ACCEPTED_CTR067771_GL__AL__WC_10.01.23_-_10.01.26.pdf
PDF 596 KB Posted
- Attached to
- Master Agreement AZ|CTR067771
- Contract number
- CTR067771
- Issued by
- Arizona
About this file
This is a comprehensive insurance certificate package for Granite Construction Company, issued by multiple insurance carriers including Transportation Insurance Company, Valley Forge Insurance Company, and Steadfast Insurance Company. The documents cover various insurance policies including Commercial General Liability, Automobile Liability, Workers' Compensation, and Contractors' Pollution Liability, effective from 10/01/2023 to 10/01/2024. The primary certificate holder is the State of Arizona, specifically the Arizona Department of Transportation (ADOT), located in Phoenix, Arizona.
The insurance policies are related to an On Call Statewide Contract (CTR067771) for Concrete Repair and Replacement Services, awarded on 09/22/2023. The policies provide coverage with various limits, including $2,000,000 for General Liability and Automobile Liability, and $5,000,000 for Contractors' Pollution Liability. The policies include additional insured provisions for the State of Arizona and their departments, with waivers of subrogation and primary and non-contributory status. The coverage extends to all work performed on behalf of the state, with specific provisions for construction projects, ongoing operations, and completed operations.
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
2,000,000
X
2,000,000
2,000,000
X
VALLEY FORGE INS CO
Nil
TRANSPORTATION INS CO
X
WC274978644 (AOS/Stop Gap)
WC274978630 (CA)
10/01/23X
Kimberly Leikam
09/28/2023
560 Mission Street, 6th Floor
10/01/23
10/01/23
X
X
X
69767665
69767665
N
10/01/26
Contractual
X
X
STATE OF ARIZONA
ARIZONA DEPARTMENT OF TRANSPORTATION
206 S 17th AVE
PHOENIX, AZ 85007-3276
X
20508
415-874-4818
20494
X
Granite Construction Company
Alliant Insurance Services, Inc.
10/01/23
XCU Hazards
Contractual Liability
2,000,000
San Francisco, CA 94105
2,000,000
X
X kleikam@alliant.com
Watsonville, CA 95076
10/01/24
10/01/24
USA
415-403-1491
LIC #0C36861
585 West Beach Street forgachj
1-415-403-1491
A X
X
B X
2,000,000
10,000,000
10/01/26
2,000,000
BUA2074978692
X
GL Per ISO Form CG0001 10/01; AL Per ISO Form CA0001 10/13
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Job #:ADOT Concrete Repair and Replacement Services; On Call Statewide Contract CTR067771 Awarded 09/22/2023 State of Arizona and their departments, districts, boards, commissions, officers, officials, agents or state agencies named below are as listed additional insureds with respect to General Liability on a primary and non contributory basis per the attached endorsements. General liability, automobile liability and workers compensation waiver of subrogation applies in favor of the above referenced additional insureds, per the attached endorsements. 30 day written notice of cancellation for non renewal and 10 days notice of cancellation for non payment of premiums.
GL2074978689 2,000,000
A
B e6906 Accepted
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
X
26387
10/01/23EOC508792219
560 Mission Street, 6th Floor
Kimberly Leikam
USA
of Transportation.
Evidence of Pollution insurance including Waiver of Subrogation in favor of the State of Arizona and Arizona Department
On Call Statewide Contract CTR067771 Blanket Certificate of Insurance - All work on behalf of the State of Arizona and ADOT
415-403-1491
10/01/24
206 S. 17th Avenue
San Francisco, CA 94105
1-415-403-1491
Watsonville, CA 95076 kleikam@alliant.com
585 West Beach Street
Granite Construction Company
Phoeniz, AZ 85007-3276
Contractors Pollution Lb. Ea. Occurrence Lmt
Alliant Insurance Services, Inc.
STEADFAST INS CO
schultzv
5,000,000
69830338
69830338
415-874-4818
X
10/02/2023
LIC #0C36861
Arizona Department of Transportation The State of Arizona
A
SUPP (10/00)
SUPPLEMENT TO CERTIFICATE OF INSURANCE
DATE
NAME OF INSURED:
Granite Construction Company
10/02/2023 expressly negotiated for by contract.
The named insured reserves its rights to provide any additional coverages under the policies above to only those under Section II. Supplementary Payments for all covered Public Relations Expenses combined will be subject to the Public Relations Expenses Limit of Liability shown in the Declarations. A Crisis Event occurs when you first become aware of the Crisis Event.
