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<br />AC08Q. CERTIfiCATE OF LIABILITY INSURANCE 7' ~ <br />::::-:::i:.=;:'.~' ~~~i:U.:!!t.: <br /> <br />-,.....--.,- ,-----~. <br />..,=-~.:-_;--- - -1~fra"-.' t-"'~_ <br />",,,._,,.Nt.._ ~ 'I <br />i1.........."...~ i~.f <br /> <br /> <br />;;;;-- t- <br />= <br /> <br />- - . <br /> <br />;:~..~:~: <br />.; ... . <br />; <br /> <br />,......,~ ...-us_ _lttS_ ....__,." ,II ~..__... <br />,....."..._-" -...-.........-"'"..--...... <br /> <br />_~..._I_~r ............ <br />.,,'m..."_.,' _'............ <br /> <br />u..J, _ <br />11'-._. -.' 0-11.. <br />11._._.- <br /> <br />,"".'.' <br />-,. <br />-.- <br /> <br /> <br />~-~-- ----~ <br />-....------- <br />.,--.--.....- <br />,----- <br />:.::-u:;::;: ~_ <br /> <br />Evidence of Insurance Coverage <br /> <br />Insurance <br /> <br />. <br />. <br />-. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />We will be pleased to provide an insurance certificate upon request, within <br />a reasonable timeframe of the execution of the Contract and prior to the <br />commencement of any work under the Contract, as will each of the engineering <br />consultants on our team. BWBR carries the insurance coverage noted below. <br />We would like to note that in our history of more than 80 years, we have never <br />had to file a claim with our insurance provider. <br /> <br />Commercial General Liability: <br /> <br />. <br /> <br />Carrier: Fidelity & Guaranty Insurance Co. <br />Coverage: $2,000,000 property/casualty/$I ,000,000 per event; <br />$5,000,000 umbrella <br /> <br />Professional/Technical Liability: <br /> <br />. <br /> <br />Carrier: Continental Casualty Co. <br />Coverage: $3,000,000 (includes errors & omissions) <br /> <br />Litigation, Mediation, Arbitration, Termination <br />See previous page entitled Litigation/Termination. <br /> <br />Applicant Assurances Form <br />Stephen P. Patrick, the signer of the form below, is also our firm's authorized <br />representative who can be held accountable for all representations. <br /> <br />Exhibit A <br /> <br />Applicant Assurances <br /> <br />TIle applicant hereby assures and certifies: <br />1. TIut the individual signing the assurance form on behalf of the individual, <br />partnership. company or corporation named in the proposal possesses the <br />legal authority to execute a contract for the proposed work. <br />2. That the firm(s) agree(s) to comply with all applicable federal, state and local <br />compliance requirements. <br />3. That the firm(s) is/are adequately insured to do business and perform <br />the services proposed. <br /> <br />BWBR Architects, Inc. <br />(NAME OF FIR,\l) <br /> <br />~ <br /> <br />380 St. Peter Street, Suite 600 <br />St. Paul, MN 55102-1996 <br /> <br />(OFFICIAL ADDRESS) <br /> <br />(TlTI p) CEO/President <br /> <br />(OATP) January 18, 2007 <br /> <br />52l Proposal for Architectural and Engineering Services: Elk River YMCA: January 2007 <br />