Вы находитесь на странице: 1из 26
Turner To: Jay Brinson Senior Project Manager Brailsford & Dunlavey, Inc. From: Greg Stortstrom Director

Turner

To:

Jay Brinson Senior Project Manager Brailsford & Dunlavey, Inc.

From: Greg Stortstrom Director of Insurance

Date:

Re:

June 19,2013

ACPS Jefferson Houston ES Turner's Contractor Controlled Insurance Program

Turner Construction Company 1110VermontAvenue, NW Suite 200 Washington, DC 20005 Office: (202) 789-0770 Fax: (202) 898-2531

It is Turner Construction Company's risk management philosophy to implement our Contractor Controlled Insurance Program (CCIP) on all projects greater than $5,000,000 in volume. Similar "Wrap Up" type insurance programs have been very common in the construction industry for several years now, and are often placed by clients for projects as Owner Controlled Insurance Programs (OCIP). These programs provide the benefit of single source coverage tor all contractors on the project often more competitively than if individually provided. The downside to these OCIP programs for clients is they require a fair amount of administration on the part ofthe client. Turner's (CCIP) program was designed to provide clients the benefits of an OCIP competitively, without the need for client administration. The benefits of our CCIP include:

for client administration. The benefits of our CCIP include: • • $200,000,000 project specific excess
for client administration. The benefits of our CCIP include: • • $200,000,000 project specific excess
•
•
$200,000,000 project specific excess liability (for projects with volume greater than $25,000,000) Blanket Additional
$200,000,000 project specific excess liability (for projects with volume greater than $25,000,000) Blanket Additional

$200,000,000 project specific excess liability (for projects with volume greater than $25,000,000) Blanket Additional Insured

•

Waiver of Subrogation as required by contract

•

XCU (Explosion, Collapse, Underground) Hazards

•

Independent Contractors Liability

• Broad Form Contractual Liability and Broad Form Property Damage

•

Product Completed Operations

•

Claims handling expenses included

•

Guaranteed Costs, not a loss sensitive program, GL & WC losses do not impact project costs

Return to work program

No Deductibles; No Self Insured Retention

Uniform coverage - gaps and overlaps are eliminated

Single Defense

$50,000,000 Pollution and Mold Liability coverage (with $250,000 deductible)

Turner
Turner

In terms of pricing, our CCIP has been compared to many OCCIP programs and has proven to be competitive. Our appro ach leverages the total volume of the Turner Construction Company in lieu ofjust one project and involves a number of different insurance carriers providing these coverages:

• On-site general liability and workers compensation

• Excess liability

• Pollution liability

• Off- site general liability and workers compensation

• Automobile liability.

liability and workers compensation • Automobile liability. Turner's corporate Risk Management group, in conjunction

Turner's corporate Risk Management group, in conjunction w ith our insurance broker, blends the price from various carriers into volume and payroll rates for the specific project.

into volume and payroll rates for the specific project. To simplify matters, a single CCIP rate

To simplify matters, a single CCIP rate based upon volume is determined. Th is alleviates the Owner from the risk of paying insurance premium caused by an overrun of on-si te payroll since the rate is "locked in" from the project's onset and based on total vo lume. In the event that a subcontractor expends more onsite labor to complete their scope of work, the Owner is protected from the ri sk of additional worker's compensation and general liability on that work.

compensation and general liability on that work. For the Jefferson Houston project, a CCIP rate of
compensation and general liability on that work. For the Jefferson Houston project, a CCIP rate of
compensation and general liability on that work. For the Jefferson Houston project, a CCIP rate of

For the Jefferson Houston project, a CCIP rate of 2.098% has been establ ished based upon the projected blended labor and volume of each trade. This rate is calculated on the sum of the direct work, general conditions and other insurances (above the CCJP line). This is a fixed rate that will not change for the life of the project and will be used for the original GMP as well as any scope changes to the GMP.

the original GMP as well as any scope changes to the GMP. Both parties acknowledge tbat
the original GMP as well as any scope changes to the GMP. Both parties acknowledge tbat
the original GMP as well as any scope changes to the GMP. Both parties acknowledge tbat
the original GMP as well as any scope changes to the GMP. Both parties acknowledge tbat

Both parties acknowledge tbat there is no single insurance company invoice that equates to that single rate (based on its blended nature and multiple caniers), however the correspondin g rate letters are in support of each component that is the format for the blended fixed rate. This is due in part to Turner's risk management philosophy and our dedication to a safe working environment in that our insurance rates have decreased over the past several years and we are able to pass that benefit along to our respected Owner partners. It was not long ago that a project of this nature would have an insurance rate on volume of approx imately 3 percent.

an insurance rate on volume of approx imately 3 pe rc ent. Please advise ifthere arc

Please advise ifthere arc other questions about the Turner's Contractor Controlled Insurance Program.

Turner Construction Company CCIP Rate and Premium for the ACPS Jefferson Houston School

Rate

Exposure

Premium for the ACPS Jefferson Houston School Rate Exposure Premium General liability 0.85932% $36,656,745

Premium

General liability

0.85932%

$36,656,745

$314,999

Workers Compensation

3.86910%

$10,861,318

$420,235

Premium Price

Premium Price $735,234

$735,234

Direct Costs, GCs, Other Insurance, Contingency

CCIP as a Percent of the above

Notes:

General liability Exposure is the Total Project Volume Workers Compensation Exposure is on-site salary payroll

Exposure is the Total Project Volume Workers Compensation Exposure is on-site salary payroll $35,781,679 2.05478%
Exposure is the Total Project Volume Workers Compensation Exposure is on-site salary payroll $35,781,679 2.05478%

$35,781,679

2.05478%

Turner

Turner June 11,2013 Mr. Greg Stortstrom Turner Construction Company 1110 Vermont Avenue NW, Suite 200 Washington,

June 11,2013

Mr. Greg Stortstrom Turner Construction Company 1110 Vermont Avenue NW, Suite 200 Washington, D.C. 20005

1110 Vermont Avenue NW, Suite 200 Washington, D.C. 20005 Turner Construction Company 3 Paragon Drive Montvale,
1110 Vermont Avenue NW, Suite 200 Washington, D.C. 20005 Turner Construction Company 3 Paragon Drive Montvale,

Turner Construction Company

Suite 200 Washington, D.C. 20005 Turner Construction Company 3 Paragon Drive Montvale, NJ 07645 Phone: 201

3 Paragon Drive Montvale, NJ 07645 Phone: 201 .722.3800

Fax: ~01.722.3835

Re: lllsurance RateA CPS Jefferson Houston Pre K-8 #130013

Dear Greg,

As you requested, we have provide the following insurance rate documentation.

Coverage Document

Coverage

Document

Confirmed Rate

Worker's Compensation

Rate Letter

$3.8691 $100 of payroll

General Ljability

General Ljability

Primary GL

Rate Letter

$2.208

Excess Liability

Rate letter

$3.1752

Pollution

Rate Letter

$.82

Administration Fee- TSIB

Rate Letter

$1.79

Administration Fee- Turner Rate Letter

$.60

Total General Liability

$8.5932 per thousand dollars of volume

If you have any questions, please do not.hesitate to contact me.

The information contained within this documentation is confidential and proprietary; please do not share this proposal with entities outside of the in-house project without consulting with me. Please do not hesitate to contact me with any questions or concerns.

Sincerely,

Please do not hesitate to contact me with any questions or concerns. Sincerely, ~71~~ Susan Hughes

~71~~

Susan Hughes Sr. Insurance Manager

BUILD I NG ASSURANCE June 10, 2013 Ms. Kim Parra Turner Construction Company 3 Paragon

BUILD I NG

ASSURANCE

June 10, 2013

Ms. Kim Parra

Turner Construction Company

3 Paragon Drive

Ms. Kim Parra Turner Construction Company 3 Paragon Drive Montva le, NJ 07645 Re: ACPS Jefferson

Montva le, NJ 07645

Re:

ACPS Jefferson Houston Pre K- 8 School

le, NJ 07645 Re: ACPS Jefferson Houston Pre K- 8 School Job#130013 6/20/13 -1/27/15 DearKim- Regarding

Job#130013

6/20/13 -1/27/15

DearKim-

Pre K- 8 School Job#130013 6/20/13 -1/27/15 DearKim- Regarding the above captioned project, the General
Pre K- 8 School Job#130013 6/20/13 -1/27/15 DearKim- Regarding the above captioned project, the General

Regarding the above captioned project, the General Liability rate is $2.208 per $1,000 of construction

volume, and the Worker"s Compensation rate is $3.8691, Inclusive of assessments and surcharges.

