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HomeMy WebLinkAboutGL Insurance ACORD CERTIFIC .TE OF LIABILITY INSUF. .NCE DATE 10/22/2007 PRODUCER McLaughlin Brunson Insurance Agency,LLP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9535 Forest Lane HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 118 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dallas TX 75243 INSURERS AFFORDING COVERAGE INSURED Quimby McCoy Preservation Architecture,LLP INSURER A:XL Specialty Insurance Company 3200 Main Street INSURER B:The Travelers Lloyds Insurance Company Suite 3.6 INSURER C:Travelers Indemnity Company(St.Paul) Dallas TX 75226 INSURER D:The Charter Oak Fire Insurance Co. 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 POLICY EFFECTIVE POLICY EXPIRATION I TR TYPE OF INSURANCE POLICY NUMBER DATE(MMaInIV V) DATF(MMInnm) UMITS B GENERAL LIABILITY PACP 5829L310 08/15/2007 08/15/2008 EACH OCCURRENCE $ 2,000,000_ X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 2,000,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY _ $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG_ $ 4,000,000 —1 POLICY X TF LOC D AUTOMOBILE LIABILITY BA 5829L579 08/15/2007 08/15/2008 COMBINED SINGLE LIMIT $ 2,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per perms) X HIRED AUTOS X BODILY INJURY $ NON-OWNED AUTOS (Per accident) X There are no owned PROPERTY DAMAGE autos. (Per accident) GARAGE LABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE _ $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND UB5952Y878 02/01/2007 02/01/2008 X TnRv i IAMITC °e EMPLOYERS LABILITY E.L.EACH ACCIDENT $ 1,000,000 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 A oTHERProfessional Liab. DPS9419951 08/15/2006 08/15/2008 $1,000,000 Per Claim/Aggregatel DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUS1ONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Contract#07-89 - The claims made prof I liab coverage is the total agg limit for all claims presented within the policy period&is subject to a ded. City of College Station is shown as an Add'I Insured on a primary and non-contributory with Waiver of Subrogation on the General Liab coverage as required by written contract.Waiver of subrog.is shown in favor of the City of College Station on the workers comp coverage. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of College Station DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: Susan Chmelar NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL P.O.Box 9960 IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. College Station TX 77842 AUTHORIZED REPRESENTATIVE A,6.0sa tt ACORD 25-S(7/97) ©ACORD CORPORATION 1988 ACORD CERTIFIC .TE OF LIABILITY INSUf .4NCE DATE 10/22/2007 PRODUCER McLaughlin Brunson Insurance Agency,LLP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9535 Forest Lane HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 118 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dallas TX 75243 INSURERS AFFORDING COVERAGE INSURED Quimby McCoy Preservation Architecture,LLP INSURER A:XL Specialty Insurance Company 3200 Main Street INSURER B:The Travelers Lloyds Insurance Company Suite 3.6 INSURER C:Travelers Indemnity Company(St.Paul) Dallas TX 75226 INSURER D:The Charter Oak Fire Insurance Co. 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 POLICY EFFECTIVE POLICY EXPIRATION I TR, TYPE OF INSURANCE POLICY NUMBER DATF(Mumnm) DATF(MWnnnrY) LIMITS B GENERAL LIABILITY PACP 5829L310 08/15/2007 08/15/2008 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 2,000,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'LGEAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000_ I POLICY X FF LOC D AUTOMOBILE LIABILITY BA 5829L579 08/15/2007 08/15/2008 COMBINED SINGLE LIMIT $ 2,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) X There are no owned PROPERTY DAMAGE autos. (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABIUTY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ _ DEDUCTIBLE RETENTION $ C WORKERS COMPENSATION AND UB5952Y878 02/01/2007 02/01/2008 X T RY I IAMITS OFR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 1,000,000 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 A OTHERProfessional Liab. DPS 9419951 08/15/2006 08/15/2008 $1,000,000 Per Claim/Aggregatel DESCRIPTION OF OPERATIONS/LOCAT ONSNEHICLESIEXCLUSKNIS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Contract#07-89 - The claims made profl liab coverage is the total agg limit for all claims presented within the policy period&is subject to a ded. City of College Station is shown as an Add'l Insured on a primary and non-contributory with Waiver of Subrogation on the General Liab coverage as required by written contract.Waiver of subrog.is shown in favor of the City of College Station on the workers comp coverage. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of College Station DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: Susan Chmelar NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL P.O.Box 9960 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. College Station TX 77842 AUTHORIZED REPRESENTATIVE ^a..y.y ACORD 25-S(7/97) 0ACORD CORPORATION 1988 ACORD CERTIFIC TE OF LIABILITY INSUk. .INCE 10/2ziio07 PRODUCER McLaughlin Brunson Insurance Agency,LLP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9535 Forest Lane HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 118 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dallas TX 75243 INSURERS AFFORDING COVERAGE INSURED Quimby McCoy Preservation Architecture,LLP INSURER A: XL Specialty Insurance Company 4 '/ Y'(, 3200 Main Street INSURER B:The Travelers Lloyds Insurance Company ,A It i( Suite 3.6 INSURER C:Travelers Indemnity Company(St.Paul) A r Y(., Dallas TX 75226 INSURER D:The Charter Oak Fire Insurance Co. ,4 '/ t, I 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. II TR NSR_ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION nATF munru V) naTF(MWnM/Y) UMITS B GENERAL LIABILITY PACP 5829L310 08/15/2007 08/15/2008 EACH OCCURRENCE _ $ 2,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 2,000,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY X 'RO LOC D AUTOMOBILE LIABILITY BA 5829L579 08/15/2007 08/15/2008 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 2,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ X There are no owned autos. PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY Y EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ _ $ _ DEDUCTIBLE _ $ — RETENTION $ $ C WORKERS COMPENSATION AND UB5952Y878 02/01/2007 02/01/2008 XVVC i ATU- OTH- FR EMPLOYERS LIABILITY E.L.EACH ACCIDENT $ 1,000,000 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 A OmERProfessional Liab. DPS9419951 08/15/2006 08/15/2008 $1,000,000 Per Claim/Aggregatel DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Contract#07-89 - The claims made profl liab coverage is the total agg limit for all claims presented within the policy period&is subject to a ded. City of College Station is shown as an Add'l Insured on a primary and non-contributory with Waiver of Subrogation on the General Liab coverage as required by written contract.Waiver of subrog.is shown in favor of the City of College Station on the workers comp coverage. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of College Station DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: Susan Chmelar NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL P.O.Box 9960 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. College Station TX 77842 AUTHORIZED REPRESENTATIVE ACORD 25-S(7/97) ©ACORD CORPORATION 1988