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HomeMy WebLinkAboutBNBuilders Inc. Certificate of Liability InsuranceA~ ° CERTIFICATE OF LIABILITY INSURANCE ( ' page 1 of 3 06/ 02/2 9 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis of seattle, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED gNBuilders, Inc. INSURER A: Wausau Business Insurance Com an 26069-001 2601 Fourth Ave #350 Seattle WA 98121 INSURER B: Wausau IInderwriters Insurance Com an 26042-001 , INSURER C: INSURER D: INSURER E: COVFRAC~FS 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 TR DD' NS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION ATE LIMITS A X GENERAL LIABILITY TBKZ91442966028 9/7/2008 9/7/2009 EACH OCCURRENCE $ 1 OOO OOO }( COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence $ 3OO OOO CLAIMS MADE OCCUR MED EXP (Any one person) $ 5 OOO X WA StOA GdA PERSONALBADVINJURY $ 1 OOO OOO GENERAL AGGREGATE $ 2 OOO OOO GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OP AGG $ 2 OOO OOO POLICY X jE ~ LOC $ AU TOMOBILE LIABILITY ASJZ91442966018 9/7/2008 9/7/2009 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1, OOO, OOO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION ORY L M T O AND EMPLOYERS'LIABILITY T I I S ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ^ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SP CIAL PR VI I N below E.L. DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I V EHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 6/2/2009 WITH ID: 12600908 Re: City of Bozeman Landfill Shop Addition It is agreed that City of Bozeman is included as an Additional Insured as respects to General Liability. CERTIFICATE HOLDER (:ON[:FI I ~TIAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City Of BOZ eman REPRESENTATIVES. P . O . BOx 12 3 0 AUTHORI D R E PRES TAT E Bozeman, MT 59771 ~ r ~ ACORD25(2009/01) Co11:2715481 Tp1:825358 Cert:12600998 ©1988-2009ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WI~~1S CERTIFICATE OF LIABILITY INSURANCE page 2 of 3 06/02/2009 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE willia of Seattle, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED gNBUilders, Inc. INSURER A: Wausau Business Insurance Com an 26069-001 2601 Fourth Ave #350 Seattle, WA 98121 INSURER B: Wausau IInderwritera Insurance Com an 26042-001 INSURER C: INSURER D: INSURER E: aronu~wiuna iauucu ar tNUVKStMtN 1/SPECIAL PROVISIONS It is further agreed that such insurance as is afforded shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by the Additional Insured. Waiver of Subrogation applies in favor of City of Bozeman with respects to General Liability coverage. c:otl:a/154151 '1'pl:tfL5,i51s Cert:12600998 Page 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ernes ~c i~nne~ne~ ~----•-•i ~-~+.~+•~.~-~:vi iYi: oao~7o l,etL:1LOVUy7tf Policy Number: TBKZ91442966028 Issued by Wausau Business Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Additional Insured endorsement -Primary And Noncontributory This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. This insurance is primary insurance with respect to the interests of the additional insured shown in the Schedule; and any other insurance maintained by the additional insured is excess and not contributory with this insurance. The coverage afforded by this endorsement does not apply to "bodily injury" or "property damage" included in the "products/completed operations hazard," unless such coverage is required by an "insured contract" between you and the additional insured shown in the Schedule. Schedule Name of Person or Organization AS REQUIRED BY SIGNED AND WRITTEN CONTRACT LS2043 Page 1 of 1 01-06 Policy Number: TBKZ91442966025 Issued by: Wausau Business Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Wausau EXPRESS Liability Endorsement This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. Broad Form Additional Insured Lessor of Leased Equipment Owners, Managers or Lessors of Premises or Land Mortgagees, Assignees or Receivers Any Person or Organization Other Than a Joint Venture 2. Waiver of Right of Recovery by Written Contact or Agreement 3. Duties in the Event of Occurrence, Offense, Claim or Suit 4. Unintentional Errors or Omissions 5. Supplementary Payments 6. Two or More Coverage Parts or Policies Issued by Us 7. Expected or Intended Injury from Reasonable Force 8. Non-Owned Watercraft 9. Damage to Premises Rented to You 10. Bodily Injury Redefined 11. Insured Contract Redefined . 12. Personal and Advertising Injury Redefined 1. Broad Form Additional Insured Paragraph 2. of SECTION II -WHO IS AN add the following.: e. Additional Insured by Written Contract or Written Agreement The following are insureds under the policy you have agreed in a written contract or written agreement to provide them coverage as additional insureds under your policy: (1) Lessors of Leased Equipment: the person(s) or organization(s) but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance operation or use of equipment leased to you by such person(s) or organization(s). With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. (2) Owners, managers, or lessors of premises or land: any owner, manager or .lessor of premises or land, but only with respect to liability caused, in whole or in part, by the ownership, maintenance or use of that part of the premises or land leased to you, This insurance does not apply to (a) Any "occurrence" which takes place after you cease to he a