 
 

Please feel free to contact me should you have any questions.

Sincere'ly,

Sincere'ly,

P~~~o

Barbara Lemanowicz

contact me should you have any questions. Sincere'ly, P~~~o Barbara Lemanowicz Customer Service Representative

Customer Service Representative

BUILD I N G .-.s s Uk.O. NC f November 9; 2012 Ms. Susan Hughes

BUILD I N G

.-.s s Uk.O. NC f

November 9; 2012

Ms. Susan Hughes Senior Insurance Manager Turner Construction

Susan Hughes Senior Insurance Manager Turner Construction 3 Pa ragon Drive Montvale, N J RE: C:CIP

3

Pa ragon Drive

Insurance Manager Turner Construction 3 Pa ragon Drive Montvale, N J RE: C:CIP Excess Rate Veri

Montvale, NJ

RE:

C:CIP Excess Rate Veri fi cation

E ffective: November ~, 2012 to November 1 , 2013

cation E ffective: November ~, 2012 to November 1 , 2013 Dear Ms. Hughes: This letter

Dear Ms. Hughes:

November ~, 2012 to November 1 , 2013 Dear Ms. Hughes: This letter will serve to

This letter will serve to confirm the CCIP Excess liability premium for Turner Construction Comp any for the policy period of-November 1, 2012 to November 1, 2013.

the policy period of-November 1, 2012 to November 1, 2013. The tot al premium paid by

The tot al premium paid

by Turner for the CCC! P Excess

p rogram referenced above was

$9,072,209.35

Surety and Insurance Brokerage, Int., McGriff, Selbels & Williams, tnc. and Price Forbes Partners, limited .

The.premium includes total brokerage fees of $895,091.i2 payable to Turner

total brokerage fees of $895,091.i2 payable to Turner Plea se fe el free to contact me
total brokerage fees of $895,091.i2 payable to Turner Plea se fe el free to contact me

Plea se fe el free to contact me if you have any qu estion s.

Sincerely,

-,

to contact me if you have any qu estion s. Sincerely, - , * Footnote added

* Footnote added by Turner Construction Company:

The premium of

for Turner ' s Construction CCIP 'peojects for the period 11-1-12 t o 10 -.31 - 13

equals a

$9,072, 209 .35 when applied to

the

estimated enrollment volume

rate of

$3.17 52 per $1000 of construction volume .

300 Tice Boulevard 2"' Floor North, Suite 250 I Wooddlff La!le, NJ 07677 I phone 201 644 2500 l fax 201 .644r2532

BUILDING AqiJI\·ANCE January 14, 201} Ms. Susan Hughes S e n i o r Insurance

BUILDING

AqiJI\·ANCE

January 14, 201}

Ms. Susan Hughes

Senior Insurance Manager

Turner Construction Company

3 Paragon Drive

Montvale, New Jersey 07645

RE:

Turner Construction Company Contractor's Pollution Legal liability

December 31, 2012 to December 31, 2013

Dear Ms. Hughes:

Turner Surety and Insurance Brokerage, Inc. (TSJB) and McGriff, Seibles and Williams

(MSW) have placed Contractor's Pollution legal liability Coverage on behalf of Turner Construction Company for the period of 12/31/2012 to 12/31/2013.

The premium to Turner Construction Company for the cQverage is $4,517,019.82. This figure is inclusive of NJ Pl)GA Assessment, Excess and Surplus Lines Taxes, Stamping Fees and the Brokerage Fee paid. to TSffi and MSW, respectively.

The total 8(okerage Fee paid was $350,000.

If you have any questions or concerns, please feel free to contact me at 203.283,2022.

Sincerely,

"'-7P ~

//···~ {vt--.

::2-z::

/'.~_, . / '~ laurJ Laurenzi

( _,.

·

Senior Direct9r·

,

Footno~-adde~

BJl.

rner Construction Company:

The pretltl.ut'il-of $4, 517, 019. 82 when applied to the

estimated work in pl ace volume for Turner

construction Company for the policy year equals

a rate of

$. 82 per $1,000 .

300 Tice Boulevard I Woodcliff Lake, NJ 07677 I phone 201 644 2500 ! www.tsibinc .com

BUILDING ASS U RANCE
BUILDING
ASS U RANCE
BUILDING ASS U RANCE February 14, 2013 Mr. Mike Capizzano Turner Construction 3 Paragon Drive Montvale,

February 14, 2013

Mr. Mike Capizzano Turner Construction

February 14, 2013 Mr. Mike Capizzano Turner Construction 3 Paragon Drive Montvale, NJ 07645 RE: Turner

3 Paragon Drive

Montvale, NJ 07645

RE:

Turner Construction 3 Paragon Drive Montvale, NJ 07645 RE: Turner Construction Company's Contractor Control1ed

Turner Construction Company's Contractor Control1ed Insuralice Program Administration Fee

Dear Mike:

Per your·.request, Turner Surety and Insurance Brokerage, Inc. are pleased to confirm our Fee for Wrap-Up Administration Services for the Turner Construction Contractor Controlled Insurance Program. For the twelve month period from 1/1./2013 to 12/31/2013, Turner ConstructiOn Company will pay Turner Surety and In.surance Brokerage,

Inc. (TSJB) compensation of $568;083 fQr admi'nistrative and operational support for all enrolled projects, both active

operational support for all enrolled projects, both active and closed, in the Tnrner Constmction Company CCIP
operational support for all enrolled projects, both active and closed, in the Tnrner Constmction Company CCIP

and closed, in the Tnrner Constmction Company CCIP Program for the states of Alaska, .Arlcansas, Colorado, District. of Columbia, Kansas, Maryland, Minnesota, Oregon, South Carolina, South Dakota, Tennessee, Virginia, Washington, Wyoming and Turner's Pittsburgh business unit.

Wyoming and Turner's Pittsburgh business unit. Sincerely, c~~~ L-.- Chris Smith Managing Director- Wrap-Up
Wyoming and Turner's Pittsburgh business unit. Sincerely, c~~~ L-.- Chris Smith Managing Director- Wrap-Up

Sincerely,

c~~~ L-.-

Chris Smith

Managing Director- Wrap-Up Operations

Footnote added by Turner Construction Company:

When applied-to Turner Construct ion's CCIP estimated volume for the above.referenced s.tat es, the fee of $568,083 results in an approximate rate of$1.79 Jler $1,000 of constr.uction volume.

Page 1 oil

Turner Surely and trm:srance Srokera_ge, Inc.

644

1 oil Turner Surely and trm:srance Srokera_ge, Inc. 644 300 Tice Soulevord , 3"' Floor 1

300 Tice Soulevord , 3"' Floor 1 Woodc liff Lake, NJ 0 7677 I phone 201

2500 ! www.lslb inc .com

Turner

Turner Turner Construction Company 3 Paragon Drive Montvale, NJ 07645 p h o n e :

Turner Construction Company 3 Paragon Drive Montvale, NJ 07645

phone: 201-722-3800

fax: 201-722-3835

March 28, 2013

RE: Project Administration Fee

To Whom It May Concern.:

This letter will serve to confirm that Turner's Risk Management Department administration fee for Turner construction's CCIP projects incepted during the 11/1/12-11,11/13 period in the states and territories of Alaska, Alabama, Arkansas, Colorado, District of Columbia, Kansas, Marytand, Minnesota, Oregon, South Carolina, South Dakota, Tennessee, VIrginia, Washington, Wyoming and Turner's Pittsb\.irgh business unit is based on a rate of $0 .60 per $1,000 of total Construction Volume. /.1

$0 .60 per $1,000 of total Construction Volume. / . 1 S in~rel y, /' ·

S in~rel y,

/'

·

~·~~7/l

jtl~~' ')=' lo

e·.

