HomeMy WebLinkAboutInsurance Certificate: Marquess & Associates (5)
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AI..CORD' I DATE (MMfDDIYYYY)
./' CERTIFICATE OF LIABILITY INSURANCE 08/03/2010
PRODUCER Phone: (360) 598-3700 Fax: (360)598-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MICHAEL J. HALL & COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HALL & COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
19660 10TH AVENUE N.E. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
POULSBO WA 98370 INSURERS AFFORDING COVERAGE NAlC #
INSURED INSURER A: Travelers Casualty and Surety Co of America 31194
MARQUESS & ASSOCIATES INC INSURER B: The Travelers Indemnity Company 256S8
P.O. BOX 490 INSURER c: Travelers Insurance Company 39357
MEDFORD OR 97501
INSURER 0:
INSURER E: ,
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD' TYPE OF INSURANCE POLICY NUMBER Pgii~~:~~~~~ Pg;,~:,~~~N LIMITS
"" INSR
GENERAL LIABIUTY 6806146N63A OS/29/10 OS/29/11 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY ~~~~~~~E~~~~n~l $ 300,000
I CLAIMS MADE0 OCCUR MED. EXP (Anyone person) $ 5,000
B ~ XCU, BFPD, OCP PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
(;EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
-, !xl PRO- n I
POLICY X n:("T LOC $
AUTOMOBILE LIABILITY BA6148N401 OS/29/10 OS/29/11 COMBINED SINGLE LIMIT
X ANY AUTO (Eaaccident) $ 1,000,000
- ALL OWNED AUTOS
- BODILY INJURY
{per person} $
SCHEDULED AUTOS
B X
HIRED AUTOS BODILY INJURY
X $
NON-DWNED AUTOS (Per accident)
-'-'-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
==i ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS I UMBRELLA LIABILITY CUP3196T698 OS/29/10 OS/29/11 EACH OCCURRENCE $ 5,000,000
:=J OCCUR D CLAIMS MADE AGGREGATE $ S,OOO,OOO
C $
==i DEDUCTIBLE $
RETENTION $ 10,000 $
WORKERS COMPENSATION AND _I :fgR~T~~Y;s I LOTHER
EMPLOYERS' LIABILITY VI" E.L. EACH ACCIDENT $
ANY PROPRIETORIPARTNERlEXECUTlVE 0
OFF1CERlMEMBER EXCLUDED? E.l. DIs'~~~ EMP~9Y~~ i; .: n '''-/7 rc:; r;::;\
(MandatorylnNH)
If yes, dascrlbe under E.l. DIS'EiAscl-POliCYl-IMfi-.:- $' '. ~.II \1
SPECIAL PROVISIONS below . ,.. ", --.-- ,
OTHER Professional Liability 10S320158 07/26110 07/26/11 $1,000,000 ~er Claim T
A Claims Made Form $1,00rJ1orl1ggr~~ - 9 2010 ,
I II .
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPErAL iiRalasJONS , ..::...
Water Street Bridge Project _
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
20 E Main St DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, Irs
Ashland, OR 97520-1814 AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~ShleYt Hul~
Attention:
ACORD 25 (2009/01)
Certificate # 119713 @ 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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Marquess & Associates Inc
Policy #6806146N63A
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(ARCHITECTS, ENGINEERS AND SURVEYORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. The following is added to WHO IS AN INSURED
(Section 1/):
Any person or organization that you agree in a
"contract or agreement requiring insurance" to in-
clude as an additional insured on' this Coverage
Part, but only with respect to liability for "bodily in.
jury", "property damage" or "personal injury"
caused, in whole or in part, by your acts or omis~
sians or the acts or omissions of those acting on
your behalf:
a. In the performance of your ongoing opera-
tions;
b. In connection with premises owned by or
rented to you; or
c. In connection with "your work" and included
within the "products-completed operations
hazard" ,
Such person or organization does not qualify as
an additional insured for "bodily injury", "property
damage" or "personal injury" for which that per-
son or organization has assumed liability in a con-
tract or agreement.
The insurance provided to such additional insured
is limited as follows:
d. This insurance does not apply on any basis to
any person or organization for which cover-
age as an additional insured specifically is
added by another endorsement to this Cover-
age Part.
e. This insurance does not apply to the render-
ing of or failure to render any "professional
services" .
f. The limits of insurance afforded to the addi-
tional insured shall be the limlls which you
agreed in that "contract or agreement requir-
ing insurance" to provide for that additional
insured, or the limits shown in the Declara-
tions for this Coverage Part, whichever are
less. This endorsement does not increase the
limits of insurance stated in the LIMITS OF
CG 03 81 09 07
INSURANCE (Section III) for this Coverage
Part.
