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HomeMy WebLinkAboutCOI - AARC Consultants LLC - Expires 2021-03-10AARCENV-CL ESENAY '4coRo CERTIFICATE OF LIABILITY INSURANCE ift......---- DATE (MM/DD/YYYY) 2/8/2021 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 have ADDITIONAL INSURED provisions or 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 Smith Brothers Insurance, LLC 68 National Drive Glastonbury, CT 06033 CONTACT Erin Senay NAME: PHONE FAX (A/c, No, Ext): (860) 652-3235 (A/c, No):(860) 652-3236 E-MAILGeneralMailbox@SmithBrothersUSA.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Crum & Forster Specialty Insurance Co 44520 INSURED AARC Consultants LLC 2000 W. Sam Houston Pkwy S #850 Houston, TX 77042 INSURER B : Chubb National 10052 INSURER C : INSURER D : 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 LTRINSD TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X EPK-126935 5/10/2019 3/10/2021 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENT AGGREGATELIMIT X APPLIESPER: JE LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X x LIABILITY X SCHEDULED AUTOS NON -OWNED AUTOS ONLY X EPK-126935 5/10/2019 3/10/2021 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EFX-113578 10/17/2019 3/10/2021 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YNN NIA X 71782261 OO 10/8/2020 1 O/8/2O21 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1'000'000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ A A Pollution liability Professional Liab EPK-126935 EPK-126935 5/10/2019 5/10/2019 3/10/2021 3/10/2021 Each Incident Each Wrongul Act 2,000,000 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requi ed) Re: RE: Risk and Resilience Assessment and Emergency Response Plan, project number 21-RFP-PW-450 City of Gilroy, its officers, officials and employees are inclued as Additional Insured on a primary/non-contributory basis under the General and Automobile Liability as required per written contract or agreement. A Waiver of Subrogation applies to General Liability and Workers' Compensation. The Professional Liability policy is Claims -Made with a Retroactive Date of 5/10/2019. 30 Days Notice of Cancellation to be provided to the Named Insured. CERTIFICATE HOLDER CANCELLATION Cityof Gilroy, officers, officials and employees YACCORDANCE 7351 Rosanna Street Gilroy, CA 95020 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE . ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD El CRUM&FORSTER A f_fl!N{_q Cr_fignht P. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) or Organization(s) Blanket when specifically required in a written contract with the named insured. SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but only with respect to liability caused, in whole or in part, by "your work" for that insured which is performed by you or by those acting on your behalf. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0111-0211 Page 1 of 1 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 SCHEDULE Name of Additional Person(s) or Organization(s): Location And Description Of Completed Operations Blanket when specifically required in a written contract with the named insured. Blanket when specifically required in a written contract with the named insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section III — Who Is An Insured within the Common Provisions is amended to include as an insured the person(s) or organization(s) 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". EN0320-0211 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) or Organization(s) Blanket when specifically required in a written contract with the named insured. A. SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but solely with respect to "claims" caused in whole or in part, by "your work" for that person or organization performed by you, or by those acting on your behalf. This insurance shall be primary and non-contributory, but only in the event of a named insured's sole negligence. B. We waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for "damages" arising out of "your work" performed under a designated project or contract with that person(s) or organization(s). C. This Endorsement does not reinstate or increase the Limits of Insurance applicable to any "claim" to which the coverage afforded by this Endorsement applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0118-0211 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NAMED INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART ONSITE CLEANUP COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART SCHEDULE Named Insured(s) Address AARC Environmental -West LLC AARC Environmental -Southeast LLC AARC Consultants LLC AARC Technologies, LLC In consideration of the premium charged and solely with respect to the coverage parts shown above, it is hereby agreed that the Named Insured(s) shown in the above Schedule of this endorsement shall be Named Insureds under this policy (collectively referred to as the Named Insured) and shall be treated under this policy as a Named Insured for coverage purposes, subject to all terms, conditions, limits and exclusions of this policy. By accepting this policy, each