./-'

/' · ~·~~7/l jtl~~' ')=' lo e ·. ./-' l.rsa Ba Ia ne Vice Pres! ent

l.rsa Ba Ia

ne

Vice Pres! ent Turner Construction Company

Turner Turner Construction Company 3 Paragon Drive Montvale, NJ 07645 Phone: 201.722.3800 Fax: 201.722.3835 June

Turner

Turner Turner Construction Company 3 Paragon Drive Montvale, NJ 07645 Phone: 201.722.3800 Fax: 201.722.3835 June 11,

Turner Construction Company

3 Paragon Drive Montvale, NJ 07645

Phone: 201.722.3800 Fax: 201.722.3835

June 11, 2013

07645 Phone: 201.722.3800 Fax: 201.722.3835 June 11, 2013 Mr. Greg Stortstrom Turner Construction Company 1110

Mr. Greg Stortstrom Turner Construction Company 1110 Vermont Avenue NW, Suite 200 Washington, D.C. 20005

1110 Vermont Avenue NW, Suite 200 Washington, D.C. 20005 Re: SDI Rate ACPS Jefferson Houston Pre

Re: SDI Rate ACPS Jefferson Houston Pre K-8 #130013

Dear Greg,

SDI Rate ACPS Jefferson Houston Pre K-8 #130013 Dear Greg, As you requested, we have provide
SDI Rate ACPS Jefferson Houston Pre K-8 #130013 Dear Greg, As you requested, we have provide

As you requested, we have provide the following insurance rate documentation.

Coverage

Document

Confirmed Rate

Zurich Premium

Rate Letter

$10.50

S u r p l u s L i n e s T a x

Surplus Lines Tax

Rate letter

$0.53

TSIB Brokerage Fee

Rate Letter

$0.47

Total SDI

$11.50 per thousand dollars of volume

If you have any questions, please do not hesitate to contact me.

have any questions, please do not hesitate to contact me. The information contained within this documentation

The information contained within this documentation is confidential and proprietary; please do not share this proposal with entities outside of the in-house project without consulting with me. Please do not hesitate to contact me with any questions or concerns.

Please do not hesitate to contact me with any questions or concerns. Sincerely, ~tl~~ Susan Hughes

Sincerely,

~tl~~
~tl~~

Susan Hughes Sr. Insurance Manager

Please do not hesitate to contact me with any questions or concerns. Sincerely, ~tl~~ Susan Hughes

~

ZURICH

Zurich American Insurance Company

(A stock company herein called the Company) 1400 American Lane; Schaumburg, Illinois 60196-1056

CERTIFICATE OF INSURANCE

CERTIFICATE PERIOD

06/20/13

to

01/27/15

CERTIFICATE NUMBER

This Certificate follows the terms and conditions of ZURICH AMERICAN INSURANCE COMPANY Policy

TSJB201108

CRT 4999723-00

MBR 4550345-09

This certificate neither affirmatively nor negatively amends, extends or alters the coverage , lim its, terms or conditions of the Master policy unless express !· stated herein.

NAMED

INSURED

(include address)

ADD I TIO N AL INSUREDS (include address)

LOSS PAYEE

(include address)

MORTGAGEE

(include address)

PROJECT

LOCATION

(include address)

PROJECT

DESCRIPTION

(Structural type,

size, materi al type,

occupancy, etc.) (If renovation or rehab, be specific)

COVERAGE

(Place X in all applicable coverage blocks)

TURNER CONSTRUCTION COMPANY

Premium

Annual

Term

Term Total

3 Paragon Drive

$46,352

rate/

rate/

Montvale, NJ 07645

$100

$100

 

Builders Risk

 

.0728

.1169

$43,373

 

Delay In

$0

Completion

.0000

Coastal Windstorm

.0000

.0000

$0

To the extent required by any contr act or subcontract for

Earthquake

.0000

.0000

$0

the 130013-ACPS J efferson-H ouston Pr eK -8 School

Flood

.0000

.0000

$0

proj ect, and then only as their r espective inter est s m ay

Damage To

appear, all owners, all

contractors and subcontractor s of

Existing Property

every tier, and tenants at the proj ect l ocation, are

Mold

.0000

.0000

$0

recognized as A dditional Named Insureds hereunder . A s Certified/Non-

Certified Terrorism

respects architects, engineers, manufacturers and

.0050

.0080

$2,978

suppliers, their interest is l imi ted to their site only.

activities

State Surcharge

$0

0

0

130013-ACPS Jefferson-Houston PreK-8 School 1501 Cameron Street A lexandria, VA 22314 Project includes preconstruction and construction of a new school of approximately 120,000 square feet housing 700-800 students on a 10 acre site, and the demolition of the 83,385 square foot existing school and a 12,000 square foot Head Start building a Construction Type: New Construction Scope of Work: Schools Term (Days):586 P roject Value: $37 ,090,274

Contractor's

Wrap

Page 1 of 4

CERTIFICATE NUMBER:

CRT 4999723-00

STANDARD COVERAGE TERMS

(Coverage shall only apply under this Certificate to those individual Limits, Sub-limits and Aggregate Limits for which a value is entered below, but in no event these Sub-limits and Aggregate Limits shall exceed the limit of liability.)

LIMIT OF LIABILITY

SUB-LIMITS OF LIABILITY (Sublimits per OCCURRENCE except Delay In Completion as Certificate Aggregate)

ANNUAL AGGREGATES

(Aggregate limits apply to each annual period within this Certificate beginning on the

Certificate inception date)

DEDUCTIBLES (Deductibles apply per OCCURRENCE)

(When% is entered, the% is

applied against the total

physical damage values at risk at the time and place of loss subject to the dollar minimum)

insured

$

37,090,274

Any One OCCURRENCE During The Certificate Period

$

37,090,274

Physical Damage to the INSURED PROJECT

$

0

Delay In Completion (see coverage terms below for specific sublimits)

$

5,000,000

Physical Damage To Property In Transit- Any One Conveyance

$

5,000,000

Physical Damage To Property In Offsite Storage- Any One Location

$

1,000,000

Architects and Engineers Fees

$

2,500,000

Or 20% of the amount of insureds physical loss or damage to property insured,whichever is less- Expediting Expense and Contractor's Extra Expense, combined

$

250,000

Mold Per Occurrence/ $250,000 Per Project Aggregate

$

500,000

Physical Damage To Plans, Blueprints, Drawings, Renderings, Specifications Or Other Contract Documents And Models At The Insured Project

$

20,000,000

Ordinance of Law I Demolition & Increased Cost of Construction

$

2,000,000

Damage To Existing Property

25.0%

Of the amount of insured physical loss or damage to Covered Property, whichever is less - Debris Removal Coverage

$

100 000

Emergency Property Protection Expense - in the Certificate Term

$

250,000

Fire Department Service Charges

$

5,000

Fire Protective Equipment Refills

$

250,000

Claims Preparation Costs

$

250,000

Pollution/Contaminant Clean up

$

250,000

Maximum any one item -Trees, Plants, and Shrubs

$

250,000

Better Green Coverage

$

37,090!274

By The Peril Of EARTHQUAKE

$

37!090,274

By The Peril Of NAMED STORM

$

37,090,274

By The Peril Of FLOOD

$

10,000

Physical Damage, Except

$

$

10,000

10,000

%

EARTHQUAKE

%

NAMED STORM

I

 

I

$

10,000

I

%

FLOOD

$

50,000

I

%

WATER DAMAGE

$

nla

HOT TESTING

30

30

Calendar Day Deductible Period- Delay In Completion - Standard Coverage

Calendar Day Deductible Period- Delay In Completion - Optional Coverage

HOT TESTING PERIOD TERMS

(If an X is entered in the coverage block on page one the followingmust be provided)

HOT TESTING PERIOD:

Page 2 of4

Days

CERTIFICATE NUMBER:

CRT 4999723-00

ZURICHCERTIFICATE NUMBER: CRT 4999723-00 DELAY IN COMPLETION COVERAGE TERMS (Coverage for Delay In Completion shall only

DELAY IN COMPLETION COVERAGE TERMS

CRT 4999723-00 ZURICH DELAY IN COMPLETION COVERAGE TERMS (Coverage for Delay In Completion shall only apply