E. Bankruptcy Litigation Expenses
We shall reimburse the Insured up to a maximum of $25,000 per Claim, subject to a maximum of $50,000 per Policy Period, for the reasonable and necessary legal fees, costs, and expenses incurred by the Insured in filing a motion to seek relief from a bankruptcy stay with regard to a Design Professional as part of a Protective Claim against that Design Professional.
III. DEFINITIONS
When used in this policy, the following terms, whether in the singular or plural, are defined as follows:
A. Additional Insured means, solely with respect to Coverage C.1. Contractor’s Pollution Liability, any person or organization that is required to be added as an Insured on this policy by written contract or written agreement executed with the Insured prior to a known Pollution Event as a result of the performance of Covered Operations that are the subject of such written contract or written agreement.
B. Automobile means a land motor vehicle, trailer, or semi-trailer designed for travel on public roads, including any machinery or apparatus attached thereto.
C. Bodily Injury means physical injury, sickness, disease, or death sustained by any person, including mental anguish, emotional distress, and costs for medical monitoring, but only when such mental anguish, emotional distress, and costs for medical monitoring are a direct result of physical injury, including physical injury to tangible property.
D. Carrier means any person or organization that is properly licensed to transport Materials by Automobile, Vessel, or rolling stock, including the Insured and any other person or organization, pursuant to written contract or written agreement, that transports such Materials on behalf of the Insured.
E. Circumstance means:
1. an event reported to us during the Policy Period in compliance with Subsection VI.E. Notice of Circumstance, which the Insured could reasonably expect to result in a Claim; and
2. all proceedings reported to us during the Policy Period in compliance with Subsection II.A. Pre-Claims Assistance.
F. Claim means:
1. Under Coverage A.1., a Professional Liability Claim;
2. Under Coverage A.2., a Rectification Claim;
3. Under Coverage B., a Protective Claim;
4. Under Coverages C.1.a., b., c. and Subsection I.C.1.e., a Contractor’s Pollution Liability Claim;
5. Under Coverage C.1.d., a Time Element Claim; or
6. Under Coverage C.2., a Mitigation Claim.
G. Claim Expenses means reasonable and necessary fees, costs, and expenses resulting from the investigation, adjustment, defense, and appeal of a Claim:
1. charged by an attorney designated by:
a. us; or
b. the Insured with our prior written consent; and
2. if incurred by us or the Insured with our written consent, including, but not limited to, premiums for any appeal bond, attachment bond, or similar bond. We have no obligation to apply for or furnish any such bond.
Claim Expenses does not include salaries, expenses, or any other compensation of your principals, directors, officers, or employees; salaries or expenses of our regular employees or officials; or fees and expenses of independent or public adjusters retained by us or the Insured.
STF-CPP-100-D CW (10/20)
POLICY NUMBER: EOC508792219
G. Other Insurance
1. Except as specifically provided in Subsection IX.G.2. below, this policy is excess over any other applicable insurance available to the Insured, including but not limited to project-specific policies or wrap-up policies, whether such other insurance is stated to be primary, pro-rata, contributory, excess, contingent, self-insured, or otherwise, unless such other insurance is written specifically excess of this policy by reference in such other policy to this policy number.
a. When this policy is excess under this Subsection IX.G.1., neither payments by the Insured to satisfy a Self-Insured Retention or Deductible applicable to any underlying policy nor payments by the underlying insurer will satisfy the Self-Insured Retention under this policy.
b. When this policy is excess under this Subsection IX.G.1. for a claim arising out of Professional Services, coverage under Coverage A.2. Rectification will not be available to the Insured.
c. When this policy is specifically written as excess over another insurance policy, Section II.
Supplementary Payments will not be available to the Insured.
d. This policy will apply specifically as excess over any project-specific insurance policy subject to its limitations, conditions, provisions, and other terms; provided, however, unless specifically endorsed, this excess coverage will not be broader than the project-specific insurance policy and will not function as Difference in Conditions coverage.
2. Insurance provided under Coverage C.1. Contractor’s Pollution Liability is primary and non-contributory unless:
a. an endorsement states that the coverage is excess or contingent upon the absence of other insurance;
b. any other insurance is available to cover liability for any Loss arising out of the premises or operations for which the Insured has been added as an additional insured on another policy;
c. other insurance is provided for Transportation under Coverage C.1.b. Transportation or non-owned disposal sites under Coverage C.1.c. Non-Owned Disposal Sites;
d. the Insured is not required by written contract or written agreement to provide insurance for an Additional Insured under Subsection I.C.1.e. Additional Insured on a primary basis; or
e. another insurance policy, in force prior to this Policy Period, is available to the Insured for any Loss or Claim Expenses also covered under the terms and conditions of this policy, even if the other insurance policy does not provide coverage in whole or in part for the Loss or Claim Expenses.
