SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
4/10/2023
Arthur J. Gallagher Risk Management Services, LLC
595 Market Street
Suite 2100
San Francisco CA 94105
Mandi Ching
415 288 1643
[email protected]
License#: 0D69293
Liberty Mutual Fire Insurance Company
23035
Zurich American Insurance Company
16535
Swinerton Builders
dba Swinerton Management & Consulting
260 Townsend Street
San Francisco CA 94107
Starr Indemnity & Liability Company
38318
National Fire & Marine Insurance Co
20079
First Liberty Insurance Corporation
33588
Steadfast Insurance Company
26387
1570832583
B
X
2,000,000
X
1,000,000
N/A
2,000,000
4,000,000
X
Y
Y
GLO023224706
8/1/2022
8/1/2023
4,000,000
A
2,000,000
X
Y
Y
AS2661066493022
8/1/2022
8/1/2023
Comp./Coll.Ded:
10,000
C
X
5,000,000
X
Y
1000585239221
8/1/2022
Y
8/1/2023
5,000,000
E
X
Y
WA666D066493032
8/1/2022
8/1/2023
1,000,000
1,000,000
1,000,000
D
F
Excess Liability (2nd Layer)
Professional Liab
Y
Y
42XSF30224507
EOC653650600
8/1/2022
11/1/2022
8/1/2023
11/1/2023
Each Occ/Agg
Each Claim/Agg limit
$20,000,000
$5,000,000
JOB # 20100077 RE: On-Call Construction Management and Inspection Services for Various City Projects ADDITIONAL INSURED(S): The City of Richmond, its officers, officials, employees, agents and volunteers.
City of Richmond
Att: Mr. Tawfic Halaby
450 Civic Center Plaza
Richmond, CA 94904-0046
8/1/2022GLO023224706
GLO023224706 8/1/2022 8/1/2023
GLO023224706
AS2661066493022
AS2661066493022
AS2661066493022 8/1/2022
8/1/2023
AS2661066493022
WA666D066493032 8/1/2022
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -
CALIFORNIA
Person or Organization
Schedule
Job Description
Where required by contract or
written agreement prior to loss and
allowed by law.
Any
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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.
The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration.
Additional premium is a percent of the California Manual Workers Compensation premium. Subject to a minimum premium charge of $ 250 per policy.
Issued by
For attachment to Policy No Effective Date Premium $
Issued to Swinerton Incorporated
WC 04 03 06
Ed: 04/1984
Page of 1 1
8/1/2022WA666D066493032
GLO023224706 8/1/2022 8/1/2023
WA666D066493032
AS2661066493022
STF-CPP-159-C CW (10/20)
Endorsement #
Notification to Others of Cancellation, Nonrenewal, or
Reduction of Limits Endorsement
(Notice to Scheduled Persons or Organizations)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Policy No. EOC 6536506 - 00 Effective Date: 11/01/2022
This endorsement modifies insurance provided under the:
Contractor’s Protective Professional Indemnity and Liability Insurance Policy
It is agreed that:
The following is added to Section IX. CONDITIONS:
Notice to Others of Cancellation, Nonrenewal, or Reduction of Limits:
A. If we cancel or nonrenew this policy by written notice to you for any reason other than nonpayment of premium, or we reduce the limits other than by payment of Claims, we shall mail or deliver by electronic notification a copy of such written notice of cancellation, nonrenewal, or reduction of limits to the name and address corresponding to each person or organization shown in the Schedule below at least the numb er of days’ notice indicated in the Schedule below prior to the effective date.
B. If we cancel this policy by written notice to the you for nonpayment of premium, we shall mail or deliver by electronic notification a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least ten (10) days prior to the effective date of cancellation.
C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of notice.
D. Our notification described in Paragraphs A. or B. of this endorsement is intended as a courtesy only. Our failure to provide such notification will not:
1. extend the policy cancellation date;
2. negate the cancellation; or
3. provide any additional insurance that would not have been provided in the absence of this endorsement.
SCHEDULE
Name and Address of Other Person(s) / Organization(s): Number of Days Notice:
Any person or organization with whom you have agreed, through written contract, 30 Agreement or permit
STF-CPP-159-C CW (10/20)
All other terms, conditions, provisions and exclusions of this policy remain the same.