tenant in that premises or to lease that land; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of the owner, manager or lessor of that premises or land. GL0566 10-OS Page 1 of 7 (3) Mortgagees, assignees or receivers: any person(s) or organization(s) with respect to their liability as mortgagee. assignee, or receiver and arising out of the ownership, maintenance or use of your premises. This insurance does not apply to structural alterations, new construction and demolition operations perforn~ed by or for that person or organization, (4) Any person or organization other than a joint venture, for which you have agreed by written contract to procure "bodily injury" or "property damage" liability insurance, but only for liability caused, in whole or in part, by operations performed by you or on your behalf, provided that: (a) This subparagraph (4) does not apply to any agreement to provide insurance to: (i) An "employee," association of "employees" or labor union, except with respect to work performed by or for you or for such "employee," association of "employees" or labor union under direct contact between you as contractor and such "employee," association of "employees" or labor union as owners; (ii) Any railroad company except with respect to work performed by or for you for such railroad company under direct contract or agreement between you and such railroad company; (iii) Any person or organization whose profession, business or occupation is that of an architect, surveyor or engineer with respect to liability arising out of the preparation or approval of maps, drawings, opinions, reports, surveys, change orders, designs, specification or the performance of any other professional services by such person or organization; (iv) Any of your subcontractors, or any partner, officer, agent or "employee" of such subcontractor; or (v) Anyone more specifically covered in subparagraphs e.(1) through (3) above (b) The insurance afforded to any person or organization d under this subparagraph (4): (i) Shal] Include only the insurance that is required to be provided by the terms of such agreement to procure insurance, and then only to the extent that such insurance is included within the terms of this policy, and a person or organization's status as an insured under this endorsement ends when your operations for that insured are completed; and (ii) Does not apply to "bodily injury" or "property damage" included within the "products/completed operations hazard" unless such coverage is required by an "insured contract" between you and the additional insured. The limits of insurance applicable to such insurance shall be the lesser of the limits required by the agreement between the parties or the limits provided by this policy. GL0566 10-OS Page 2 of'7 The insurance afforded to any person or organization as an insured under this subparagraph 2,e. does not apply to "bodily injury" or "property damage" which occurs prior to the date of your contract or written agreement with such person or organization. 2. Waiver of Right of Recovery by Written Contract or Agreement. Paragraph 8. of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS is amended by the addition of the following: We waive any right of recovery because of payments we make for injury or damage arising out of your ongoing operations or `your work" included in the "products-completed operations hazard" that we may have against any person or organization with whom you have agreed, in a written contract Or agreement made prior to the date of the "occurrence," to waive your rights of recovery from such person or organization, but only for payments `made under the policy and resulting from that contract. 3. Duties in the Event of Occurrence, Offense, Claim or Suit Paragraph 2. of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS is deleted and replaced with the following: 2, Duties in the Event of Occurrence, Offense, Claim or Suit a. You, your insurance manager or any other person you designate must see to it that we, or our authorized agents, are notified as soon as reasonably possible of an "occurrence" or offense which may result in a claim, Notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. Knowledge of an "occurrence" or offense by your agent, servant or `employee' is not considered knowledge by you unless your insurance manager or other designated person has received notice from your agent servant or "employee." b. If a claim is made or "suit" is brought against any insured, you must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as reasonably possible, If you report any "occurrence", offense, claim or suit to your workers compensation or automobile liability insurance carrier and the "occurrence", offense, claim or "suit" later develops into a claim under this policy, failure to report such "occurrence", offense, claim or "suit" shall not be considered a violation of this condition. However, as soon as you become aware that the particular "occurrence", offense, claim or "suit" is a commercial general liability claim or "suit", you must give prompt notification to us. c. You and any other involved insured must; (1) Immediately send us copies., or legal papers received in connection with GL0566 10-OS Page 3 o f 7 the claim or "suit"; . (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation, sett]ement or defense of the claim or "suit"; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance 1 ay also apply, d. No Insureds will, except at their own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 4, Unintentional Errors and Omissions: Any unintentional error or omission in the description of, or failure to completely describe, any premises or operations intended to be covered by this Commercial General Liability Coverage Part will not invalidate or affect coverage for those premises or operations. However, you must report any such error or omission to us as soon as reasonably possible after its: discovery. 