Umbrella'Liability: 1. If the Named Insured is designated in'the Dediarations,of this Policy as: a. an individual, the Named Insured and the Named Insured's-spouseare Insureds,:but only with 'respect to the conduct O.ra bueinese:ef Which the Named Insured is the sole owner. a partnership or joint ventilte, the Named Insured la,an Insured. The Named Instired's members, the Named klatireci's partners, antftheir-Sriouses are also Insureds but only with respect to the 'conduct of the Named Insureds business. Form INo:'CNA),8504XX(0372015) Policy No: Policy Page: 14 of 32 Policy Effective:oat Underwriting CoMpanr:Continental ins. Co333-S Vgabath AYO,Chitabbii IL:60604 FolitY:Pagd: 25 Of 51 Copyright CNA All Rights Reserved THIS PAGE INTENTIONALLY LEFT BLANK CNA CNA Paramount Excess and Umbrella Liability Policy Assignment of interest under thiS policy shall not bind the Insurer. unless its consentisehclOrsed hereon. V. Unintentional Omission Based on Insurer's reliance on the Named Insured's representations as to existing haiards, if the Named Insured should unintentionally fail to disclose all Suchhazards at the effective date of this Policy, the Insurer will not deny coverage under this.Policy because of such failure. W. Waiver of Rights of Recovery The Insurer waives any right of recovery it may have against any person or organization because of payments the Insurer makes under this'Policy if the Named.Insured has agreed in writing to waive such rights of recovery-in a contract or-agreement, and only if the contract or agreement:. 1. is in,effect or becomes effective during the policy period; and 2. was executed prior to loss. VII.DEFINITIONS For purposes of this Policy, words,in bald face type, whether expressed in the singular or the plural, have the meaning set forth below. Advertisement Meansa notice that is broadcastor published to the.gerieral public,or specific market segments, about the Named Insured's goods, products or services for the purpose ofattractingcustomers or supporters For the purposes of this delinitiOn: A. notices that are published include material pieced on the Internet or on similar electronic means Of communication; and B. regarding websites, only that part of'a web-Site that is about the'Named Insured's Odocls, products or services for the purposes of attracting cuStorners or supporters is considered an adVartlseinent. Aircraft means anymachine or device,that is capable of atmospheric-flight. Arbitration proceeding means a-formal alternative dispute resolution proceeding or administretiv.e hearing to which an Insured is required to submit by statute 'or court rule or to which an Insured has submitted With the Insurer's consent. Asbestos means the mineral in any form whether or not the asbestos was at any time airborne as a fiber, particle or dust, contained in or formed a part of a product, structure or other real or personal property, carried on clothing, inhaled or ingested, or transmitted by.any other means. Authorized Insured means any executive officer, member of the Named Insured's risk management or in-house general counsel's office, or any employee authorized by the Named Insured to give or receive notice of a claim. Auto means: A. a land motor vehicle, trailer'or semitrailer designed ter travel on public roads, including any attached machinery or equipment; or B. any other land vehicle that is subject to a compulsory or financial responsibility law or other motbr vehicle inSurance law where it is licensed or principally garaged. However, auto does not include mobile equipment. Bodily injury means bodily injury, sickness or disease sustained by a:person, including death, humiliation', shock, mental anguish'ormental injury sustained by that person at'any time which'results as a'consequence of the bodily injury, sickness or disease. Claim means a: A. suit; or Forrh No: CNA75504XX(93-2015) Policy Na: Policy Page: 22 of 32 Policy EffecLive Date: Underwriting Company: Continental Ins,Co, 333 S Wabash Ave,Chicago, IL 60594 Policy Page: 33 of 51 Copyright-CNA All Rights Reserved. THIS PAGE INTENTIONALLY LEFT BLANK Parker, Smith & Feek, Inc. 2233 112th Avenue NE Bellevue,WA 98004 3oz-6x9-Q01326-47-520 CITY OF ASHLAND 20 E MAIN ST ASHLAND OR 97520-1814 il'il1111111li'i11.1111mIll4dlni..11.h.1111111.1111I ., M THIS PAGE INTENTIONALLY LEFT BLANK Arthur J. Gallagher Risk Management Services, Inc. 250 Park Avenue, 5th Floor New York, NY 10177 7502 1 MB 0.447 7502 IIu11111111111nlnllil11111141111111111111ill""ilIi111111l' CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520-1814 We are providing you with a Certificate of Insurance confirming our client's coverage. Want to get certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies of certificates via e-mail in the future. Or, do you no longer require a certificate of insurance for our client?Please contact us at COI.UpdateMyEmail@AJG.com and provide the following information for processing; 1. Confirmation that a certificate of insurance is no longer required;or 2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery 3. Insured Code found in the Insured section on the enclosed certificate.An example of this code is XXXXXX-01 4. This Certificate Number:914157476 To learn more about the Insurance and Risk Management Services offered by Gallagher, please visit us at www.ajg.com/us/about-us/how-we-work/core-360. Gallagher does not share your e-mail as detailed in our privacy policy found at https://www.ajg.com/us/privacy-policy/. 1•of2 7502