(Coverage for Delay In Completion shall only apply under this Certificate when this section is completed in its entirety.) *This scrtion only needs to be completed fo•·limits in excess of$500,000.

needs to be completed fo•·limits in excess of$500,000. PERIOD OF INDEMNITY NAMED INSURED & I BUSINESS
needs to be completed fo•·limits in excess of$500,000. PERIOD OF INDEMNITY NAMED INSURED & I BUSINESS

PERIOD OF INDEMNITY

NAMED INSURED & I BUSINESS ADDRESS ANTICIPATED DATE OF COMPLETION

& I BUSINESS ADDRESS ANTICIPATED DATE OF COMPLETION Calendar Days Subject to individual Certificate Aggregate

Calendar

Days

Subject to individual Certificate Aggregate

sublimits shown below, the total

$

Certificate Aggregate sublimit for which the Company shall be liable is

CERTIFICATE AGGREGATE SUB- LIMITS OF LIABILITY

be liable is CERTIFICATE AGGREGATE SUB- LIMITS OF LIABILITY Loss Of Gross Earnings Loss Of Rental

Loss Of Gross Earnings Loss Of Rental Income Soft Costs I Additional Expense

$

$

$

When a Certificate Aggregate Sub-limit Is entered for Soft Costs I Additional Expense above, coverage shall be further limited to the individual Certificate Aggregate Sub-limits entered to the right

Interim Interest Expense Realty Taxes I Ground Rents Advertising Expense Commission Expense $ Architect I Engineer Fees Project Administration Expense Legal/ Accounting Fees Insurance Premiums

$

$

$

$

$

$

$

OTHER COVERAGE TERMS I CONDITIONS

(Identify other terms and conditions below that apply to this Certificate)

terms and conditions below that apply to this Certificate) COVTRAGI' INI'ORI\.fATION THIS iS TO CERTIFY THAT
terms and conditions below that apply to this Certificate) COVTRAGI' INI'ORI\.fATION THIS iS TO CERTIFY THAT

COVTRAGI' INI'ORI\.fATION

THIS iS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THF. lNSURF.D NAMED HEREIN FOR TilE POLICY PERIOD INDICATED. NO"lWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTIIER DOCUMENT wrrn RESPECT TO WIUCII TilE CERTlFICATE MAY BE ISSUED OR MAY PERTAIN, TIIE INSURANCE AFFORDED BY "!liE POI.lCJES LIST ED HEREIN IS SUBJECT TO ALL TERMS, CONDITIONS AND EXCLUSiONS OF SUCH POLICIES. UM1TS SHOWN MAY IIAVE BF.F.N REDUCED BY PAID CLAfMS.

UM1TS SHOWN MAY IIA VE BF.F.N REDUCED BY PAID CLAfMS. CI\NCFU ATION Tllli COMPANY MAY ONLY

CI\NCFU ATION

MAY IIA VE BF.F.N REDUCED BY PAID CLAfMS. CI\NCFU ATION Tllli COMPANY MAY ONLY CANCEL TillS

Tllli COMPANY MAY ONLY CANCEL TillS POLICY IN THE EVENT OF NON PAYMENT OF TilE PREMJUM DUE BY MAILING WRilTEN NOTICE STATlNG WHEN, NOT LESS "JliAN TEN (10) DAYS THEREAJ-TER SUCH CANCELLATION SHALL BE EFFECTIVE, TO TilE NAMED lNSURCD AT THE ADDRESS SJIOWN IN THE POLICY.

TilE NAMED lNSURCD AT THE ADDRESS SJIOWN IN THE POLICY.     Turner Surety & Insurance
TilE NAMED lNSURCD AT THE ADDRESS SJIOWN IN THE POLICY.     Turner Surety & Insurance
 
 
 
 
Turner Surety & Insurance Brokerage. By:

Turner Surety & Insurance Brokerage. By:

Turner Surety & Insurance Brokerage. By:
Turner Surety & Insurance Brokerage. By:

lssued By: BL - 5/2/13

 
 

Page 3 of4

nnr BUILD I NG ASS U RANCE
nnr
BUILD I NG
ASS U RANCE
January 14, 2013

January 14, 2013

nnr BUILD I NG ASS U RANCE January 14, 2013
nnr BUILD I NG ASS U RANCE January 14, 2013

Ms. Susan Hughes Senior Insurance Manager Tumer Construction Company 3 Paragon Drive Montvale, New Jersey 07645

Company 3 Paragon Drive Montvale, New Jersey 07645 RE: Turner Construction Company SGD 3495454-13 Subguard

RE:

Turner Construction Company SGD 3495454-13 Subguard Policy- All States Except for New Hampshire, New York and Oregon Effective : December 31,2012 to Dec. 31,2013

and Oregon Effective : December 31,2012 to Dec. 31,2013 Dear Ms. Hughes: The Subguard Policy referenced
and Oregon Effective : December 31,2012 to Dec. 31,2013 Dear Ms. Hughes: The Subguard Policy referenced

Dear Ms. Hughes:

: December 31,2012 to Dec. 31,2013 Dear Ms. Hughes: The Subguard Policy referenced above was issued

The Subguard Policy referenced above was issued to Tumer Construction Company by Zurich Insurance Group utilizing Steadfast Insurance Company- a non-admitted tarrier.

The premium paid to Zurich is exclusive of any surplus lines taxes, stamping fees and broker placement fees.

lines taxes, stamping fees and broker placement fees. The rate charged to Turner Construction Company by

The rate charged to Turner Construction Company by TSIB is $11.50 per $1,000 of subcontractor volume.

by TSIB is $11.50 per $1,000 of subcontractor volume. The $11.50 is broken down as follows:

The $11.50 is broken down as follows:

$10.50

$

$

s

.53

.00

.47

$11.50

Zurich Premium

Surplus Lines Taxes

$ $ s .53 .00 .47 $11.50 Zurich Premium Surplus Lines Taxes Stamping Fee TSIB Brokerage

Stamping Fee TSIB Brokerage Fee

Total Subguard Rate

If you have any questions or concerns, please feel free to contact me at 203.283.2022.

/

 
  .
  .
  .

.

'

/

-~-/

/ -~- /

/

C./""1

,

 

--

uralaurenzi

 
  -- uralaurenzi  
 
 

Senior Director

300 nee Boulevard 1Woodcliff Lake, NJ 076n I phone 201644 2500 I www.tsibinc.com

IMPORTANT DISCLOSURE NOTICE

We are making the following informational disclosures in compliance with The Terrorism Risk Insurance Act of2002. No action is required on your part.

Disclosure of Terrorism Premium

The premium charge for risk of loss resulting from acts of terrorism (as defined in the Act) under the policy(ies) This amount is $2,978.

Disclosure of Availability of Coverage for Terrorism Losses

As required by the Terrorism Risk Insurance Act of 2002, the member companies of Zurich North America make available coverage for losses resulting from acts ofterrorism (as defined in the Act) with terms, amounts, and limitations that do not differ materially as those for losses arising from events other than acts of terrorism.

Disclosure of Federal Share of Insurance Company's Terrorism Losses

The Terrorism Risk Insurance Act of2002 establishes a mechanism by which the United States government will share in insurance company losses resulting from acts of terrorism (as defmed in the Act) after an insurance company has paid losses in excess of an annual aggregate deductible. For 2002, the insurance company deductible is I% of direct earned premium in the prior year; for 2003, 7% of direct earned premium in the prior year; for 2004, l 0% of d irect earned premium in the prior year; and for 2005, 15% of direct earned premium in the prior year. The federal share of an insurance company 's losses above its deductible is 90%. In the event the United States government participates in losses, the Un ited States government may direct insurance companies to collect a terrorism surcharge from policyholders. The Act does not currently provide for insurance industry or United States government participation in terrorism losses that exceed $100 billion in any one calendar year.

Definition of Act of Terrorism

The Terrorism Risk Insurance Act defmes "act of terrorism" as any act that is certified by the Secretary of the Treasury, in concurrence with the Secretary of State and the Attorney General ofthe United States:

1.

to be an act of terrorism;

2 .

to be a violent act or an act that is dangerous to human life, property or infrastructure;

3.

to have resulted in damage within the United States, or outside of the United States in the case of an air carrier (as defmed in section 40102 oftitle 49, United 17 States Code) or a United States flag vessel (or a vessel based principally in the United States, on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States), or the premises of a United States mission; and

4.

to have been committed by an individual or individuals acting on behalf of any foreign person or foreign interest as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion.