Named Insured agrees that: 1. The statements contained the Declarations of this policy are true and accurate; 2. The statements made in the application and any supplemental materials submitted to us are true, accurate and complete, and that such statements and representations are incorporated herein and made part of this policy; 3. Those statements are based upon representations you made to us; 4. We have issued this policy in reliance upon your statements and representations, and such statements and representations are incorporated herein and made a part of this policy; 5. Only the first Named Insured shown in the Declarations of this policy shall have the right and ability to request changes to this policy or the coverage provided therein; 6. The first Named Insured shown in the Declarations of this policy is responsible for the payment of any premium, deductible or self -insured retention amounts; and 7. The provisions of this policy that by their terms apply only to the first Named Insured shown in the Declarations shall continue to apply to only the first Named Insured shown in the Declarations. EN0166 1017 ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This insurance contract is with an insurer not licensed to transact insurance in this state and is issued and delivered as surplus line coverage under the Texas insurance statutes. The Texas Department of Insurance does not audit the finances or review the solvency of the surplus lines insurer providing this coverage, and the insurer is not a member of the property and casualty insurance guaranty association created under Chapter 462 Insurance Code. Chapter 225, Insurance Code, requires payment of a 4.85 percent tax on gross premium. Surplus Lines Licensee Name: AmWINS Brokerage of NY Address: 88 Pine Street. Wall Street Plaza. Page 1 of 1 New York, NY 10005 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO AND NON -OWNED AUTO LIABILITY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART This Endorsement is subject to all of the provisions of the Commercial General Liability Coverage Part, except as otherwise provided in this Endorsement. All numbers and letters used to designate paragraphs in this Endorsement are specific to this Endorsement only. They do not reference paragraphs in the Commercial General Liability Coverage Part. Insurance is provided only with respect to those coverages for which a specific Limit of insurance and Premium are shown: SCHEDULE Coverage Limits Of Insurance Premium Hired Auto Liability Insurance $1,000,000 Each Occurrence Limit Included Non -owned Auto Liability Insurance $1,000,000 Each Occurrence Limit Included $1,000,000 Aggregate Limit Included A. Hired Auto Liability Under the Commercial General Liability Coverage Part, the insurance provided under SECTION I — INSURING AGREEMENTS, Insuring Agreement A — Bodily Injury And Property Damage Liability applies to "bodily injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. B. Non -owned Auto Liability Under the Commercial General Liability Coverage Part, the insurance provided under SECTION I — INSURING AGREEMENTS, Insuring Agreement A — Bodily Injury And Property Damage Liability applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. C. Changes In Exclusions Solely as respects the coverage provided by this Endorsement: 1. The following exclusions under SECTION V — COMMON EXCLUSIONS within the Common Provisions do not apply with respect to "bodily injury" or "property damage": 1. Aircraft, Auto, Rolling Stock or Watercraft 2. Contractual Liability 7. Employer's Liability 2. The following exclusions under SECTION II — ADDITIONAL EXCLUSIONS within the Commercial General Liability Coverage Part do not apply with respect to "bodily injury" or "property damage": 1. b. Recall of Products, Work Or Impaired Property. 2. b. Damage To Impaired Property Or Property Not Physically Injured; and 2. c. Damage To Property; 2. d. Damage To Your Product; 2. e. Damage To Your Work; 2. g. Mobile Equipment; EN0303- 0216 Page 1 of 3 3. Under the Commercial General Liability Coverage Part, SECTION II — ADDITIONAL EXCLUSIONS, item 2. within the Commercial General Liability Coverage Part is amended by the addition of the following: a. Based upon or arising out of "bodily injury" or "property damage" for which the insured is obligated to pay "damage" by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for "damages": (1) That the insured would have in the absence of the contract or agreement; or (2) Assumed in a contract or agreement that is an "insured contract", provided the "bodily injury" or "property damage" occurs subsequent to the execution of the contract or agreement. b. Based upon or arising out of "bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph (1 ) above. This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capacity; and (2) To any obligation to share "damages" with or repay someone else who must pay the "damages" because of the injury. This exclusion does not apply to: (1) Liability assumed by the insured under an "insured contract"; or (2) "Bodily injury" to domestic "employees" not entitled to workers' compensation benefits. c. Based upon or arising