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HomeMy WebLinkAboutKimley-Horn - Insurance CertificateClient#: 25320 KIMLHORN �4CORD. CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DDlYYYY) D3/22/2017 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()es) 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 endomement(s). PRODUCER Greyling Ins. Brokerage /EPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 NAME: JBrry Noyola PHONE 770- 552.4225 A/C No Ext : A/C No): 866-550 -4082 E-MAIL ADDRESS: j a rr Y• no ola 9 re tin com INSURER(S) AFFORDING COVERAGE MCA INSURER A: National Union Fire Ins. Co. 19445 INSURED Kimley -Horn and Associates, Inc. 421 Fayetteville Street, Suite 600 Raleigh, INC 27601 INSURERB:_ASpen American Insurance Compan 43460 INSURER c :_New Hampshire ins. Co. 23841 INSURER D.: Lloyds of London 085202 INSURER E PREMISES Ea om rrence INSURER F : X COVERAGES CERTIFICATE NUMBER: 1748 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE I�RL y VD POLICY NUMBER POLICY EFF MPIO POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FI OCCUR Contractual Liab. 5268169 4/0112017 04/01 /201 EEAACH�OECCCURRREENCE $1,000,000 PREMISES Ea om rrence $500,000 X MED EXP (Any one person) $25 OOO PERSONAL & ADV INJURY $1 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 ECOT a LOC OTHER: GENERAL AGGREGATE $1,000,000 PRODUCTS - COMP /OP AGG $1,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS .4489663 /0112017 04/01/2018 COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per a.dU $ $ B X UMBRELLA UAS EXCESS LIAR X OCCUR CLAIMS -MADE CXOOSFT17 4/01/2017 04101/201 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED I X RETENTION $0 $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E (Mandatory In NMI If yes, describe under DESCRIPTION OF OPERATIONS below N / A 015893685 AOS ( ) 015893686 (CA) 4/01/2017 4/01/2017 04/01 /201 04101/201 X PER OTH- E:L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE'$1000000 E.L. DISEASE - POLICY. LIMIT I $1,000 OOO D Professional Liab P070831700 /01/2017 o4/ol/20-18 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) Re: City of Gilroy On -Call Agreement; Bill Wiseman. The City of Gilroy, its officers, officials & employees are named as Additional Insureds with respects to General Liability where required by written contract. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020.6141 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD ACORD 25 (2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD #S681912/M680082 JNOY1 riahts reserved ENDORSEMENT This endorsement, effective 12:01 A.M. ovoi=17 forms a part of policy No. 4489663 issued to KINLEY -HORN & ASSOCIATES, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO. SECTION 11 - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto ". However, the insurance provided will not exceed the lesser of: 11) The coverage and /or limits of this policy, or (2) The coverage and /or limits required by said contract or agreement. 87550 (10/05) 4QA" Affthorizod Representative or Countersignature an States Where Applicable) Page 1 of 1 This page has been left blank intentionally. POLICY NUMBER: 5268169 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(sl Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by and 2. If coverage provided to the additional insured is required by a contract or agree- ment, the insurance afforded to such addi- tional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section 111 - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insu- rance shown in the Declarations; whichever is less. This endorsement shall not increase the appli- cable Limits of Insurance shown in the Decla- rations. CO 20 37 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 13 POLICY NUMBER: 5268169 COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 - Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an addi- tional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law: and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an addi- tional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional ex- clusions apply: This insurance does not apply to: 1. "Bodily injury ", "property damage" or "personal and advertising injury" arising out of the rendering of; or the failure to render, any professional architectural, engineering or surveying 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; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrong- doing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily in- jury" or "property damage ", or the offense which caused the "personal and advertising injury ", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed bj or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section 111 - Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: CG 20 33 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 O 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 6 Insurance Services Office, Inc., 2012 CG 20 33 04 13 0 Client#: 25320 KIMLHORN ACORD,. CERTIFICATE OF LIABILITY INSURANCE YYYY) 3/28/2016 DATE (MMIDDIMIDDI 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 pol)cy(les) 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 Grayling Ins. Brokerage /EPIC 3780 Mansell Road, Suite 370 Alpharetta, GA 30022 877 908 -5619 NONTE Jerry Noyola PHONE 770 - 552 -4225 .866- 550 -4082 A/C No Ext : . A/C No : EMAIL ADDRESS: Jerry.noyola @greyling.com INSURER(S) AFFORDING COVERAGE NAIC A INSURER A: National Union Fire Ins. Co. 19445 INSURED Kimley -Horn and Associates, Inc. P.O. Box 33068 Raleigh, NC 27636 INSURER B: Commerce & Industry Ins. Co. 19410 INSURER C:. New Hampshire Ins. Co. 23841 INsuRER 0: Lloyds of London 085202 INSURER Ex $500000 INSURER F: MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: 16 -17 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF M /DD IYYYY) POLICY EXP (MMIDDNYYYJ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Contractual Liab. 5268169 4/01/201.6 04/01/2017 EACH OCCURRENCE $1,000,000 PREMISES EaEoNxurrence $500000 X MED EXP (Any one person) $25000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a ECT F LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON-OWNED AUTOS 4489663 4/01/20161 04/01/201 Ea acciderrtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acktident $ $. B X UMBRELLALIAB EXCESS LIAB X. OCCUR CLAIMS -MADE BE013778306 4/0112016 - 04101/2017 EACH OCCURRENCE $6,000,000 AGGREGATE $5,000,000 DED I X RETENTION $1O 000 $ - C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? I NJ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 15893685 (AOS) 15893686 (CA) 4/0112016 4/01/2016 6401/2017,X 0410112017 PER OT"- E.L. EACH ACCIDENT $1 000 000. E.L. DISEASE - EA EMPLOYEE11 $1,666.606 - E.L. DISEASE - POLICY LIMIT - - $1,000,000 D Professional Liab P070831600 4/01/2016 04/01/2017 Per Claim $2,000,000 Aggregte $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) Re: City of Gilroy On -Call Transportation Services - Church Street Safety Study. The City of Gilroy, its employees, officers, officials & volunteers are named as Additional Insureds on the above referenced liability policies with the exception of workers compensation & professional liability where required by written contract. The Professional Liability Limit is written per Occurrence/Aggregate at $2,000,000.. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 -6141 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD #6461850/M461305 CUND1