But, no act shall be certified by the Secretary as an act of terrorism if the act is committed as part of the course of a war declared by Congress (except for workers' compensation) or property and casualty insurance losses resulting from the act, in the aggregate, do not exceed $5,000,000.

These disclosures are informational only and do not modify the policy or affect your rights under the policy.

Page4 of4

Steadfast lnsuran<:e

Company One liberty Plaza New Yom, NY 10006

WWtN.%JJrichna.com

January 11, 2013

Mrs. Usa Ballantyne Vtce President & General Manager Turner Construction Company 3 Paragon Drive Montvale, NJ 07645

RE: Zurich Subguard Policy# SGD 3495454-13

Dear Mrs. Ballantyne:

@

ZURICH

The Zurich Subguard policy bound with Turner Construction for the policy period 12/31/12 through 12/31/13 provides subcontractor default Insurance coverage for projects reported to Zurich during the policy effective dates. Please reference the attached declarations page for the Turner Subguard policy structure. As shown on the declarations page, the deductible on the policy Is $0 and the co-pay on the policy is $0.

Subguard coverage is provided to Turner in accordance with the terms, conditions, and limitations set forth in Turner's Zurich Subguard policy. A premium rate of $10.50 per thousand of covered subcontract volume is paid to Zurich upfront based upon estimated subcontract exposure at the beginning of the project. This rate does not include broker commission, excess and surplus lines tax, or stamping fee.

Turner Construction Company does not receive return premium and Is not assessed additional premium, except for audit adjustments that are calculated at a rate of$10.50 per thousand of covered subcontract volume.

Should you have any que tion·s -please do not hesitate to contact me.

CERTIFICATE OF COVERAGE

Subcontractor Default Insurance

Issued Date: 5/2/2013

THIS CERTIF ICATE 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.

PRODUCER

Turner Surety and Insurance Brokerage, Inc. 300 Tice Boulevard 2"" Floor North Suite 250 WoodcliffLake, NJ 07677

COMPANY AFFORDING COVERAGE

Steadfast Insurance Company 1400 American Lane Schaumburg,IL 60196-1056

INSURED

POLICY NU!\ffiER

POLICY PERIOD

Turner Construction Company 3 Paragon Drive Montvale NJ 07645

SGD3495454-13

12-31-12 to 12-31-13

POLICY LThUTS

$1 OO,OOO,OOO(US) Aggregate limit of liability $50,000,000(US) Subcontractor/Supplier limit of liability

COVERAGES

This is to certify that a Subcontractor Default Insurance Policy has been issued to the insured named above and applies to the project indicated below. This Policy covers all Subcontractors and Purchase Orders associated with the Project identified below, even if the subcontract or purchase order is awarded after the expiration date of the policy, and will remain in effect until fulfillment of all tenns, conditions, and specifications of covered subcontracts and/or purchase orders, including any related warranty periods, subject to all terms, exclusions, and conditions of the Policy. The insurance afforded by the captioned policy is subject to all their terms, exclusions and conditions and is not altered by any requirement, tenn or condition of any contract or other document with respect to which this certificate may be issued. Projects incepted during the pol icy period will be covered by this policy period and will be coYered by this policy for the life of the projecl

PROJECT INFORMATION

Name: 130013-ACPS Jefferson-Houston PreK-8 School Owner: Alexandria City School Board

Location:

Description: Project includes preconstruction and construction of a new school of approximately 120,000 square feet housing 700-800 students on a 10 acre site, and the demolition of the 83,385 square foot existing school and a 12,000 square foot Head Start building a

Date of Contract between Owner and Insured:

Alexandria, VA

Effective Date of Coverage:

Date of Contract between Owner and Insured

OTHER INFORMATION

CERTIFICATE HOLDER

Alexandria City School Board

2000 North Beauregard Street

Alexandria, VA 22311

Authorized Representative:

IUILO UU i

AJS Uk A HCI

TURNER SURETY AND INSURANCE BROKERAGE. INC.

rr:ttr TU RNER SURETY AND INSU RANCE BROKERAGE. IN C. IUilOING AIJ U OAN C
rr:ttr
TU RNER SURETY
AND INSU RANCE
BROKERAGE. IN C.
IUilOING
AIJ U OAN C I
300 Tice Boulevard
2nd Floor North Suite 250
Woodcliff Lake, NJ 07677
Phone 201-644-2500 Fax 201-644-2532

TO:

Turner Construction Company Business Unit 300340

TO: Turner Construction Company Business Unit 300340 DESCRIPTION INVOICE INVOICE# DATE: MAY 2, 2013 FOR: Carrier:

DESCRIPTION

INVOICE

INVOICE#

DATE: MAY 2, 2013

FOR:

Carrier:Steadfast Insurance Company Policy Number: SGD3495454-13 Project:130013-ACPS Jefferson-Houston PreK-8 School Locatlon:Aiexandria,VA Owner:Aiexandria City School Board

Locatlon:Aiexandria,VA Owner:Aiexandria City School Board AMOUNT Gross Rate per $1,000 of Covered Subcontracts &
Locatlon:Aiexandria,VA Owner:Aiexandria City School Board AMOUNT Gross Rate per $1,000 of Covered Subcontracts &

AMOUNT

Gross Rate per $1,000 of Covered Subcontracts & P.O.'s

Gross Rate per $1,000 of Covered Subcontracts & P.O.'s

Gross Rate per $1,000 of Covered Subcontracts & P.O.'s $11 .500

$11 .500

Value of Covered Subcontracts:

$32,000,000

Total SOl Premium:

$368,000.00

TOTAL

$368,000.00

~

ACORD

~

CERTIFICATE OF LIABILITY INSURANCE

~ A C O R D • ~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) 06/18/2013

I

DATE (MMIDDIYYYY)

06/18/2013

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 BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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).

PRODUCER

Turner Surety and Insurance

300 Ti ce Bouleva rd - Suite 250

Woodcliff Lake, NJ 07677

Brokerage, Inc.

CONTACT

NAME:

I rlJgNtl'o Ext\: 201-644-2500 E-MAIL ADDRESS:

I rM Nol:

INSURED

Turner Corporation Turner Construction Company 3 Paragon Drive Montvale, NJ 07645

INSURER($) AFFORDING COVERAGE

INSURER A :Zurich American Insurance Co

INSURERS:.

INSURERC :

INSURERD :

INSURERE :

NAJC#

INSURERF:

COVERAGES

CERTIFICATE NUMBER·9DH7LBZ6

REVISION NUMB ER ·

R E V I S I O N N U M B E R · THIS

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI TH 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.

POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I N S R LTR A

INSR

LTR

A

TYPE OF INSURANCE

GENERAL LIAB ILITY

f-.-

X DM ERCIAL GENERAL LIABILITY

f-.-

f-.-

f-.-

f-.- r-3ftAGGREn LIMIT APnS PER:

0

CLAIMS-MADE

OCCUR

POL I CY

~~

LOC

AU TOMOBILE LIABILITY

1-

1-

1-

f-.-

ANY AUTO

ALL OWNED

AUTOS

HIRED AUTOS

.---

f-.-

f-.-

SCHEDULED

AUTOS

NON-OWNED

AUTOS

B UMBRELLA UAB

f-.-

EXCESS LIAS

~OCCUR

CLAIMS-MADE

OED

I

I RETENTIONs

A WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY

OFFICER/MEMBER EXCLUDED?

