HomeMy WebLinkAboutAECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE 2020-2021Ro� CERTIFICATE OF LIABILITY INSURANCE °o�r;snozo°"`
TIiIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WOLDER. T
C�R7'IFICATE DOES NO� AFFIItMA71VELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIC
BELOW. TNIS C.ERTIFICATE OF INS{1RANCE DOES NOi CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S�, AUTHORI:
REPRESENTATIVE OR PRODLICER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADOITIONAL INSURED provisions or be endor�
�f SUBROGATION IS WAIVED, subject to the terms and conditions of the poiicy, certain polic+es may raquire an endorsement. A statemenl
this certificate does not confer ri hts to the certificate holder in lieu of such endorsement(s},
PRO�IICEft C NTACT ��� v�
MarSh Risk & Insurance Services NAME: �
CA License �t0437153 PHONE 213_���8 Fa c No : 212-94&0533
633 W. Fiftli SVeel, Suite 1200 aooR�E : James.l.vogel�marsh.00m
Los Angeles, CA 90071
Attn: LosAngeles.CertRequesT(�Marsh.Com INSURER S AFFORDING COVEitAGE NAIt
CN101348564-PROJ-GAUE-2a21 DENVE CO 04 2018 msurtert n: ACE American Insurance Com an 22667
INSURE� INSURER B: WA wA
AECOM TECHNICAL SERVICES, INC.
71717TH STREET, SUITE 26W INSURER C: WA wA
DENVER, CO 90202 ,,,a,.e�e ., . e�r nrnon �n!
E:
QVERAG�S c�RTI�ICATE NUMB�R: �os-oo2�a7�ss-ao REVISION NUMBER:
THIS !S TO CERiIFY THAT 7Hf POLlCIES OF INSURANCE LISTED BFLOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PER
INDICATED NO�1rVITFiSTANDING ANY REQUEREMENT TERM OR CONDITIpN OF ANY CONTF2ACT QR OTH�R DpCUMENT IMTH RESPECT T� WHICH l
CERTIFICA7� hSl1Y BE lSSUED OR MAY PrR7AIN, THE INSURANCE AFFORDED BY 7HE POLICIES DESCf218E0 HEREIN IS SUBJECT 1'O ALL THE TER
EXC�USIONS ANp CONplTIONS OF SUCK POUCIES. LIMITS SHOWN MAY HAVE eE�N REpUCED BY PAIp CLA1M5.
TYf'E OFlNSURANCE
COMiHER�IAL GEHERAL LIABf�1TY
� ClAlIAS-I,�fADE � OCCUR
GEN'L AGGREGA7E LIMIT APPLIES PER.
� POLICY D j�CT n LOC
A AUTOMOBILELIASILITY
X ANY AUTO
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AUTOS
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OCCUR
AND EMPLOYERS' LIA8ILITY Y! N
ANYPROPRIETDRlPARTNERJEXECUTIV E
OFFICERIMEMBERE%CLl1�ED? u N!A
(Mandatory in NH�
li VBS. dBSCfibO UlldBf
LIiNITS
EACHOCCURR@NCE $ 1�
A i+l �
PREMISES Ea ott�rren[e S
ME� EXP (My one person) S
PERSONRL&A�VINJURY $ ��
GENERALAGGREGATE 4 ��
PROAUCTS - COMPlOP AGG $ � �
S
COMBINED SINGLE LIMIT s �
Ea aceident
BOQILY INJURY (Per pg�son) i
BODILY INJIIRY (Per accldent� S
PROPERTYDAMAGE S
Per accWenl
s
EACH OCCURIiENCE S
E.L DISEASE EA
2,
2,
�ESCRIPTION OF pPERAT[ON$! LOCATION31 YEHICLES (ACORU 101, Additional Remarka Sehedule, may be aHachetl if more spete la requiretl}
RE: 7392 CIVII ENGINEERING, DESIGM URAFTING & SURVEI' SER'/ICES dN-CALL AGREENkENT
THE CITY dF FQRT COLLiNS, !i'S OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIdNAL INSilREO FOR GL 8 AL COVERAG�S, BUT ONLY AS RESPECTS WORK PERF4RMED B'
BEHALF OF THE NAMED INSUREO.
TE
Cily Of FOrt C011ins
Attn: Jahn Stephen - Senior Buyer
P.O. Bax 280
Fort Collins, CO 8Q524
SHOULD ANY OF THE ABOVE DESCRIBEp POLICIES BE CANCELLED BEF�
THE EXPIfiATION aATE THEREOF, IVOTICE WILL BE �ELIVERED
ACCORDANCE WITH THE PpLICY PROVISIONS.
AUTHORIZED REPRESENTATIVf
ot Marsh Rlsk 8 Insurence Services
James L. Vogel ���� — — -
O 1988-201B ACORD CORPORATION. Ail rights rese
ACORD 25 {2016103} The ACORD name and logo are registered marks of ACORD
} a��NCY c�sronne� io: CN101348564
� �- — ---- --. _ . _ . ..-----
�OC !�: Los An�eles
ACO � ADD�TI�NAL REMARKS SCHEDULE Page 2 of
`„�� -
AGENGY HAMEDINSIIRE�
MarsR Risk 8 Insurance Services AECOM TECHNICAL SERVICES, INC
71717TH STREET, SUITE 2fi00
PouCr NUMBER DENVER, CO 90202
CARRIER
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THiS ADDETIONAL R�MARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate oi Liabilily Insurance
worlsers CompensatianlEmpbyer liabdiry conl.
Policy Number Insurer Slates Covered
WLR C669234QA Indemnity Insurance Company of Narlh Amenca - NNC � 43575 AOS
wLR C6692332D ACE American Insurance Company - NAIC p 22667 CA, PZ, MA
SCF C66923368 ACE American lnsorarwe Campany - NAIC p 22667 WI Re1ro
Waiver of Subrogalion i� applicable where regwred by writtan con�racl wilh respact to WC II Ihe irssurer for IAe Wprkers CompensaUon poliCy cancels ils pol�cy for any reasan
other Ihan for non•payment af premium, the insurer will provide 30 days notice af cancellalion lo those Cer65cate liolders Itia! reyoire ii by wriqen oontracl.
ACORD '! 01 (2008101) � 2008 ACORD CORPQRATIQPf. All rights resen
The ACORD name and logo are registered marks of ACORD