Laserfiche WebLink
Universal Engineering Sciences | 75 <br />H. Forms and Attachments <br />SAGITTA 25.3 (2016/03) <br />DESCRIPTIONS (Continued from Page 1) <br />contract per "Architects, Engineers and Surveyors General Liability Extension Endorsement" Form #CNA74858 <br />01/15. <br /> <br />Per Project Aggregate status is granted as respects to General Liability as per "General Aggregate Limit - <br />Per Project Endorsement" Form #CNA75061 01/15. <br /> <br />Contractual Liability as respects to General Liability as per Commercial General Liability Coverage Form <br />form #CG0001 04/13. <br /> <br />*Additional Insured status is granted with respects to Automobile Liability policy on a primary basis with <br />regard to the operations of the named insured if required by written contract per endorsement "Business <br />Auto Coverage Form" form #CA0001 10/13. <br /> <br />*Waiver of Subrogation status is granted with respects to General Liability if required by written contract <br />per "Architects, Engineers and Surveyors General Liability Extension Endorsement" Form #CNA74858 01/15. <br /> <br />*Waiver of Subrogation status is granted with respects to Workers Compensation if required by written <br />contract per Waiver of Our Rights to Recover from Others Endorsement, form #WC000313. <br /> <br />*Waiver of Subrogation status is granted with respects to Automobile Liability if required by written <br />contract per "Business Auto Coverage Form" form #CA0001 10/13. <br />Excess policies follow form of the underlying policies. <br /> <br />EXCESS LIABILITY COVERAGES: <br /> <br />Excess Liability Policy over General Liability: <br />Firemans Fund Insurance Company (NAIC# 21873) <br />Policy # USL004132201 <br />Policy term 1-1-2020 to 1-1-2021 <br />Provides an additional $9,000,000 per Occurrence, $9,000,000 per Aggregate, excess liability layer above <br />the underlying $1,000,000 occurrence liability limits/$2,000,000 aggregate liability limit provided by <br />primary General Liability policy with Valley Forge Insurance Company, policy #6075841134. <br /> <br />Excess Liability Policy over Auto Liability and Employers Liability: <br />Endurance Assurance Corporation (NAIC#11551) <br />Policy # EXC30000530702 <br />Policy term 1-1-2020 to 1-1-2021 <br />Provides an additional $1,000,000 excess automobile liability layer above the underlying $1,000,000 <br />liability limits provided by primary automobile policy with National Fire Insurance of Hartford <br />#6075841120. <br />(Aggregate Limit where applicable) <br /> <br />Excess Liability Policy over Auto Liability and Employers Liability: <br />Landmark American Insurance Company (NAIC#33138) <br />Policy # LHA088510 <br />Policy term 1-1-2020 to 1-1-2021 <br />Provides an additional $4,000,000 excess automobile liability layer above the underlying $1,000,000 <br />automobile liability limits provided by Endurance Assurance Corporation Policy # EXC30000530702. <br />(Aggregate Limit where applicable) <br />2 of 2 <br />#S25184452/M25113912