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HomeMy WebLinkAboutCertificate InsurancesACCORD,, CERTIFICATE OF LIABILITY INSURANCE 09/23/2003 PRODUCER (708)492-0909 FAX (708)492-0910 Austin McNichols Insurance Agency, Inc, Five Westbrook Corp. Center Suite #110 Westchester, IL 60154 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION .ONLY -AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. .T, 2 0 INSURERS AFFORDING COVERAGE INSURED Blackwell Consulting Services, Inc. 100 S. Wacker Drive #800' Chicago, IL 60606 INSURER A: Valley Forge Ins. Co. INSURER B, Continental Casualty Co. INSURERC: Scottsdale Insurance Co. INSURER 0: INSURER E: 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 ALt THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. -..." INSR LTR TYPE OF INSURANCE POLICY NUMBER DATE 1MMFO0NY� POLICY (MMIDOIYYOIN LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 14623740 03/09/2001 03/09/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one pre) $ 100,000 X MED EXP (Any one person} $ 10,000 CLAIMS MADE n OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 —1 POLICY n .Fr 1 1 LOC A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 1 14623 740 i? 03/09/2001 \CIE 03/09/2004 1 /�J� 11I//' my COMBINED SINGLE UMIT (Ea accident) $ 1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident} $ X X PROPERTY DAMAGE (Per accident} $ GARAGE LIABILITY ANY AUTO 0Al AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS LIABILITY OCCUR Li CLAIMS MADE DEDUCTIBLE RETENTION $ 1 14623740 01/09/2003 03/09/2004 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 X $ $ $ - B WORKERS EMPLOYERS' COMPENSATION AND LIABILITY WC1 17494622 11/1 r/2002 ` 11/12/2003 X -03VA ITS OER E.L ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Limit $10,000,000 L. OTHER Excess Liability XLS 0016559 03/09/2003 03/09/2004 $5,000,000 For a total of Excess Coverage DESCRIPTION RE: Additional Waiver OF OPERATIONS1LOCATIONSNEHICLES(EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RFP No. 02-03-216; Business Process Reengineering and Subject Matter Experts Insured: City of Miami of Subrogation applies in favor of Additional Insured. CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: City of Miami c/o Capital Improvement Department 444 SW 2nd Avenue 8th Floor Miami, FL 33130 ACORD 25-S (7I97f CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE James McNichols/MPW ©ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABI MiODUCER (708)492-0909 FAx (708)492-0910 Austin McNichols Insurance Agency, Inc. Five Westbrook Corp. Center Suite #110 Westchester, IL 60154 �NeUrssd Blackwell Consulting Services, Inc. 100 S. Wacker Drive #800' Chicago, IL 60606 J L1TY INSURANCE /12 a3 THIS CERTIPIZ-ATE IS I SUED AS A MATTER OF INFoRMAITON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, ALTER THE COVERAGE AFFORDED BY THE POLICIES EXTEND OR BELOW. INSURERS AFFORDING COVERAGE INSU A: Val ey Forge Ins . Co - INSURR B' ContinentaY Casual ty Co. INSURERC: Scottsdale Insurance Co. INSURER DI INSURER 1:: C;QVeRAG1$ _ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIQN OF ANY CONTRACT oR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OIL MAY PERTAIN, THE INSURANCE AFFORDEb BY THE POLICIES DESCRIBED HEREIN IS SUBJECT O ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATI LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS.=1 Dirri iA� Aitli TYPE oil INsuRANGE 03/09 2004 WA— GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE n OCCUR --1 1.4623740 GENE AGGREGATE LIMIT APPLIEB PER; 7 POLICY 7 PRO- ralLOC AUTOMoBILl LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIROAUTOs X NON -OWNED AUTOS GARAOE LIABILITY —1 ANY AUTO A POLICY NU Roam 3 14623740 03/09/2001 N 03 09/2001 axons uABILITY ODOUR E CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' uABILITY _OTHER s Liability 1 14623740 'WC1 17494622 MIIC1 17494622 03/09/2004 01/09/2003 03/09/2004 11/12/2002 11/12/2003 XIS 0016559 03/09/2003 11/12/2003 11/12/2004 03/09/2004 L1MITs EACH OCCURRENCE $ 1,000,000 