out of "property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. d. "Bodily injury", "property damage" or any other "claim" against any person or entity other than the Named Insured. e. "Bodily injury", "property damage" or any other "claim" arising out of any public or private livery services, or any other transport of passengers for a fee. f. "Property Damage" to property owned, rented or loaned to, or in the care, custody and control of, the insured and being transported by the insured. D. Who Is An Insured Solely as respects the coverage provided by this Endorsement, SECTION III — WHO IS AN INSURED within the Common Provisions is deleted and replaced by the following: WHO IS AN INSURED 1. Each of the following is an insured under this insurance to the extent set forth below: a. You. b. Any person using a "hired auto" with your permission in the course of your business. c. With respect to a "non -owned auto", any partner or "executive officer" of yours, but only while such "non -owned auto" is being used in your business and only if the "non -owned auto" is not operated by you. d. Any other person or organization, but only with respect to their liability because of acts or omissions of an insured under Paragraph a., b. or c. above. 2. None of the following is an insured: a. Any person engaged in the business of his or her employer with respect to "bodily injury" to any co - "employee" of such person injured in the course of employment, or to the spouse, child parent, EN0303- 0216 Page 2 of 3 brother or sister of that co -"employee" as a consequence of such "bodily injury", or for any obligation so share "damages" with or repay someone else who must pay "damages" because of the injury; b. Any partner of "executive officer" with respect to any "auto" owned by such partner or officer or a member of his or her household; c. Any person while employed in or otherwise engaged in performing duties related to the conduct of an "auto business", other than an "auto business" you operate; d. The owner or lessee (of whom you are a sublessee) of a "hired auto" or the owner of a "non -owned auto" or any agent or "employee" of any such owner or lessee; e. Any person or organization with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. E. Limits Of Insurance Solely as respects the coverage provided by this endorsement, SECTION IV — LIMITS OF INSURANCE AND DEDUCTIBLE within the Common Provisions is amended by the addition of the following: Regardless of the number of "hired autos", "non -owned autos", insureds, premiums paid, "claims" made or vehicles involved in the "occurrence", the most we will pay for all "damages" resulting from any one "occurrence" is the applicable Limit of Insurance indicated in the Schedule shown above. The Aggregate Limit indicated in the Schedule shown above, subject to the Each Occurrence Limit indicated in the Schedule shown above, is the most we will pay as "damages" for "bodily injury" or "property damage" sustained and "defense expenses" incurred regardless of how many persons assert "claims" or "suits" against you. The Each Occurrence and Aggregate Limits indicated in the Schedule shown above are the most we will pay regardless of the number of insureds. These Limits of Insurance are subject to and not in addition to the General Aggregate Limit shown in the Declarations. Payments under the Limits of Insurance indicated in the Schedule shown above are part of and erode the General Aggregate Limit of Insurance shown in the Declarations. F. Changes in Conditions Solely as respects the coverage provided by this Endorsement, under the Common Provisions, SECTION VI — COMMON CONDITIONS, item 11. Other Insurance is deleted and replaced by the following: 11. Other Insurance This insurance is excess over any primary insurance covering the "hired auto" or "non -owned auto". G. Additional Definitions Solely as respects the coverage provided by this Endorsement, the following definitions are added to the COMMON DEFINITIONS Section within the Common Provisions: "Auto business" means the business or occupation of selling, repairing, servicing, storing or parking "autos" "Hired auto" means an "auto" you lease or rent which is operated exclusively by you or your "employee". This does not include any "auto" you lease, rent or borrow from any of your "employees", your partners or your "executive officers", or members of their households. "Hired auto" does not include any "auto" you lease, hire, rent or borrow for a period greater than thirty (30) days. "Non -owned auto" means an "auto" you do not own, lease, hire, rent or borrow which is used in connection with your business and owned and operated exclusively by you or your "employee". All other terms and conditions remain unchanged. EN0303- 0216 Page 3 of 3 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation For policies or exposure in Missouri: Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10-08-19 Policy No. (20) 7178-22-61 Endorsement No. Insured AARC MANAGEMENT COMPANY LLC Premium $ Incl . Insurance Company Chubb National Insurance Company WC 00 03 13 (Ed. 4-84) © 1983 National Council on Compensation Insurance. Countersigned By Insured Copy