(Mandatory In NH)

If yes, describe under DESCRIPTION OF OPERATIONS below

PROPRIETOR/PARTNER/EXECUTI VE D

YIN

~~~~~~~

NIA

POLICY NUMBER

5899308-00

SEE ADDENDUM

5899309-00

I c:~hl%MYYlI!~M%~)

06/20/2013

D E N D U M 5899309-00 I c:~hl%MYYl I!~M%~) 06/20/2013 06/20/2013 01/27/2015 01/27/2015   LJ.MITS

06/20/2013

01/27/2015

01/27/2015

 

LJ.MITS

EACH OCCURRENCE

 

$

 

$

MED EXP (Any ooe pers2n)

s

PERSONAL & ACN

INJURY

s

GENERAL AGGREGATE

 

$

PRODUCTS - COMPIOP AGG

$

$

I~'i:~~~;~tfiN<.;LELIMIT

$

BODILY

INJ URY

(Per person)

$

BODILY INJURY (Per accident)

$

• r~~~~~gAMAGE

r~~~~~gAMAGE

 

$

 

s

EACH OCCURRE NCE

 

$

AGGREGATE

$

 

$

X IT~~J~~~ltsI

IOJ~-

E.L. EACH ACCIDENT

 

s

E .L. DISEASE EA EMPLOYEE

$

E .L.

D IS EA SE • POLICY LIMIT

s

;

$

$

$

2,000,000

1,000,000

10,000

2,000,000

4,000,000

4,000,000

2,000,000

2,000,000

2,000,000

DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)

WORK PERFORMED UNDER THE TURNER CONSTRUCTION CONTRACTOR CONTROLLED INSURANCE PROGRAM: ACPS J EFFERSON-HOUSTON PREK-8 SCHOOL, 1501 CAMERON STREET, ALEXANDRIA, VA. CERTIFICATE PROVIDED FOR PERMIT PURPOSES. JOB #130013 ADDITIONAL INSURED: CITY OF ALEXANDRIA

CERTIFICATE HOLDER

CITY OF ALEXANDRIA

ALEXANDRIA CITY HALL

301 KING STREET

ALEXANDRIA, VA 22314

ACORD 25 (2010/05)

CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU THORIZED REPRESENTATIVE ~4 -r w~ 4'

AU THORIZED REPRESENTATIVE

~4

-r w~ 4'
-r w~ 4'

Page 1 of 1

© 1988-2010 ACORD CORPORATION. A ll nghts reserved.

The ACORD name and logo are registered marks of ACORD

Ac-c;;;b

~

A c - c ; ; ; b • ~ CERTIFICATE OF LIABILITY INSURANCE I D

CERTIFICATE OF LIABILITY INSURANCE

- c ; ; ; b • ~ CERTIFICATE OF LIABILITY INSURANCE I D A T

I

DATE (MMIDDIYYYY)

06/18/2013

D A T E ( M M I D D I Y Y Y Y )
D A T E ( M M I D D I Y Y Y Y )

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.

IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must 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).

to the certificate holder in lieu of such endorsement(s). PRODUCER Turner Surety and Insurance 300 Tice

PRODUCER

Turner Surety and Insurance

300 Tice Boulevard - Suite 250

Woodcliff Lake. NJ 076n

Brokerage. Inc.

~~:~~CT

r1jgHNEo Ext : 201-644-2500

E-MAIL

ADDRESS:

jF AX

~A/C Nol :

INSURER(S) AFFORDING COVERAGE

NAICt

INSURED

Turner Corporation Turner Construction Company 3 Paragon Drive

Montvale, NJ 07645

INSURER A :Zurich American Insurance Co :Zurich American Insurance Co

INSURERS :.

INSURERC :

INSURERD :

INSURER E:

INSURER F:

COVERAGES

CERTIFICATE NUMBER·A3MREBYX

INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER·A3MREBYX R E V I S I O N N

REVISION NUMBER·

R E V I S I O N N U M B E R · THIS

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA MED 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.

'msRr-

LTR

TYPE OF INSURANCE

A

GENERAL LIABILITY

f-.-

~

f-.- CLAIMS-MADE 0

DMERCIAL GENERAL LIABILITY

OCCUR

f-.-

1-- m'l AGG~En

POLICY

LIM I T APnS PER:

~~8,:

LOC

AUTOMOBILE LIABILITY

1--

1--

f-.-

f-.-

ANY AIJTO

ALL OWNED

AIJTOS

HIRED AIJTOS

---

f-.-

f-.-

SCHEDULED

AIJTOS

NON.QWNEO

AIJTOS

B UMBRELLA LIAS

r.~~;

f- ~OCCUR

EXCESS LIAS

CLAIMS·MAOE

OED

I

I RETENTION$

X C E S S L I A S CLAIMS·MAOE OED I I RETENTION$ A WORKERS

A WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE D

OFFICER/MEMBER EXCLUDED? (Mandatory In NH)

Y/N

D OFFICER/MEMBER EXCLU DED? (Mandatory In NH) Y/N grs~:~~ o"nlPERATIONS below N / A SUBR w

grs~:~~o"nlPERATIONS below

N /A

SUBR

wvo

POUCY NUMBER

f5899308-00

SEE ADDENDUM

5899309-00

,,~g~

06120/2013

06/20/2013

I,,:O.J-J%~

01/27/2015

01/27/2015

06120/2013 06/20/2013 I ,,:O.J-J%~ 01/27/2015 01/27/2015 DES CRIPT ION OF OPERATIONS I LOCATIONS I VEHICLES

DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attaeh ACORD 101 , Additional Remarits Schedule, if more space is requ ired)

 

U MITS

EACH OCCURRENCE

$

$

MED EXP (Any one pe<son)

s

PERSONAL & ArN

INJURY

$

GENERAL AGGREGATE

$

PRODUCTS- COMP/OP AGG

$

s

L.fe~=~~~INGLE LIMIT

s

BODILY INJURY (Pet person)

s

1----

BODILY INJURY (Pet accident)

s

s

s

EACH OCCURRENCE

$

AGGREGATE

$

$

X h~~lfJK:'sI IOJ~-

E.L. EACH ACCIDENT

$

E.L. DISEASE • EA EMPLOYEE S

E.L. DISEASE POLICY LIMIT

s

I~ s

s

s

2,000,000

1,000,000

10,000

2.000,000

4,000,000

4,000,000

2,000,000

2,000,000

2,000,000

WORK PERFORMED UNDER THE TURNER CONSTRUCTION CONTRACTOR CONTROLLED INSURANCE PROGRAM: ACPS JEFFERSON-HOUSTON PREK-8 SCHOOL, 1501 CAMERON STREET, ALEXANDRIA. VA.

JOB#130013

ADDITIONAL INSURED: ALEXANDRIA CITY SCHOOL BOARD, ALEXANDRIA CITY PUBLIC SCHOOLS, AND THEIR RESPECTIVE DIRECTORS. MEMBERS, OFFICER, EMPLOYEES AND AGENTS (EXCLUDING ARCHITECTS. ENGINEERS, DESIGN PROFESSIONALS). COVERAGE IS PRIMARY AND NON-CONTRIBUTORY. WAIVER OF SUBROGATION APPLIE S.

AND NON-CONTRIBUTORY. WAIVER OF SUBROGATION APPLIE S. I (oon tinued next paqe) CERTIFICATE HOLDER CANCELLATION

I(oontinued next paqe)

CERTIFICATE HOLDER

CANCELLATION

ALEXANDRIA SCHOOL BOARD ATTN.; PROCUREMENT OFFICER 2000 NO. BEAUREGARD STREET ALEXANDRIA, VA 22311

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

T HE EXPIRATION

DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

AUTHORIZED REPRESENTATIVE

Page 1 of 2

POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Page 1 of 2 ~4--r-v~lt © 1988-2010 ACORD CORPORATION. All rrghts
POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Page 1 of 2 ~4--r-v~lt © 1988-2010 ACORD CORPORATION. All rrghts

~4--r-v~lt

© 1988-2010 ACORD CORPORATION. All rrghts reserved.

PRODUCER

Turner Surety and Insurance Brokerage, Inc.

POUCY NUMBER

CARRIER

AGENCYCUSTOMERID:

LOC#:

ADDITIONAL REMARKS SCHEDULE

I E R AGENCYCUSTOMERID: LOC#: ADDITIONAL REMARKS SCHEDULE INSURED I NAICCODE Turner Corporation Turner Construction

INSURED

INAICCODE

Turner Corporation Turner Construction Company

ISSUE DATE:

06/1812013

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER:

REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: (continued from previous page)

FORM TITLE:

(continued from previous page)

Page 2 of2

EXCESS

LIMITS OF LIABILITY :

 
EXCESS LIMITS OF LIABILITY :  

NATIONAL UNION FIRE

INSURANCE COMPANY OF PITTSBURGH,

PA

POL ICY #

BE 15808885

 

EFFECTIVE:

$25 ,0 00,000

6/20/ 1 3

PER

- OCCURRENCE/$25,000,000 AGGREGATE

1 /27/ 1 5

 
 
 

ACORD 101 (2008/01)

© 2008 ACORD CORPORATION. All rights reserved.

(2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks

The ACORD name and logo are registered marks of ACORD

CERTIFICATE NUMBER: A3MREBYX

ACORD 8 ~ CERTIFICATE OF LIABILITY INSURANCE I D A T E ( M M

ACORD 8

~

CERTIFICATE OF LIABILITY INSURANCE

I

DATE(MMIDDIYYYY)

INSURANCE I D A T E ( M M I D D I Y Y Y

06/18/2013

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.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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).

to the certificate holder in lieu of such endorsement(s). PRODUCER Turner Surety and Insurance 300 Tice
to the certificate holder in lieu of such endorsement(s). PRODUCER Turner Surety and Insurance 300 Tice
to the certificate holder in lieu of such endorsement(s). PRODUCER Turner Surety and Insurance 300 Tice

PRODUCER Turner Surety and Insurance

300 Tice Boulevard - Suite 250 Woodcliff Lake, NJ 07677

Brokerage. Inc.

-Wc:Jn l'rtl- 201-644-2500

