Common use of Changes to Insurance Clause in Contracts

Changes to Insurance. Insurance requirements may be changed by the Owner during the term of this Agreement due to changes in the law, changes in Owner policy, or increased risk due to the nature of the work being performed. Request Number: REQ00001635 Contract Number: 8500383 Contract Title: Facilities Design and Design Management CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) 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). PRODUCER INSURANCE AGENT’S BUSINESS NAME ADDRESS CITY, STATE ZIP CODE CONTACT NAME: INSURANCE AGENT’S MAIN CONTACT NAME PHONE (A/C, No. Ext): INSURANCE AGENT’S TELEPHONE NO. FAX INSURANCE AGENT FAX NO. (A/C, No): E-MAIL ADDRESS: INSURANCE AGENT’S EMAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC# INSURED YOUR COMPANY NAME ADDRESS CITY, STATE, ZIP CODE INSURER A : ABC Insurance Company 11111 INSURER B : DEF Insurance Company 22222 INSURER C : GHI Insurance Company 33333 INSURER D: JKL Insurance Company 44444 INSURER E: MNO Insurance Company 55555 INSURER F: PQR Insurance Company 66666 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYY) POLICY EXP (MM/DD/YY) LIMITS A GENERAL LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGES TO RENTED PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO- JECT LOC B AUTOMOBILE LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR COMBINED SINGLE LIMIT (Ea accident) $500,000 X ANY AUTO BODILY INJURY(Per person) X ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) X X PROPERTY DAMAGE (Per accident) A X UMBRELLA LIAB EXCESS LIAB CLAIMS-MADE Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $9,000,000 AGGREGATE $8,000,000 DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS ‘ LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A Y Policy Number MO/DAY/YR MO/DAY/YR X WC Statutory Limits OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE – EA EMPLOYEE $500,000 E.L. DISEASE – POLICY LIMIT $500,000 D PROFESSIONAL LIABILTIY Policy Number MO/DAY/YR MO/DAY/YR LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach XXXXX 101, Additional Remarks Schedule, if more space is required) Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas are included as Additional Insureds with respects to the GENERAL LIABILITY and AUTO LIABILITY. A WAIVER OF SUBROGATION in favor of the Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas applies with respects to the GENERAL LIABILITY, AUTO LIABILITY, and WORKERS COMPENSATION Policies. CERTIFICATE HOLDER CANCELLATION Dallas Fort Worth International Airport Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 0000 Xxxxxxxx Xxxxx PO Box 619428 XXX Xxxxxxx, XX, 00000 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Date/Time Printed: 7/29/2020, at 4:18 PM Risk Profile: 504-AOA Exhibit B – (M/WBE) Contract Provisions Exhibit B.1 – Commitment to Minority/Women Business Enterprise (M/WBE) Participation Form Exhibit B.2 – Schedule of Subcontractors (Final) MINORITY/WOMEN BUSINESS ENTERPRISE (M/WBE) SPECIAL CONTRACT PROVISIONS Notification is hereby given that an M/WBE Contract Specific Goal has been established for this Contract. The Contractor/vendor has committed to percent ( %) M/WBE participation of the total dollar value of this Contract including any change orders and/or modifications throughout the term of this Contract/agreement. The commitment is a contractual commitment upon execution of the Contract.