B. The following is added to Paragraph a. of 4.
Other Insurance in COMMERCIAL GENERAL
LIABILITY CONDITIONS (Section IV):
However, if you specifically agree in a "contract or
agreement requiring insurance" that the insurance
provided to an additional insured under this Cov-
erage Part must apply on a pri mary basis, or a
primary and non-contributory basis, this insurance
is primary to other insurance that is available to
such additional insured which covers such addi-
tional insured as a named insured, and we will not
share with the other insurance, provided that:
(1) The "bodily injury" or "property damage" for
which coverage is sought occurs: and
(2) The "personal injury" for which coverage is
sought arises out of an offense committed:
after you have entered into that "contract or
agreement requiring insurance". But this insur-
ance still is excess over valid and collectible other .
insurance. whether primary, excess, contingent or
on any other basis, that is available to the insured
when the insured is an additional insured under
any other insurance.
C. The following is added to Paragraph 8. Transfer
Of Rights Of Recovery Against Others To Us
in COMMERCIAL GENERAL LIABILITY CON-
DITIONS (Section IV):
We waive any rights of recovery we may have
against any person or organization because of
payments we make for "bodily injury", "property
damage" or "personal injury" arising out of "your
work" performed by you, or on your behalf, under
a "contract or agreement requiring insurance" with
that person or organization. We waive these
rights only where you have agreed to do so as
part of the "contract or agreement requiring insur-
ance" with such person or organization entered
into by you before, and in effect when, the "bodily
@2007The Travelers Companies, Inc.
Includes the copyrighted material of Insurance Services Office, Inc., with its pennission
Page 1 of2
COMMERCIAL GENERAL liABILITY
injury" or "property damage" occurs, or the "per-
sonal injury" offense is committed.
D. The following definition is added to DEFINITIONS
(Section V):
"Contract or agreement requiring insurance"
means that part of any contract or agreement un.
der which you are required to include a person or
organization as an additional insured on this Cov-
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Page 2 of 2
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erage Part, provided that the "bodily injury" and
"property damage" occurs. and Ihe "personal in-
jury" is caused by an offense committed:
.. After you have entered into that contract or
agreement;
b. While that part of the contract or agreement is
in effect; and
c. Before the end of the policy period.
. , ~' -I; I ; ".C'
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@2007The Travelers Companies, Inc.
Includes the copyrlghted material of Insurance Services Office, Inc., with its permission
CG 03 8109 07
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COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AUTO COVERAGE PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorse-
ment, the provisions of the Coverage Form apply
unless modified by the endorsement.
A. PERSONAL EFFECTS COVERAGE
SECTION III - PHYSICAL DAMAGE COVER-
AGE, A. Coverage, 4. Coverage Extensions is
amended by adding the fDllowing:
Personal Effects Coverage
We wiil pay up tD $400 for "IDSS" to wearing ap-
parel and other personal effects which are:
(1) owned by an "insured"; and
(2) in Dr Dn your covered "auto";
In the event of a total theft "loss" of your covered
"auto". -
No deductibles appiy to Personal Effects Cover-
age.
B. AUTO LOAN LEASE GAP COVERAGE
SECTION III - PHYSICAL DAMAGE COVER-
AGE, A. Coverage, 4. Coverage Extensions is
amended by adding the following:
AuIo Loan Lease Gap Coverage for Private
Passenger Type Vehicles
In the event of a total "loss" tD a covered "auto" of
the private passenger type shown in the Schedule
or Declaraijons for which Physical Damage Cov.
erage is provided, we will pay any unpaid amount
due on the lease Dr loan for such covered "auto"
less the followi ng:
(1) The amount paid under the Physical Damage
Coverage Section of the policy for that "auto";
and
(2) Any:
(al OVerdue leaselioan payments at the time
of the "ioss";
(b) Financial penalties imposed under a
iease for excessive use, abnormal wear
and tear or high mileage:
(c) Security deposits not returned by the ies-
sor,
CA T4 20 07 06
(d) Costs for extended warranties, Credit Life
Insurance, Health, Accident Dr Disability
Insurance purchased with the loan or
lease; and
(e) Carry-over baiances from previDus iDans
or leases.
C. COVERAGE EXTENSION - AUDIO, VISUAL
AND DATA ELECTRONIC EQUIPMENT NOT
DESIGNED SOLELY FOR THE PRODUCTION
OF SOUND
SECTION III - PHYSICAL DAMAGE COVER.
