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2017-081
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Last modified
5/24/2017 9:58:44 AM
Creation date
5/24/2017 9:58:38 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/23/2017
Control Number
2017-081
Agenda Item Number
8.H.
Entity Name
Bowman Consulting Group LTD
Subject
Pavement Reclamation
Resurfacing Project
Area
58th Ave.
Project Number
2016016
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i <br /> AcRoe CERTIFICATE OF LIABILITY INSURANCE DATE,MM OOIYWY, <br /> 11/9/2015 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS _ <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(es)must be endorsed. if SUBROGATION IS WAIVED,subject to <br /> =- the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsements. <br /> PRODUCER CONTACT --_ <br /> NAME: <br /> Klein Agency, LLC. PHONE (410)832-7600 I l NO}t4101132-11149 <br /> P.O. Box 219 ADDRESS: <br /> INSURERS AFFORDING COVFRAOE ICA - '= <br /> T3mOnium HD 21094 INSURER Aflartford Fire Insurance <br /> INSURED — ------�—Y--- INSURER B:Bartford Casual Insurance CO—Bowman Consulting Consulting Group, Ltd. INSURERC Bartford Underwriters Ins Co <br /> 3863 Centerview Drive, INSURERD'RLI Insurance Company <br /> Suite 300 INSURER E. <br /> ,Chantilly VA 20151-3287 INSURER F. <br /> COVERAGES CERTIFICATE NUMBER:15-16 A11 NO Endts REVISION NUMBER: <br /> _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD - <br /> ' INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPEOFINSURANCE ADOL6UeR' U E POLICY EFF i POUCY EXP LIMITS <br /> POLICYMEI. MMIODNYYYl <br /> �- <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 <br /> A CLAIMS-MADE I Xl OCCUR I I DAMAGE TO RF1JTfD 300,000 <br /> f PREMISES(E.occurrence) S := <br /> -- 30UUNVJ9957 10/6/2015 !10/6/2016 MEDEXP(Anyoneperson) S 10,000 <br /> X Contractual Liability PERSONAL&AOV INJURY 5 1,000,000 <br /> -- G_ENL AGGREGATE LIMIT APPLIES PER: 1 i GENERAL AGGREGATE S 2,000,000 <br /> POLICYIX JEa ( LOC PRODUCTS-COMP/OP A13G 5 2,000,000 <br /> OTHER: i - -- S <br /> I COMBINED SINGLE LIMIT <br /> AUTOMOBILE LIABILITY I Ea accident) 5 1,000,000 <br /> B X,ANY AUTO i BODILY INJURY(Per person) S <br /> ALL <br /> AUTO$OWNED SACHEDULED 30VLNVJ9740 10/6/2015 10/6/2016 BODILY INJURY(P.acrid-q 5 <br /> OS <br /> X HIRED AUTOS X NON-OWNED I PROPERTY DAMAGE S <br /> AUTOS I er eccid n <br /> S <br /> X UM13RELLALIAB [JOCCUR I EACH OCCURRENCE 5 28,000,000 <br /> B EXCESS LIAR CLAIMSMADEI 3OXHW07593 10/6/2015 i 10/6/2016 AGGREGATE 5 19,000,000 <br /> D R ELATION Pollora Bo>m S <br /> WORKERS COMPENSATION I X i PER I OTH- <br /> AND EMPLOYERS'LIABILITY YIN! i _!SIATUIE J__. ER. <br /> ANY PROPMETOR/PARTNEReD(ECUTIVE — I E.L.EACH ACCIDENT S 1,0001000 <br /> C OFFICER/MEMBER EXCLUDED? ,N�INIA -- -- - - - - -- --- --- <br /> (Mandatory In NH) I 3OWZCR2970 10/6/2015 10/6/2016 EL.DISEASE-EA EMPLOYEE S 1,000,000 <br /> I ea,desaLe under <br /> DESCRIPTION OF OPERATIONS bel— E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> D Professional Liability RDP0021965 10/6/2015 110/6/2016 Each Clam $5,000,000 <br /> Aggregate $8,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD it f,Additional Remarks Schedule,maybe attached if mole space is required) <br /> See Attachment for specific additional insured wording. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> * Insured's Sample Certificate THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1234 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Anytown 12345 <br /> AUTHORIZED REPRESENTATIVE <br /> Justin Klein/MBOWER <br /> ©1988-2014ACORD CORPORATION.All rights reserved. <br /> ACORD 28(2014101) The ACORD name and logo are registered marks ofACORD <br /> INS025 rmfann <br /> 55 <br />
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