Appears in 1 contract

Samples: Design and Design Management Services Agreement

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Changes to Insurance. Insurance requirements may be changed by the Owner during the term of this Agreement due to changes in the law, changes in Owner policy, or increased risk due to the nature of the work being performed. Request Number: REQ00001635 REQ00002299 Contract Number: 8500383 8500403 Contract Title: Facilities Civil Design and Design Management Services CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) 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). PRODUCER INSURANCE AGENT’S BUSINESS NAME ADDRESS CITY, STATE ZIP CODE CONTACT NAME: INSURANCE AGENT’S MAIN CONTACT NAME PHONE (A/C, No. Ext): INSURANCE AGENT’S TELEPHONE NO. FAX INSURANCE AGENT FAX NO. (A/C, No): E-MAIL ADDRESS: INSURANCE AGENT’S EMAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC# INSURED YOUR COMPANY NAME ADDRESS CITY, STATE, ZIP CODE INSURER A : ABC Insurance Company 11111 INSURER B : DEF Insurance Company 22222 INSURER C : GHI Insurance Company 33333 INSURER D: JKL Insurance Company 44444 INSURER E: MNO Insurance Company 55555 INSURER F: PQR Insurance Company 66666 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYY) POLICY EXP (MM/DD/YY) LIMITS A GENERAL LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGES TO RENTED PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO- JECT LOC B AUTOMOBILE LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR COMBINED SINGLE LIMIT (Ea accident) $500,000 X ANY AUTO BODILY INJURY(Per person) X ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) X X PROPERTY DAMAGE (Per accident) A X UMBRELLA LIAB EXCESS LIAB CLAIMS-MADE Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $9,000,000 AGGREGATE $8,000,000 DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS ‘ LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A Y Policy Number MO/DAY/YR MO/DAY/YR X WC Statutory Limits OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE – EA EMPLOYEE $500,000 E.L. DISEASE – POLICY LIMIT $500,000 D E PROFESSIONAL LIABILTIY Policy Number MO/DAY/YR MO/DAY/YR LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach XXXXX 101, Additional Remarks Schedule, if more space is required) Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas are included as Additional Insureds with respects to the GENERAL LIABILITY and AUTO LIABILITY. A WAIVER OF SUBROGATION in favor of the Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas applies with respects to the GENERAL LIABILITY, AUTO LIABILITY, and WORKERS COMPENSATION Policies. CERTIFICATE HOLDER CANCELLATION Dallas Fort Worth International Airport Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 0000 Xxxxxxxx Xxxxx PO Box 619428 XXX Xxxxxxx, XX, 00000 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Date/Time Printed: 7/29/20204/21/2022, at 4:18 1:40 PM Risk Profile: 504502-AOA Exhibit B – (M/WBE) Contract Provisions Exhibit B.1 – Commitment to Minority/Women Business Enterprise (M/WBE) Participation Form Exhibit B.2 – Schedule of Subcontractors (Final) MINORITY/WOMEN BUSINESS ENTERPRISE (M/WBE) SPECIAL CONTRACT PROVISIONS Notification is hereby given that an M/WBE Contract Specific Goal has been established for this ContractProvisions EFFECTIVE 7/1/2020 M/WBE PROGRAM IN EFFECT Please review all Bids/Proposal Documents CAREFULLY! FAILURE to comply with the new requirements will deem your Bids/Proposals Non-Responsive with no Further Consideration. The ContractorM/vendor has committed to percent ( %WBE Participation (Not included in Page Count Limit) M/WBE participation of the total dollar value of this Contract including any change orders and/or modifications throughout the term of this Contract/agreement. The commitment is a contractual commitment upon execution of the Contract.Participation Checklist For:

Appears in 1 contract

Samples: sites.dfwairport.com

Changes to Insurance. Insurance requirements may be changed by the Owner during the term of this Agreement due to changes in the law, changes in Owner policy, or increased risk due to the nature of the work being performed. Request Number: REQ00001635 REQ00002257 Contract Number: 8500383 8500403 Contract Title: Facilities Design Indefinite Delivery of Structural Inspections and Design Management Review Services CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) 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). PRODUCER INSURANCE AGENT’S BUSINESS NAME ADDRESS CITY, STATE ZIP CODE CONTACT NAME: INSURANCE AGENT’S MAIN CONTACT NAME PHONE (A/C, No. Ext): INSURANCE AGENT’S TELEPHONE NO. FAX INSURANCE AGENT FAX NO. (A/C, No): E-MAIL ADDRESS: INSURANCE AGENT’S EMAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC# INSURED YOUR COMPANY NAME ADDRESS CITY, STATE, ZIP CODE INSURER A : ABC Insurance Company 11111 INSURER B : DEF Insurance Company 22222 INSURER C : GHI Insurance Company 33333 INSURER D: JKL Insurance Company 44444 INSURER E: MNO Insurance Company 55555 INSURER F: PQR Insurance Company 66666 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYY) POLICY EXP (MM/DD/YY) LIMITS A GENERAL LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGES TO RENTED PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO- JECT LOC B AUTOMOBILE LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR COMBINED SINGLE LIMIT (Ea accident) $500,000 X ANY AUTO BODILY INJURY(Per person) X ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) X X PROPERTY DAMAGE (Per accident) A X UMBRELLA LIAB EXCESS LIAB CLAIMS-MADE Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $9,000,000 AGGREGATE $8,000,000 DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS ‘ LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A Y Policy Number MO/DAY/YR MO/DAY/YR X WC Statutory Limits OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE – EA EMPLOYEE $500,000 E.L. DISEASE – POLICY LIMIT $500,000 D E PROFESSIONAL LIABILTIY Policy Number MO/DAY/YR MO/DAY/YR LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach XXXXX 101, Additional Remarks Schedule, if more space is required) Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas are included as Additional Insureds with respects to the GENERAL LIABILITY and AUTO LIABILITY. A WAIVER OF SUBROGATION in favor of the Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas applies with respects to the GENERAL LIABILITY, AUTO LIABILITY, and WORKERS COMPENSATION Policies. CERTIFICATE HOLDER CANCELLATION Dallas Fort Worth International Airport Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 0000 Xxxxxxxx Xxxxx PO Box 619428 XXX Xxxxxxx, XX, 00000 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Date/Time Printed: 7/29/20203/10/2022, at 4:18 PM 9:07 AM Risk Profile: 504502-AOA Exhibit B – (M/WBE) WBE Contract Provisions Exhibit B.1 – Commitment to Minority/Women Business Enterprise (M/WBE) Participation Form Exhibit B.2 – Schedule Contract No. 8500403 Page 1 of Subcontractors (Final) 1 MINORITY/WOMEN BUSINESS ENTERPRISE (M/WBE) SPECIAL CONTRACT PROVISIONS Notification is hereby given that an M/WBE Contract Specific Goal has been established for this Contract. The Contractor/vendor has committed to percent ( %) M/WBE participation of the total dollar value of this Contract including any change orders and/or modifications throughout the term of this Contract/agreement. The commitment is a contractual commitment upon execution of the Contract.

Appears in 1 contract

Samples: sites.dfwairport.com

Changes to Insurance. Insurance requirements may be changed by the Owner during the term of this Agreement due to changes in the law, changes in Owner policy, or increased risk due to the nature of the work being performed. Request Number: REQ00001635 REQ00001639 Contract Number: 8500383 8500382 Contract Title: Facilities Design and Design Management QA Inspection Services CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) 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). PRODUCER INSURANCE AGENT’S BUSINESS NAME ADDRESS CITY, STATE ZIP CODE CONTACT NAME: INSURANCE AGENT’S MAIN CONTACT NAME PHONE (A/C, No. Ext): INSURANCE AGENT’S TELEPHONE NO. FAX INSURANCE AGENT FAX NO. (A/C, No): E-MAIL ADDRESS: INSURANCE AGENT’S EMAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC# INSURED YOUR COMPANY NAME ADDRESS CITY, STATE, ZIP CODE INSURER A : ABC Insurance Company 11111 INSURER B : DEF Insurance Company 22222 INSURER C : GHI Insurance Company 33333 INSURER D: JKL Insurance Company 44444 INSURER E: MNO Insurance Company 55555 INSURER F: PQR Insurance Company 66666 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYY) POLICY EXP (MM/DD/YY) LIMITS A GENERAL LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGES TO RENTED PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO- JECT LOC B AUTOMOBILE LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR COMBINED SINGLE LIMIT (Ea accident) $500,000 X ANY AUTO BODILY INJURY(Per person) X ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) X X PROPERTY DAMAGE (Per accident) A X UMBRELLA LIAB EXCESS LIAB CLAIMS-MADE Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $9,000,000 AGGREGATE $8,000,000 DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS ‘ LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A Y Policy Number MO/DAY/YR MO/DAY/YR X WC Statutory Limits OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE – EA EMPLOYEE $500,000 E.L. DISEASE – POLICY LIMIT $500,000 D E PROFESSIONAL LIABILTIY Policy Number MO/DAY/YR MO/DAY/YR LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach XXXXX 101, Additional Remarks Schedule, if more space is required) Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas are included as Additional Insureds with respects to the GENERAL LIABILITY and AUTO LIABILITY. A WAIVER OF SUBROGATION in favor of the Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas applies with respects to the GENERAL LIABILITY, AUTO LIABILITY, and WORKERS COMPENSATION Policies. CERTIFICATE HOLDER CANCELLATION Dallas Fort Worth International Airport Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 0000 Xxxxxxxx Xxxxx PO Box 619428 XXX Xxxxxxx, XX, 00000 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Date/Time Printed: 7/29/20207/31/2020, at 4:18 3:03 PM Risk Profile: 504502-AOA Exhibit B – (M/WBE) Contract Provisions Exhibit B.1 – Commitment to Minority/Women Business Enterprise (M/WBE) Participation Form Exhibit B.2 – Schedule Contract No. 8500382 Page 1 of Subcontractors (Final) 1 MINORITY/WOMEN BUSINESS ENTERPRISE (M/WBE) SPECIAL CONTRACT PROVISIONS Notification is hereby given that an M/WBE Contract Specific Goal has been established for this Contract. The Contractor/vendor has committed to percent ( %) M/WBE participation of the total dollar value of this Contract including any change orders and/or modifications throughout the term of this Contract/agreement. The commitment is a contractual commitment upon execution of the Contract.