5. Supplementary Payments Paragraphs I .b. and 1 .d. of SECTION I -SUPPLEMENTARY PAYMENTS - COVERAGES A AND B are deleted and replaced with the following: b. Up to $3000 for the cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies, We do not have, to furnish these bonds d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or `suit" including actual loss of earnings up to $500 a day because of time off from work. 6. Two or More Coverage Parts or Policies Issued by Us If any claim or "suit" arising out of an "occurrence" or offense covered under this Coverage Part is also subject to coverage under any other Coverage Part or policy issued by us or by any company affiliated with us, the total maximum limit of liability under all Coverage Parts or policies shall not exceed the highest applicable limit of liability under any one Coverage Part or policy. This condition does not apply to any Coverage Part or policy that is specifically issued as excess insurance over this Coverage Part, 7, Expected or Intended Injury from Reasonable Force Paragraph 2.a. of SECTION I -COVERAGES, COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE LIABILITY is deleted and replaced with the following: 2. Exclusions This insurance does not apply to; a, Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion GL0566 10-OS Page 4 o f 7 does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. 8. Non-owned Watercraft Paragraph 2.g.(2) of SECTION I -COVERAGES, COVERAGE A .BODILY INJURY AND PROPERTY DAMAGE LIABILITY is deleted and replaced with the following (2).A watercraft you do not own that is: (a) Less than or equal to 50 feet in length; `or (b) Not being used to carry persons or property for a charge. 9. Damage to Premises Rented to You A. The Damage To Premises Rented To You Limit shown on the Declarations is changed to the greater of the amount shown or $300,000. B. Paragraph 6, of SECTION III -LIMITS OF `INSURANCE is deleted and replaced with the following: 6.. Subject to 5 above, the Damage to Premises Rented to You is the most we will pay under Coverage A for damages because of "property damage" to premises rented to you, as a result of an "occurrence" caused by fire, lightning, explosion, smoke, leakage from fire protective systems, or any combination thereof, while rented to you or temporarily occupied by you with permission of the owner. C. Paragraph 4.b.(1)(b.) of SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS is deleted and replaced with the following: (b) That is insurance for premises rented to you for damage to such premises resulting from fire, lightning, explosion, smoke, leakage from fire protective systems, or any combination thereof. D. The last paragraph of SECTION I, COVERAGE .A (after the exclusions) is deleted and replaced with the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke, leakage from fire protective systems, or any combination thereof, to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in SECTION III -LIMITS OF INSURANCE l0. Bodily Injury Redefined Paragraph 3. of SECTION V -DEFINITIONS is deleted and replaced with the following: 3. "Bodily injury" means physical: a. Injury'; b. Sickness; or GL0566 10-OS PageSof7 c. Disease; Sustained by a person, including death, humiliation, mental anguish or mental injury which directly results from the :physical injury, sickness or disease, 11. Insured Contract Redefined Paragraph 9.f. of SECTION V -DEFINITIONS is deleted f That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization, provided the `bodily injury" or "property damage" is caused in whole or in part, by you or by those acting on your behalf. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies a railroad for "bodily Injury" or "property damage" arising out of construction or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, tracks, road-beds, tunnel, underpass or crossing; (2) That indemnities an architect, engineer or surveyor for injury or damage arising out of: (a) preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or falling to give them, if that is the primary cause of the injury or damage; or (3) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (2) above and supervisory, inspection, architectural or engineering activities 12. Personal and Advertising Injury Redefined .. Paragraph ] 4. of SECTION V -DEFINITIONS is amended to add the following: h. Discrimination against a natural person on the basis of race, color, ethnic origin, gender or religion, but only it such.. discrimination is not: (1) At the direction of or with the knowledge or consent of (a) You; (b) Your spouse, if you are an individual; . (C) Your members or your partners and their spouses, if you are a partnership or joint venture; or (d) Your "executive officers" and directors and your GL0566 10-OS Page 6 of 7 stockholders. ifl you axe a corporation; or (2) Directly or indirectly related to the employment, prospective employment, or termination of any person. GL0566 10-OS Page 7 of 7