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HomeMy WebLinkAboutInsurance Certificate: Ecology & Environment Inc 'Page 1 of. 2, f� D! ATE(MMfDOtYYYY) CERTIFICATE O. • BA AN LIABILITY ISURANCE 07./30/2019 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'NOLDER:• IMPORTANT: If the certificate'holder;is an ADDITIONAL;INSURED„the pollcy(les)must have ADDITIONAL:INSURED provisions or be endorsed. If•SUBROGATION IS WAIVED,'subject'to the terms and•conditions of the;poIICy,•certain'policles,may require'an endorsement. A statement'on this certificate does not confer rights to.the.certifIcateholder in/leu of Such endorsement(s). PRODUCER CONTACT NAME'• . Willis of.New York, Inc.. PHONE .. 1-877 94 -7378 { CiNo):. 1-888-467-23.78. c/o 26 Century Blvd . . .IA/C:No.ExtI: .... .. .. . 4,70007467-.2370 • EMAIL P.C. Box 305191 ADDRESS: dertiPiCates@willi's,.com Nashville, TN' 372305191 USA .INSURER(S)AFFORDING COVERAGE ,NAIC,U INSURER AGreat. Divide.Insurance Company 25224 INSURED INSURERS: Federal.In'surance Company ” 20281 Ecology and Environment, Inc: 368 Pleasant View,Drive •INSURER C:. . Lancaster, NY 14086 INSURER D: _ , 'INSURER E . INSURER F: -COVERAGES ;CERTIFICATE.NUMBER:W12154:452 • 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,TERMOI=OR CONDITION' 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 OFSUCH'POLICIES.LIMITS SHOWN MAY HAVE BEEN'REDUCED BY PAID,CLAIMS. /LTR TYPE OF INSURANCE ADDL SUBR POLICY EFF. POLICY EXP INSD WVD POLICYNUMBER (MM/DDNYYY) (MM/DDIYYYY) LIMITS: X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE . $ 3,000,000 DAMAGE TO RENTED, CLAIMS-MADE ' OCCUR PREMISES(Ea occurrencep $: , 1,000,000 A X Blanket Contractual Liability MED EXP`(Any one porson) $ 30,000 Y' GLP2005977-17 '08/01/2019. 08/01/20203,000,000 PERSONAL.&ADV INJURY $ GE 'L LIMITAPPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY X 28-- X, LOC PRODUCTS'-COMP/OP AGO $ -3,000,00'0 OTHER: $ AUTOMOBILELJABIIJTYCOMB NED SINGLE LIMIT $ 1,000,000 •Ea acciden0: X 'ANY AUTO 'BODILY INJURY(Per person) •$ A OWNED SCHEDULED BAP2005983-17 '08/01/20.19.08/01/2020 ,80DILY'INJURY.(Par accident),'S AUTOS ONLY AUTOS' ' HIRED NON-OWNED PROPERTY DAMAGE $; AUTOS ONLY _ AUTOS ONLY (Per accident)• 5' UMBRELLALIAB X OCCUR EACHOCCURRENCE '$ '15,000,000 X EXCESS UAB CLAIMS-MADE 7987-27-63 08/.01%2019 08/01/2020 ,AGGREGATE $ 15,000,0.00 • DED II RETENTIONS Prod/Compl Ops. .$ -15,000,000, WORKERS COMPENSATION. XST TOTE 0Th AND EMPLOYERS'LIABILITY A ANYPROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $. 1,000,000 OFFICER/MEMBEREXCLUDED?, IT N/A WCA2005979-17 . 08/01/2019' 08/01/2020 1,.000,000 (Mandatory In'NH). ' ' E.L.DISEASE•,EA'EMPLOYEE $ II yes;describe under 1,000,000 DESCRIPTION'OF OPERATIONS below E.L.DISEASE•POLICY LIMIT' $ A Consultants Poll a Prof,Liab CCp2005976--,17 08/01/2019 .08/01/2020 Aggregate Limit $11,000,000 (Pollution - Occurrence) Each Poll., Condition $11,000,000 (Professional - Claims-made) Each Prof. Claim :$1'1,.000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may;be attached 0 morn space Is required) E&E's contract number: 1009838 Excess Liability policy is following form and supports all, listed coverages 'except Pollution and Professional Liability. • The city of Ashland,. Oregon, and its officials, officers and employees' are included as additional insured on the, CERTIFICATE HOLDER CANCELLATION SHOULD•ANY.OFTHE ABOVE.DESCRIBED POLICIES'BE CANCELLED BEFORE. THE• :EXPIRATION, DATE THEREOF, NOTICE WILL.'BE. DELIVERED IN ACCORDANCE WITH THE.POLICY PROVISIONS. AUTHORIZED'REPRESENTATIVE City of Ashland 20 East MainStreet ,%'.0e,-,. hl Asand, OR 97520 • ©1988.2016 ACORD CORPORATION.'All rights,reserved..' ACORD 25(2016/03) The ACORD name and-logo are registered marks'of ACORD ' 0?D: 18313781 BATCH: 1304308 2 of 4 7343 AGENCY CUSTOMER ID: LOC#: AccPRD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY ,NAMED INSURED , Willis of New'York, inc. Ecology and•Environment,. Inc. 368 Pleasant view Drri,;e ' POLICY NUMBER Larbcaster, NY 1.4086 • See Page.1 • • CARRIER NAIC CODE ' • See Page 1 'See.Page 1. EFFECTIVE DATE:see, page 1. ADDITIONAL REMARKS . THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM, FORMNUIVIBER: 25 FORM TITLE: Certificate of Liability Insurance General, Liability and Automobile Liability on a primary and non-contributory basis as Jrequired by written contract. • • • • • • • - • • • ACORD.101 (2008/01) • ©2008 ACORD CORPORATION. All rights reserved. The ACORD name antl-logoare registeredinarks of-ACORD SR ID: 18313781 BATCH: 1364308 CERT: W12154452 . . Policy#GLP2006977-17, • Term: 8/1119-8i1/20 ENDORSEMENT . This endorsement fOrma a part of the policy to Which:it isattaChed, Please readlt.Carefully. NOTICE,_0FqcAN,iati:toknoulro CERTIFICATEHOLbEI:itii,2.;,:,!:: This endorsement modifies insurance provided under the,folloWihg: " • Contractors and Consultants Liability General Liability