Appears in 1 contract

Samples: Qa Inspection Services Agreement

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Changes to Insurance. Insurance requirements may be changed by the Owner during the term of this Agreement due to changes in the law, changes in Owner policy, or increased risk due to the nature of the work being performed. Request Number: REQ00001635 REQ00001924 Contract Number: 8500383 8500394 Contract Title: Facilities Design Project Controls and Design Management Analytic Services CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) 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). PRODUCER INSURANCE AGENT’S BUSINESS NAME ADDRESS CITY, STATE STATE, ZIP CODE CONTACT NAME: INSURANCE AGENT’S MAIN CONTACT NAME PHONE (A/C, No. Ext): INSURANCE AGENT’S TELEPHONE NO. FAX INSURANCE AGENT FAX NO. (A/C, No): E-MAIL ADDRESS: INSURANCE AGENT’S EMAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC# INSURED YOUR COMPANY NAME ADDRESS CITY, STATE, ZIP CODE INSURER A : ABC Insurance Company 11111 INSURER B : DEF Insurance Company 22222 INSURER C : GHI Insurance Company 33333 INSURER D: JKL Insurance Company 44444 INSURER E: MNO Insurance Company 55555 INSURER F: PQR Insurance Company 66666 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: COVERAGES 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYY) POLICY EXP (MM/DD/YY) LIMITS A GENERAL LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGES TO RENTED PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO- JECT LOC B AUTOMOBILE LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR COMBINED SINGLE LIMIT (Ea accident) $500,000 X ANY AUTO BODILY INJURY(Per person) X ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) X X PROPERTY DAMAGE (Per accident) A X UMBRELLA LIAB EXCESS LIAB CLAIMS-MADE Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $9,000,000 AGGREGATE $8,000,000 DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS ‘ LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A Y Policy Number MO/DAY/YR MO/DAY/YR X WC Statutory Limits OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE – EA EMPLOYEE $500,000 E.L. DISEASE – POLICY LIMIT $500,000 D PROFESSIONAL LIABILTIY LAIBILITY Policy Number MO/DAY/YR MO/DAY/YR LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach XXXXX 101, Additional Remarks Schedule, if more space is required) Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas are included as Additional Insureds with respects to the GENERAL LIABILITY and AUTO LIABILITY. A WAIVER OF SUBROGATION in favor of the Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas applies with respects to the GENERAL LIABILITY, AUTO LIABILITY, and WORKERS COMPENSATION Policies. CERTIFICATE HOLDER CANCELLATION Dallas Fort Worth International Airport Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 0000 Xxxxxxxx Xxxxx PO Box 619428 XXX Xxxxxxx, XX, 00000 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Date/Time Printed: 7/29/20204/16/2021, at 4:18 4:12 PM Risk Profile: 504102-AOA NSNA Exhibit B – (M/WBE) WBE Contract Provisions Exhibit B.1 – Commitment to Minority/Women Business Enterprise (M/WBE) Participation Form Exhibit B.2 – Schedule Contract No. 8500394 Page 1 of Subcontractors (Final) 1 MINORITY/WOMEN BUSINESS ENTERPRISE (M/WBE) SPECIAL CONTRACT PROVISIONS Notification is hereby given that an M/WBE Contract Specific Goal has been established for this Contract. The Contractor/vendor has committed to percent ( %) M/WBE participation of the total dollar value of this Contract including any change orders and/or modifications throughout the term of this Contract/agreement. The commitment is a contractual commitment upon execution of the Contract.