AGE, B. Exclusions, exception paragraph a. to
exclusions 4.c & 4.d is deleted and replaced with
the following:
a. Equipment and accessories used with such
equipment, except tapes, records or discs,
provided such equipment is permanenW in-
stalied in the covered "auto" at the time of the
"IDSS" or is removable from a housing unit
which is permanently installed in the covered
"auto" at the time of the "loss", and such
equipment is designed to be soiely operated
by use of the power from the "auto's" electri-
cal system, in or upon the covered "auto"; or
D. WAIVER OF DEDUCTIBLE - GLASS
SECTION III - PHYSICAL DAMAGE COVER.
AGE, D. Deductible is amended by adding the
following:
No deductible for a covered "auto" will apply to
glass damage ~ the glass is repaired rather than
replaced.
E. HIRED AUTO PHYSICAL DAMAGE COVER-
AGE
SECTION III - PHYSICAL DAMAGE COVER.
AGE, A. Coverage, 4. Coverage Extensions is
amended by adding the fOllowing:
Hired Auto Physical Damage Coverage Exten-
sion
If hired "autDs" are covered "autDs" for Liability
Coverage and this policy also provides Physical
Damage Coverage for an owned "auto", then the
Includes the copyrighted material of Insurance Services Office, Inc. with its permission.
Includes the copyrighted material of The St. Paul Travelers Companies, Inc.
Page 1 of 2
COMMERCIAL AUTO
Physical Damage Coverage is extended to
"autDs" that you hire, rent Dr borrow subject tD the
following:
(1) The most we will pay for "loss" in anyone
"accident" tD a hired, rented or borrowed
"auto" 1s the lesser of:
(a) $50,000;
(b) The actual cash value of the dam-
aged or stolen property as of the time
of the "loss"; or
(c) The cost of repairing Dr replacing the
damaged or stolen property with
other property of like kind and quality.
(2) An adjustment for deprecla~on and
physical condition will be made in deter-
mining actual cash value in the event of a
total "loss". .
(3) If a repair or replacement results in better
than like kind or quality, we will not pay
for the amount of betterment
(4) A deductible equal to the highest Physical
Damage deductible applicable to any
owned covered "auto",
(5) This Coverage Extension does not apply
to:
(a) Any "auto" that is hired, rented or bor-
rowed with a drwer; or
(b) Any "auto" that is hired, rented or bor.
rowed from your "employee".
F. BLANKET WAIVER OF SUBROGATION
SECTION IV - BUSINESS AUTO CONDITIONS,
A. Loss Conditions, 5. Transfer Of Rights Of
Recovery Against Others To Us is deleted and
re placed by the followi ng,
5. Transfer Of Rights Of Recovery Against
Others To Us
We waive any right of recovery we may have
against any person or organization to the ex-
Page 20f2
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tent required of you by a written contract exe-
cuted prior to any "accident" or "loss", pro-
vided that the "accident" Dr "IDSS" arises out Df
the opera~ons contemplated by such con-
tract. The waiver applies Dnly tD the person or
organization designated in such contract.
G. BLANKET ADDITIONAL INSURED
SECTION II - LIABILITY COVERAGE, part A. 1.
Who Is An Insured, paragraph c. is amended by
adding the following:
Any person or organization that YDU are required
to include as an additional insured on this Cover-
age Form in a written contract or agreement that
is signed and executed by you befDre the "bodily
injury" or "property damage" occurs and that is in
effect during the policy period is an "Insured" for
Liability Coverage, but oniy for damages to which
this insurance applies and only to the extent that
person or organization qualifies as an "insured"
under the Who Is' An Insured provision contained
in Section II.
H. EMPLOYEE HIRED AUTOS
SECTION II - LIABILITY COVERAGE, A. Cov.
erage, 1. Who Is An Insured is amended by add-
ing the fDllowing:
An "employee" of YDurs is an "insured" while op-
erating an "auto" hired or rented under a contract
or agreement in that "employee's" name, with
your permission, while performing duties related
to the conduct of your business.
I. COVERAGE EXTENSION - TRAILERS
SECTION I - COVERED AUTOS, C. Certain
Trailers, Mobile Equipment and Temporary
Substitute Autos, paragraph 1. is deleted and
replaced by the following:
1.' "Trailers" with a load capacity of 3,000
pDunds or less designed prtmarily for travel
Dn public roads.
lndudes the copyrighted material of Insurance Services Office, Inc. with its permission.
Includes the copyrighted material of The 51. Paul Travelers Companies, Inc.
CA T4 20 07 06