~~~l"'

E-MAIL

ADDRESS:

lr~No):

INSURED Turner Corporation Turner Construction Company 3 Paragon Drive Montvale, NJ 07645

 

INSURER(S) AFFORDING COVERAGE

NAICif

INSURER

A :Uberty

Mutual

Insurance Company

23043

INSURER a

:Liberty Mutual Fire Insurance Company

23035

INSURER c :Libe~

Insurance Cor~ration

42404

INSURER D :National Union Fire Insurance Company of Pittsburgh, PA

19445

INSURER E:

INSURER F :

·-

COVERAGES

CERTIFICATE NUMBER·L5NXVQ76

· - C O V E R A G E S CERTIFICATE NUMBER·L5NXVQ76 REVISION NUMBER· THIS

REVISION NUMBER·

R A G E S CERTIFICATE NUMBER·L5NXVQ76 REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES

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. 1 1NSR .-

LTR

A

BEEN REDUCED BY PAID CLAIMS. 1 1 N S R . - LTR A TYPE OF
BEEN REDUCED BY PAID CLAIMS. 1 1 N S R . - LTR A TYPE OF

TYPE OF INSURANCE

PAID CLAIMS. 1 1 N S R . - LTR A TYPE OF INSURANCE G E

GENERAL LIABILITY

f--

~ 5MERC IAL GENERAL LIABILITY

f--

CLAIMS

MADE

0

OCCUR

f--

r--

I I N SR l wvo

POLICY NUMBER

[TB1-625-<l92815-042:

mRent Prem. Pers & Adv l nj: $250k&

L 1-625-<l9281 5-<l82: Ea. Occ, Pers

~dv lnj, Dam to Prem: $1 .75mm. Total ~ggs at right.

Ea . Occ. Dam

II~~~ lc~~~~

11 /01/2012

11/01/2013

EACH OCCURRENCE

11/01/2013 E A C H O C C U R R E N C E L.IMITS

L.IMITS

s

~~~~S~E~~~~ncel s

 

MED EXP (Any one

pe<son)

s

ONAL & ArN

INJURY

$

GENERAL AGGREGATE

$

0 GEN"L AGGRE 0

POLICY

X

LIMIT APnS PER:

rrtr

LOC

B AUTOMOBILE LIABILITY

0

c

r--

7

r--

X

r--

~

ANY AIJTO

AU OWNED

AIJTOS

HIRED AIJTOS

-

X

SCHEDULED

AIJTOS

NON-owNED

AIJTOS

UMBRELLA LIAS

EXCESS LIAB

~OCCUR

f-- -

CLAIMS-MADE

Y/N

OED

I

I RETENTION$

L A I M S - M A D E Y / N O E D

WORKERS COMPENSATION

A D E Y / N O E D I I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS"

AND EMPLOYERS" LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE D

OFFICER/MEMBER EXCLUDED? (Mandatory In NH)

grs~:~~{fti)PEHATIONS below

N/A

f'\S2-625-<l92815-012

~E 15808884

:yyc1-625-0g2815-032

~'rpl~ersliab.IS~Gap

. WA, WV,

H, N

11/01/2012

11/0 1/2012

11/01/2012

11/01/20 13

11 /01/2013

11/01/2013

PRODUCTS· COMP/OP AGG $

$

~~~=~~~riNGLE LIM I T

$ ~ ~ ~ = ~ ~ ~ r i N G L E L I

Waci.~~~E

EACH OCCURRENCE

AGGREGATE

x IT~~;r~M:sI

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

IOJ~·

E.L DISEASE

-POLICY LIMIT

2,000,000

2,000,000

10,000

2,000,000

5,000,000

12,500,000

$ 2,000,000

BODILY INJURY{Per petSOn) s

BODILY INJURY{Per aecic!enl)

s

s

s

$

$

$

25,000,000

- _--::-:-::-c:-

25,000,000

s

S

s

;

s

s

s

2,000,000

2,000,000

2,000,000

DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addition al Romarks Sehodulo, if more space Is requirod) LOCATION: ACPS JEFFERSON-HOUSTON PREK-8 SCHOOL, 1501 CAMERON STREET, ALEXANDRIA, VA. JOB #130013 ADDITIONAL INSURED: ALEXANDRIA C ITY SCHOOL BOARD, ALEXANDRIA CITY PUBLIC SCHOOLS, AND THEIR RESPECTIVE DIRECTORS, MEMBERS, OFFICER, EMPLOYEES AND AGENTS (EXCLUDING ARCHITECTS, ENGINEERS, DESIGN PROFESSIONALS). COVERAGE IS PRIMARY AND NON-CONTRIBUTORY. WAIVER OF SUBROGATION APPLIES. WORKERS' COMPENSATION AND GENERAL LIABILITY COVERAGES APPLY TO OFFSITE OPERATIONS ONLY.

LIABILITY COVERAGES APPLY TO OFFSITE OPERATIONS ONLY. CERTIFICATE HOLDER ALEXANDRIA CITY PUBLIC SCHOOLS ATIN .:
LIABILITY COVERAGES APPLY TO OFFSITE OPERATIONS ONLY. CERTIFICATE HOLDER ALEXANDRIA CITY PUBLIC SCHOOLS ATIN .:

CERTIFICATE HOLDER

ALEXANDRIA CITY PUBLIC SCHOOLS ATIN .: PROCUREMENT O FFICER 2000 NO. BEAUREGARD STREET ALEXANDRIA, VA 22311

O FFICER 2000 NO. BEAUREGARD STREET ALEXANDRIA, VA 22311 ACORD 25 {2010/05) CANCELLATION SHOULD ANY OF

ACORD 25 {2010/05)

BEAUREGARD STREET ALEXANDRIA, VA 22311 ACORD 25 {2010/05) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES

CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION

ACCORDANCE WITH THE POLICY PROVISIONS.

DATE THEREOF, NOTICEWILIL BE DELIVERED IN

AUTHORIZED REPRESENTATIVE

Page 1 of 1

BE DELIVERED IN AUTHORIZED REPRESENTATIVE Page 1 of 1 ~4-c-v.,Lit © 1988-2010 ACORD CORPORATION. All rights

~4-c-v.,Lit

© 1988-2010 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are r egistered marks of ACORD

Policy Number TB1-625-092815-042 Issued by Liberty Mutual Insurance Co.

THIS ENDORSEMENTCHANGES THE POUCY. PLEASE READ ITCAREFULLY.