ll 100 , 000 NNE DAMA% (Any ene Ilya) MED EXP (Any ono Osman) $ 10,000 PERSONAL & ADV INJURY $ 1, 000,000 O NBRAL AGGREGATE $ 2 , 000 , 0001 PRODUCTS - OOMPIOP AGO $ 2,000,000( comsiNIEP SINGLE LIMIT (Ea a enl) y 1,000,000 BODILY INJURY (Per Demon) $ BODILY INJURY (For aaeldanl) PROPERTY DAMAGE (Per aoddonl) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY! AGG S EACH accURRENDE $ 5,000,000 $ 5,000,000 ADDREOATE S W X1TOROP-raI o E.L. EAOH ACCIDENT $ 1, 000,000 EL. DISEASE - EA EMPLOYEE 1 1)000,000 El DISEASE -POLICY LIMIT S 1,000,000 $5.000,080 Limit For a total of $10,000,000 (Excess Coverage O SCRLPTION OF OPE TIONSILOCATIONSNEtl1CLESIFaSCLUSIONS AODEO BY E DORSE ENTISPLCI PROVISIONS RE: RFP No. 02 03-216; Busyness Process Reengineering and Subject Matter Experts Additional Insured: City of Miami waiver of Subrogation applies in favor of Additional Insured. CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: City of Miami C/O Capital Improvement Department 444 SW Znd Avenue 8th Floor Miami, FL 33130 AUTHORIZED REPRESENTATIVE James McNichol s/MPW CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING ZOMPANY WILL ENO!AVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIPICATE HOLDER MAM ED TO THE LOT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. GACOUraWORATION 1988 ACORD 25•S (7/S7) 599-d 100/100'd 96Z-i 0160 2817 801 sub s{oys(N'yi 04sny-WOJ SE:91 E00Z-Z1-11 09/26/20N THU 16:19 FAX qi002/0a2 ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(N09/2S/2003 PRODUCER (312)381-9300 FAX (312)381-9830 Lambent Risk Management Servi tes, Inc. 175 West Jackson Boulevard Suite 1130 Chicago,. IL 60602 THIS CERTIFICATE IS ISSUED AS A MATTER OF ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, ALTER THE COVERAGE AFFORDED BY THE POLICIES NFORMATION EXTEND OR BELOW. INSURERS AFFORDING COVERAGE INSURED Blackwell Consulting Services, i.1.0 100 S. Wacker Drive,Suite 800 Chicago,, IL 60606 I INSURERA; Executive Risk Indemnity (Chubb) INSURERS: Continental. Insurance (CNA) INSURERC: INSURER D: INSURER Ei COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY$ EQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY'VERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCK PQIJCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T TV TYPE OF INSURANCE POLICY NUMBER 66 EE y��yy —PekI fhSMF60lYY1E DAIS CDIY GAM LIMITS A GENERALuA91LITY COMMERCIAL GENERALLWBILITY 8170-0119 PROFESSIONAL LIABILITY DEDUCTIBLE $50,000 08/18/2003 08/18/2004 ,• EACH OCCURRENCE $ 5,000,000 FIRE DAMAGE (Ana ono firel $ X CLAIMS MACE EjOCCUR MED EXP (Any ona Damon) PERSONAL I ADV INJURY _5 i GENERALAGGREGATE $ $ 000,000 GEN' . AGGREGATE LIMIT APPLIES PER: 7 POLICY IJPEC ri LOC PRODUCTS • COMP/OP AOG i - . AUTOMOBILE —_ `_ LIABILITY ANY AUTO ALL OWNED AUTOS gCHEDULEDAUTOS HIAfiOAUTIIS NON•OWNEDAUTO&E [\??9\6‘111 +�11)Q3 +y Q 9° 1 COMBINED SINGLE LIMIT (6a acddann $ BODILY INJURY fPerparawk)i pp01LY1hUURy IPoraaildt = PROPERTY DAMAGE (Per acclaenq s • GARAGE LIABILITY 1 ANY AUTO AUTO ONLY •EAACCIOENT i OTHER THAN EA ACC i AUTO ONLY: AOC. $ 8 EXCESSLIABIuTY -7 HDEDUCTIBLE OCCUR © CLAIMS MADE RETENTION $ T.S.D. EXCESS PROFESSIONAL LIABILITY 08/18/2003 08/18/2004 EACHOCcuRRENCE 5 5,000,000 AGGREGATE i $ 5 5 1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IORYLIMkk 1 TITS 1 gR E.L. EACH ACCIDENT $ 6S_ DIS5AS6 • EA EMPLOYEE S E.L. DISEASE • POLICY LIMIT E OTHER DESCRIPTION OF DYERATIDNSILOCATIONSNENICLESI4(CLUSIONS ADDED BY ENDORSEMENTISPECULL PROVISIONS Coverage is in reference to RFP: 02-03-216. (Business. Process Reengineering and Subject Matter Experts). CERTIFICATE HOLDER 1 1 ADDITIONAL INBUREO; INSURER LETTER; CANCELLATION City of Miami c/o Capti al Improvement Department 444 SW 2 nd Floor Miami ,. FL 33130 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE IRS' UINC COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEST, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 0BuOAT1ON OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE ACORD 25-S (7I97) $ACORD CORPJ3RA�TION 1988