Business Automobile Liability • In considerationof thepremium 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 cahcelled by the.QornOany, other.than10'110n=payrnent of pterhiutni,notice Of such CancellatiOn'NIH be provided at least thirty(30) days in advance of the cancellation effective date to those.certificate holder(S).Wheare Additional-IntUredt 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.Writteri contract or agreement within five:(5,),business - days. This list will also include rnailind addresses, Any notificationrights provided by this endcirserherit apply only to active dertifiCate bolder(s),who:are AddltionaV Insuredt and issued a certificate of insurance appliCabletethiS poliCy'period: • If notice is mailed, proof of mailing to the last known mailing address of the 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 prerniUm b. the policy is non-renewed for any reason. • ALL OTHER TERMS AND CONDITIONSOF THE POLICY SHALL APPLY AND:REMAIN-UNCHANGED: ©2006 by Berkley Specialty Undetwriting Managers LLC,an affiliate.of Neutilus Insurance Company andGreat Divide insurance Company:All rights reserved. 1985-2006,6y.IhsitranceSeniices Office;Inc.,material tised'byperkssleh. BSUM 1200 11-11 • Page 1 Of 1 3 of 4 7343 U01porare mum) Policy#BAP2005983-17 Term_: 8/1/19-8/1/20 ENDORSEMENT This endorsement forms a part of the policy to which..it is attached. Please read.it carefully. NOTICE OF CANCELLATION T04CERTIFICA4TE HOL''D�RS f �d !` '' ,.r..h .,a $+..,., " -z� _r, .,7• i,..Y ny 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 tothe contrary., it is hereby agreed and understood that the following,provisions shall apply: If this policy its cancelled by the Company, other.than far non-payment of premium, notice of such cancellation,will be provided atleast:thirty(30) days in advance of the cancellation effective date to those certificate holder(S)Who are Additional Insureds-and requirenotice of cancellationthrough a written contract or agreement and:are on file with the producer of record. In the event this policy is to be canceliedf'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 sufficientproof 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.. C 2006.by Berkley Specialty Underwriting Managers LLC,an affiliate of Nautilus Insurance Company and,Great Divide insurance Company.All rights reserved. 0 1965-2006'by Insurance:Services'Office,Inc.,material used by,permission. BSUM1200` 11-11 Page 1.of 1 Policy#CCP2005976-17 Term: 8/1/19-8/1/20 ENDORSEMENT' This endorsement forms a part of the'policy to which it is attached. Please read it carefully. NOTICE OF CANCELLATION TO CERTIFICATE HOL'DERSv . , } This endorsement modifies insurance provided under the following: Contractors and Consultants Liability General Liability Business Automobile Liability In consideration of the premiumcharged and notwithstanding anything contained in this policy 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 id advance of the cancellation effective date to thosecertificate.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 cancell',ation through a Written contract of:agreement Within five•(5)business days. This list will also include mailing addresses'. Any notification eights provided by this endorsement apply only to active certificate holder(a)Who are Additional Insureds and issued a certificate of insurance applicable to this,policy'perlod. 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-paymentof premium or; • b, the policy is non-renewedfor 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: 19852006 by insurance Services'Office,Inc.)Material used by:perinissldn. BSUM 1200 11-11 Page 1 of 1 4of4 734 WILLIS TOWERS WATSON 26 CENTURY BLVD. 6TH FL NASHVILLE,TN 37214 7343 1 MB 0.425 IiiIIiin111111IinmliiiiiIIi"1111 1111m111111111"1IuIiII CITY OF ASHLAND 7343 20 E MAIN ST ASHLAND, OR 97520-1814 ****NOTICE**** In order to expedite distribution of certificates to Certificate Holders, we would Tike to begin using electronic distribution for future issuances.Also, we would like to remove any certificates that are no longer needed. If you would like to receive electronic copies in the future or no longer require a certificate for this Insured, please note as such below. Please complete this form and submit with a copy of your current certificate to the contact information below: Do you wish to receive renewal certificates: Yes [ ] No [ ] Require a hard copy be mailed: Yes [ ] No [ Email Address or Fax Number: SR ID: 18313781 -. If you require additional information or have further questions, please feel free to contact: Willis Towers Watson Global Certificate Center Email: EDPCERTS@willi towerswatson.com Fax: 888-467-2378 Phone: 877-945-7378 Please note that it is your responsibility to provide up-to-date contact information to assure correct distribution of any future renewal certificates. 1 of 4 7343