Appears in 1 contract

Samples: Project Controls and Analytic Services Agreement

Changes to Insurance. Insurance requirements may be changed by the Owner during the term of this Agreement due to changes in the law, changes in Owner policy, or increased risk due to the nature of the work being performed. Request Number: REQ00001635 REQ00002066 Contract Number: 8500383 8500396 Contract Title: Facilities Design Material Testing and Design Management Inspection Services CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) 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). PRODUCER INSURANCE AGENT’S BUSINESS NAME ADDRESS CITY, STATE ZIP CODE CONTACT NAME: INSURANCE AGENT’S MAIN CONTACT NAME PHONE (A/C, No. Ext): INSURANCE AGENT’S TELEPHONE NO. FAX INSURANCE AGENT FAX NO. (A/C, No): E-MAIL ADDRESS: INSURANCE AGENT’S EMAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC# INSURED YOUR COMPANY NAME ADDRESS CITY, STATE, ZIP CODE INSURER A : ABC Insurance Company 11111 INSURER B : DEF Insurance Company 22222 INSURER C : GHI Insurance Company 33333 INSURER D: JKL Insurance Company 44444 INSURER E: MNO Insurance Company 55555 INSURER F: PQR Insurance Company 66666 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYY) POLICY EXP (MM/DD/YY) LIMITS A GENERAL LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGES TO RENTED PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO- JECT LOC B AUTOMOBILE LIABILITY Y Y Policy Number MO/DAY/YR MO/DAY/YR COMBINED SINGLE LIMIT (Ea accident) $500,000 X ANY AUTO BODILY INJURY(Per person) X ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) X X PROPERTY DAMAGE (Per accident) A X UMBRELLA LIAB EXCESS LIAB CLAIMS-MADE Y Y Policy Number MO/DAY/YR MO/DAY/YR EACH OCCURRENCE $9,000,000 AGGREGATE $8,000,000 DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS ‘ LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A Y Policy Number MO/DAY/YR MO/DAY/YR X WC Statutory Limits OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE – EA EMPLOYEE $500,000 E.L. DISEASE – POLICY LIMIT $500,000 D E PROFESSIONAL LIABILTIY Policy Number MO/DAY/YR MO/DAY/YR LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach XXXXX 101, Additional Remarks Schedule, if more space is required) Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas are included as Additional Insureds with respects to the GENERAL LIABILITY and AUTO LIABILITY. A WAIVER OF SUBROGATION in favor of the Dallas Fort Worth International Airport Board and the Cities of Dallas and Fort Worth, Texas applies with respects to the GENERAL LIABILITY, AUTO LIABILITY, and WORKERS COMPENSATION Policies. CERTIFICATE HOLDER CANCELLATION Dallas Fort Worth International Airport Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 0000 Xxxxxxxx Xxxxx PO Box 619428 XXX Xxxxxxx, XX, 00000 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Date/Time Printed: 7/29/20208/18/2021, at 4:18 12:45 PM Risk Profile: 504502-AOA Exhibit B – (M/WBE) DBE Contract Provisions Exhibit B.1 – Commitment to Minority/Women Business Enterprise (M/WBE) Participation Form Exhibit B.2 – Schedule Contract No. 8500396 Page 1 of Subcontractors (Final) MINORITY/WOMEN BUSINESS ENTERPRISE (M/WBE) SPECIAL CONTRACT PROVISIONS Notification is hereby given that an M/WBE Contract Specific Goal has been established for this Contract. The Contractor/vendor has committed to percent ( %) M/WBE participation of the total dollar value of this Contract including any change orders and/or modifications throughout the term of this Contract/agreement. The commitment is a contractual commitment upon execution of the Contract.1

Appears in 1 contract

Samples: Services Agreement

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