BLANKET ADDITIONAL INSURED

This endorsement mocflfies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

SECTION II - WHO IS AN INSURED is amended to include as an insured any person or organization for whom you have agreed In writing to provide liabRity insurance. But

The insurance provided by this amendment

1. Applies only to "bod~y Injury" or "property damage• arising out of (a) •your work" or (b) premises or other property owned by or rented to you;

2. Applies only to coverage and minimum limls of insurance required by the written agreement. but in no event exceeds either the scope of coverage or the limits of insurance provided by this policy; and

3. Does not apply to any person or organization for whom you have procured separate liabHity insurance while such insurance is in effect. regardless ofwhetherthe scope of coverage or limits of insurance ofthis policy exceed those of such other insurance or whether such other insurance is valid and collectible.

The following provisions also apply:

1.

Where the applicable written agreement requires the insured to provide liability insurance on a primary, excess, contingent, or any other basis, this policy will apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION N of this policy will not apply.

2.

Where the applicable written agreement does not specify on what basis the liabHity insurance wnt apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy will govem

3

This endorsement shall not apply to any person or organization for any "bodHy injury• or •property damage• if any other additional insured endorsement on this policy applies to that person or organization with regard to the "bodHy injury• or "property damage•.

4.

If any other additional insured endorsement applies to any person or organization and you are obligated under a written agreement to provide llabBity insurance on a prinary, excess, contingent, or any other basis for that additional insured, this policy wDI apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION N ofthis policy will not apply, regardless of whether the person or organization has available other valid and collectible insurance. If the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy will govern.

LN 20010605

ACORD 8

ACORD 8 CERTIFICATE OF LIABILITY INSURANCE I D A T E ( M M I D
ACORD 8 CERTIFICATE OF LIABILITY INSURANCE I D A T E ( M M I D
ACORD 8 CERTIFICATE OF LIABILITY INSURANCE I D A T E ( M M I D

CERTIFICATE OF LIABILITY INSURANCE

I

DATE (MMIDDIYYYY)

06/18/2013

~

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 BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. B r o k e r a g e
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. B r o k e r a g e
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. B r o k e r a g e
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. B r o k e r a g e

Brokerage, Inc.

Tice Boulevard - Suite 250

~~~~~CT

r.!JgNNEn l'vt\ · 20 1-644-2500 E·MAIL ADDRESS:

1rffc No):

20 1-644-2500 E·MAIL ADDRESS: 1 r f f c N o ) : IMPORTANT: If the

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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). PRODUCER

Turner Surety and Insurance

300

Woodcliff Lake, NJ 07677

INSURED

Turner Corporation

Turner Construction Company

3 Paragon Drive Montvale, NJ 07645

COVERAGES

 

INSURERISl AFFORDING COVERAGE

NAIC#

 

INSURER A :liberty

Mutual Insurance Company

23043

INSURER s

:liberty

Mutual

Fire Insurance Comoanv

23035

INSURER c

:liberty

Insurance Corporation

42404

INSURERD :

INSURERE :

INSURERF:

CERTIFICATE NUMBER·FVYXYWF8

REVISION NUMBER·

THIS IS TO CERTIFY THAT THE POLICIES OF INSURAN CE 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 TH E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LI MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR

LTR

A

TYPE OFINSURANCE

GENERAL LIABILITY

r-

~PMERCIALGENERAL LIABILITY

CLAI MS-MADE 0

,

-

OCCUR

-

~~~~~I~;

GEN'L AGGR~ LIMITAPnS PER:

B

c

~ POLICY X ~{}8-f

AUTOMOBILE LIABILITY

ANY AUTO

ALL OWNED

AUTOS

HIRED AUTOS

X

-

-

-

-

X

,

-

r-

LOC

SCHEDULED

AUTOS

NON OWNED

AUTOS

~

UMBRELLA LIAS

EXCESS LIAS

OED

-

HOCCUR

CLAIMS-MADE

YIN

I

I RETENTION $

WORKERS COMPENSATION

HOCCUR CLAIMS-MADE YIN I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE 0

OFFICER/MEMBER EXCLUDED? (Mandatory In NH) II yes, describe under

DESCRIPTION OF

OPERATIONS below

NIA

POLICY NUMBER

S b e l o w NIA P O L I C Y N U M

rB.1 -625-092815.Q42:

Ea. Occ, Dam

o Rent Prem, Pars & Adv lnj: $250~il U-625-092815-082: Ea. Occ, Pars

A.dv lnj,

Aggs at

Dam to Prem:

right.

Ea. Occ, Pars A.dv lnj, Aggs at Dam to Prem: right. $1 .75mm. Total AS2-625-092815-012

$1 .75mm. Total

AS2-625-092815-012

!'vVC7·625-092815-032

Emplotrrs

OH, N

Liab.JS~Gap

, WA, WV,

~~~~hl%MYYl ·,~glt%WvY•

LIMITS

11/01/201 2

11/0112012

11 /01/2012

11/01/2013

EACH OCCURRENCE

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS COMPIOP AGG

11/01/201 3

fE~ ~~~ ~~~ INGL E L I M IT

BODI LY INJURY (Per person)

BODILY INJURY (Per accid ent)

EACH OCCURRENCE

AGGREGATE

11/01/ 20 13

X l.;xg,J;r~~\{:<:I IOJ~·

s

s

s

s

s

s

s

s

s

s

s

$

s

s

s

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

s

$

s

I~

$

5

s

2,000.000

2,000,000

10,000

2,000,000

5,000,000

12,500,000

2,000,000

2,000,000

2,000,000

2,000,000

DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, if more space is required) LOCATION: ACPS JEFFERSON-HOUSTON PREK-8 SCHOOL, 1501 CAMERON STREET, ALEXANDRIA, VA. CERTIFICATE PROVIDED FOR PERMIT PURPOSES.

JOB#130013

ADDITIONAL INSURED: CITY OF ALEXANDRIA WORKERS' COMPENSATION AND GENERAL LIABILITY COVERAGES APPLY TO OFFSITE OPERATIONS ONLY.

CERTIFICATE HOLDER

CITY OF ALEXANDRIA

ALEXANDRIA CITY HALL

301 K ING STREET

ALEXANDRIA, VA 22314

ACORD 25 (2010/05)

CANCELLATION

SHOU LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCEWITHTHE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

~4c 7/~l

POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ~4c 7/~l Page 1 of 1 © 1988-2010 ACORD CORPORAT ION .

Page 1 of 1

© 1988-2010 ACORD CORPORAT ION . All nghts reserved .

Page 1 of 1 © 1988-2010 ACORD CORPORAT ION . All nghts reserved . The ACORD

The ACORD name and logo are registered marks of ACORD

Policy Number TB1-625-092815-042 Issued by Liberty Mutual Insurance Co.

THIS ENDORSEM:NTCHANGES THE POUCY. PLEASE READ ITCAREFULLY.

BLANKET ADDITIONAL INSURED

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

SECTION II -WHO IS AN INSURED is amended to include as an insured any person or organization for whom you have agreed in writing to provide liabDity insurance. But

The insurance provided by this amendment

1. Applies only to "bodDy injury" or "property damage• arising property owned by or rented to you;

out of (a) "your work" or (b) premises or other

2. Applies only to coverage and minimum limits of insurance required by the writen agreement, but in no event exceeds either the scope of coverage or the limits of insurance provided by this policy; and

3. Does not apply to any person or organization for whom you have procured separate liability ilsurance while such insurance is in effect. regardless of whether the scope of coverage or limits of insurance of this policy exceed those of such other insurance or whether such other insurance is valid and collectible.

The following provisions also apply:

1.

Where the applicable written agreement requires the Insured to provide liabHity insurance on a primary, excess, contingent, or any other basis, this policy will apply solely on the basis required by such writen agreement and Item 4. Other Insurance of SECTION IV of this policy wt11 not apply.

2.

Where the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy will govern.

3

This endorsement shall not apply to any person or organization for any "bodily injury• or "property damage• if any other additional insured endorsement on this policy applies to that person or organization with regard to the "bondy Injury" or "property damage•.

4.

If any other additional insured endorsement applies to any person or organization and you are obligated under a written agreement to provide liabaity insurance on a primary, excess, contingent. or any other basis for that additional insured, this policy will apply solely on the basis required by such written agreement and Item 4.

Othe r Insurance of SECTION rv of this policy will not apply, regardless of whether the pers on or

has available other valid and collectible Insurance. If the applicable written agreement does not specify on what basis the liability insuran ce will apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy will govern.

organization

LN 2001 0605