The insurance provided under Coverage C.2. Mitigation is primary. The coverage under Coverage C.2.
Mitigation will not be available to the Insured on an excess basis.
3. When this policy is excess under Subsection IX.G.1. or Subsection IX.G.2. above and any other insurance has a duty to defend the Insured in a matter for which the Insured has notified us of a Claim, regardless of whether that other insurance covers the same Damages, Loss, or Claim Expenses, we shall have no duty to defend the Claim until the limits of all the other insurance have been exhausted by payment of Claims. If no other insurer defends and we have a duty to defend the Claim, we shall undertake the defense, but we shall be entitled to the Insured’s rights against all other insurers. When this insurance is excess over other insurance, we shall pay only our share of the amount of the Damages, Loss, or Claim Expenses, if any, that exceeds the sum of:
a. the total amount that all such other insurance would pay for the Damages, Loss, or Claim Expenses in the absence of this insurance; and
b. the total of all deductible and self-insured amounts under all the other insurance.
STF-CPP-100-D CW (10/20)
J. Separation of Insureds
The written application for this policy will be construed as a separate application by each Insured. No statement in the application or knowledge possessed by any Insured will be imputed to any other Insured for the purpose of determining if coverage is available. Only the statements in the application made by and knowledge possessed by any Responsible Insured will be imputed to all Insureds for the purpose of determining if coverage is available to the Insured.
However, in the event that such written application for this policy contains misrepresentations or omissions made with the intent to deceive or that materially affect either the acceptance of the risk or the hazard assumed by us under the policy, then coverage will be void ab initio as to all Insureds.
K. Sole Agent
If there is more than one (1) Named Insured in this policy, the Named Insured that is listed in the Declarations shall act on behalf of all Insureds for all purposes, including but not limited to the payment or return of premium, responsibility for payment of any Self-Insured Retention, receipt and acceptance of any endorsement issued to form a part of this policy, complying with all applicable claims provisions, giving and receiving notice of cancellation or nonrenewal, and the exercise of the rights provided in the Automatic Extended Reporting Period, Optional Extended Reporting Period, if applicable, or Subsection IX.L. Subrogation.
L. Subrogation
In the event of any payment under this policy, we shall be subrogated to all the Insureds' rights of recovery against any person or organization, and the Insureds shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The Insureds shall do nothing to prejudice such rights.
We shall not exercise any such rights against any person(s), firm(s) or corporation(s) included in the definition of Insured, against the Insured's clients, or as may be required by a written contract or agreement if, prior to the Claim, the Insured contractually agreed to or entered into a legally enforceable waiver of subrogation.
For any recovery obtained through subrogation, after expenses incurred in such subrogation are deducted by the party bearing the expense, reimbursement will be made in the following order:
1. First, to any interest who has paid any amount in excess of the Limits of Liability provided under this policy;
2. Next, to us; and
3. Then to any interests as are entitled to claim the remainder, if any.
M. Policy Territory
Coverage under this policy will extend to Claims, Wrongful Acts, Pollution Events taking place and Damages or Loss incurred anywhere in the world, where permitted by applicable law. All premiums, Limits of Liability, Self-Insured Retentions, Damages, Loss, Mitigation Costs and Expenses, Rectification Costs and Expenses, Protective Claim Attorneys’ Fees and Expenses, and Claim Expenses, and any other amounts paid under this policy are expressed and payable in the currency of the United States of America. If judgment is rendered, settlement is denominated, or another element of Damages or Loss under this policy is stated in a currency other than United States dollars, payment under this policy will be made in United States dollars at the rate of exchange published in The Wall Street Journal on the date the final judgment is reached, the amount of the settlement is agreed upon, or the other element of Damages or Loss are due, respectively, or, if not published on such date, the next date of publication of The Wall Street Journal.
STF-CPP-100-D CW (10/20)
SUPP (10/00)
SUPPLEMENT TO CERTIFICATE OF INSURANCE
DATE
NAME OF INSURED: Granite Construction Company
09/28/2023 expressly negotiated for by contract.
The named insured reserves its rights to provide any additional coverages under the policies above to only those
G-140331-D (Ed. 01/13)
G-140331-D (Ed. 01/13)
POLICY #: GL2074978689
EFFECTIVE: 10/01/2023
Copyright, CNA All Rights Reserved.
BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS –
WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE
It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows:
SCHEDULE (OPTIONAL)
Name of Additional Insured Persons Or Organizations (As required by "written contract" per Paragraph A. below.)
Locations of Covered Operations
(As per the "written contract," provided the location is within the "coverage territory" of this Coverage Part.)
A. Section II - Who Is An Insured is amended to include as an additional insured:
1. Any person or organization whom you are required by "written contract" to add as an additional insured on this Coverage Part; and
2. The particular person or organization, if any, scheduled above.
B. The insurance provided to the additional insured is limited as follows:
1. The person or organization is an additional insured only with respect to liability for "bodily injury," "property damage," or "personal and advertising injury" caused in whole or in part by:
a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your ongoing operations specified in the "written contract"; or
b. "Your work" that is specified in the "written contract" but only for "bodily injury" or "property damage" included in the "products-completed operations hazard," and only if:
(1) The "written contract" requires you to provide the additional insured such coverage; and
(2) This Coverage Part provides such coverage.
2. If the "written contract" specifically requires you to provide additional insurance coverage via the 10/01 edition of CG2010 (aka CG 20 10 10 01), or via the 10/01 edition of CG2037 (aka CG 20 37 10 01), or via the 11/85 edition of CG2010 (aka CG 20 10 11 85), then in paragraph B.1. above, the words 'caused in whole or in part by' are replaced by the words 'arising out of'.
3. We will not provide the additional insured any broader coverage or any higher limit of insurance than:
a. The maximum permitted by law;
b. That required by the "written contract";
c. That described in B.1. above; or
d. That afforded to you under this policy, whichever is less.
4. Notwithstanding anything to the contrary in Condition 4. Other Insurance (Section IV), this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or
G-140331-D (Ed. 01/13)
G-140331-D (Ed. 01/13)
POLICY #: GL2074978689
EFFECTIVE: 10/01/2023
Copyright, CNA All Rights Reserved.
any other basis. But if required by the "written contract" to be primary and non-contributory, this insurance will be primary and non-contributory relative to insurance on which the additional insured is a Named Insured.
5. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," or "personal and advertising injury" arising out of:
a. The rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including:
(1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and
(2) Supervisory, inspection, architectural or engineering activities; or
b. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part.
C. SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows:
1. The Duties In The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured:
An additional insured under this endorsement will as soon as practicable:
(1) Give us written notice of an "occurrence" or an offense which may result in a claim or "suit" under this insurance, and of any claim or "suit" that does result;
(2) Except as provided in Paragraph B.4. of this endorsement, agree to make available any other insurance the additional insured has for a loss we cover under this Coverage Part;
(3) Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or "suit"; and
(4) Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under this Coverage Part. But if the "written contract" requires this insurance to be primary and non-contributory, this provision (4) does not apply to insurance on which the additional insured is a Named Insured.
We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or "suit."
D. Only for the purpose of the insurance provided by this endorsement, SECTION V – DEFINITIONS is amended to add the following definition:
"Written contract" means a written contract or written agreement that requires you to make a person or organization an additional insured on this Coverage Part, provided the contract or agreement:
1. Is currently in effect or becomes effective during the term of this policy; and
2. Was executed prior to:
a. The "bodily injury" or "property damage"; or
b. The offense that caused the "personal and advertising injury," for which the additional insured seeks coverage under this Coverage Part.
All other terms and conditions of the Policy remain unchanged.
Material used with permission of ISO Properties, Inc.
POLICY NUMBER: GL2074978689
EFFECTIVE: 10/01/2023
COMMERCIAL GENERAL LIABILITY
CG 25 03 05 09
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 25 03 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 2
DESIGNATED CONSTRUCTION PROJECT(S)
GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designated Construction Project(s):
Any construction project as required by a written contract or agreement that was executed prior to the date of loss.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above:
1. A separate Designated Construction Project
General Aggregate Limit applies to each designated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations.
2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard," and for medical expenses under Coverage C regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or bringing "suits."
3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above.
4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply.
However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit.
Page 2 of 2 Copyright, Insurance Services Office, Inc., 2008 CG 25 03 05 09
B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above:
1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and
2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit.
C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit.
D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project.
E. The provisions of Section III – Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Waiver of Transfer of Rights of Recovery Against Others to Us
This endorsement modifies insurance provided under the following:
Commercial General Liability Coverage Form
Under SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following:
We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of:
1. Your ongoing operations; or
2. "Your work" included in the "products completed operations hazard."
However, this waiver applies only when you have agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or agreement:
1. Is in effect or becomes effective during the term of this policy; and
2. Was executed prior to loss.
This endorsement is part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below.
Must Be Completed Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy
ENDT. NO. POLICY NO.
GL 2074978689
ISSUED TO:
Granite Construction Incorporated
EFFECTIVE DATE OF THIS
ENDORSEMENT:
10/01/23
G-15115-A (Ed. 10/89)
G-15115-A Page 1 of 1 (Ed. 10/89)
POLICY NUMBER: GL2074978689
EFFECTIVE: 10/01/2023
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CHANGES – NOTICE OF CANCELLATION
OR MATERIAL COVERAGE CHANGE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
In the event of cancellation or material change that reduces or restricts the insurance afforded by this Coverage Part (other than the reduction of aggregate limits through payment of claims), we agree to mail prior written notice of can-cellation or material change to:
SCHEDULE
1. Name: Any person or organization you are required by written contract or agreement to mail prior written notice of cancellation or material change.
2. Address: Per Certificates of Insurance on file with the broker.
3. Number of days advance notice:
For non-payment of premium, the greater of:
• the number of days required by state statute or
• the number of days required by written contract
For any other reason, the lesser of:
• 60 days or
• the number of days required in a written contract
CNA71527XX
(Ed. 10/12)
CNA71527XX (10/12) Policy No: BUA2074978692 Page 1 of 1 Endorsement No:
Effective Date: 10/01/2023 Insured Name: Granite Construction Incorporated
Copyright CNA All Rights Reserved.
ADDITIONAL INSURED – PRIMARY AND NON-CONTRIBUTORY
It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows:
SCHEDULE
Name of Additional Insured Persons Or Organizations
Any person or organization whom the named insured is required by written contract to add as an additional insured on this policy.
1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II – LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy.
2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy.
All other terms and conditions of the Policy remain unchanged.
POLICY NUMBER: BUA2074978692 COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 04 44 10 13 Copyright, Insurance Services Office, Inc., 2011 Page 1 of 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: Granite Construction Incorporated
Endorsement Effective Date: 10/01/2023
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
Any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.
Granite Construction Incorporated 10/01/2023
Workers Compensation And Employers Liability Insurance
Policy Endorsement
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
This endorsement changes the policy to which it is attached.
It is agreed that Part One - Workers’ Compensation Insurance G. Recovery From Others and Part Two - Employers’ Liability Insurance H. Recovery From Others are amended by adding the following:
We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)
PREMIUM CHARGE - Refer to the Schedule of Operations
The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.
Endorsement No: 6; Page: 1 of 1 Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago, IL 60606
Form No: G-19160-B (11-1997) Endorsement Effective Date:
Policy No: WC 2 74978630 Policy Effective Date: 10/01/2023 Policy Page: 53 of 83
Endorsement Expiration Date:
© Copyright CNA All Rights Reserved.
Workers Compensation And Employers Liability Insurance
Policy Endorsement
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual.
Schedule
Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement.
The premium charge for the endorsement is reflected in the Schedule of Operations.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.
Policy No: WC 2 74978644 Policy Effective Date: 3 Policy Page: 296 of 442
Form No: WC 00 03 13 (04-1984) Endorsement Effective Date: Endorsement Expiration Date:
Endorsement No: 32; Page: 1 of 1 Underwriting Company:
Copyright 1983 National Council on Compensation Insurance.
C'NA
WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY
NOTICE OF CANCELLATION OR MATERIAL CHANGE ENDORSEMENT
G-20472-A (Ed. 10/93)
In the event of cancellation or other material change of the policy, we will mail advance notice to the person or organization named in the Schedule. The number of days advance notice is shown in the Schedule.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
1. Number of days advance notice:
For non-payment of premium, the greater of:
Schedule
• the number of days required by state statute or
• the number of days required by written contract
For any other reason, the lesser of:
• 60 days or
• the number of days required in a written contract
2. Notice will be mailed to:
Any person or organization you are required by written contract or agreement to mail prior written notice of cancellation or material change.
Address: Per Certificates of Insurance on file with the broker
This endorsement changes the policy to which II ls attached and is effective on the date Issued unless otherwise stated.
(The inrormation below Is required only when this endorsement Is issued subsequent to preparation or the policy,)
Endorsement Effective 10·1-23 Policy No. WC274978630 Valley Forge Insurance Company
WC 99 06 06
G-20472-A (Ed. 10/93)
WC274978644 Transportation Insurance Company
File details come from the government source that posted it. Updated .