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Home My WebLink AboutAECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE 2020-2021 (2)A�� DATE (MMlDDlYYYY� CERTIF�CATE 4F LIABiLITY INSURANCE �„�� 7Hl5 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS k0 RIGHTS UPON TliE CERTIFICATE HOL�ER. THI: CHRTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALT�R THE CpVERAGE AFFORDED BY THE POLlCIE: BELOW. THIS CERTIFICATE O� INSURANCE DOES NOT CONSTITUTE A CONTRACT BE7WEEN TH@ ISSUING INSURER{S}, AUTHORIZE[ REPRESENTATIVE OR PRODUC�12, AND 7HE C�R7IFICA7E HOLDER. 1MPORTANT: If the certificate holder is an ADOITIpNAL �NSUREd, tha policy�iesJ must have ADDITIONAI. INSURED provisions or be endorsed 1f SUBROGATION fS WAIVED, subject to the terms and conditions of the polEcy, certain policies may require an endorsement. A statement oi this certificate does not confer ri his to the certificate holder in lieu of such endorsement{s). PRooucsR ONTA T . Marsh Risk 8 Insurance Services NAME: CA LiGensp �0437153 PHONE A!0 No : 6� W. �Iflh $tr��, $111tB �2� E•MAIL Los Angeles, CA 9067i o°RE : Altn: LosAngeles.CertRequesl(a�Marsh Com INSIIRER S AFFORDING COVERAGE NAIC # CN101348564-5TND-GAUE-2D•21 12 2024 �NsuR�a n: ACE American Insurance Com n ZZ6fi� FN AECOM �NSURER B: IVIA WA AECOM Tedmical Services, Inc rosurtert c: Ilunois Unian Insurance Ca 2T96p 6200 South �uebec 5ueel iNsuRE�t D: SEE ACOR6101 Greenwood Yllage, CQ 80111 dVERAGES CERTIFICATE NUMBER: L05-OU2457464-15 12EVISION 1+1UM8ER: fHlS IS Tp C�RTIFY TNAT TFiE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TME POLICY PERIO[ INOICATED NO7IMTWSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEGT TQ UVH4CH THI: CERTIFICATE MAY BE ISSilED OR MAY PERTAIN THE INlSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIi�k IS Si1BJECT TO ALL THE TERAAS EXCLUSIONS ANb COND171QNS OF SUCH POLICIES LIMI75 SHd1+VN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPEOF INSURANCE ppV� X COMMERCFALGENERALLWBILITY � HDOG7123311A 1 I , I C�ainns-naaoE �� ocCUR j GEN'L AGGREGATE LIMtT APPLIES PER� POLICY � PRO- � ] LOC X . JECT � OTHER AUTQMOBILE LIABILITY X ANY AUTO � OYIMED I SCHEDULE� ._ ., AUTbS 6MLY . ' AUTOS HIR�D NON-ONMED � AUTOS QI+lLY AUTOS ONLY UMBREtLA L1AB ' pCCUR EXCESS LIAB ; CLAIMS-MADE �E� i I RETENTIONS I I D 4YpRKERSCOMPHNSATIpN � SE_ACOai0101 . I 4 21 x $TATUTE ERH AND EMPLOYERS' LIABILITY AIVYPROPRIE-OWPAR7NERlEXECUTIVE Y� N f A i E L EACH ACCIQENT OFFICERlMEMBER EXC LUDED9 (Mandatoryr in NNj , E L OISEASE EA EMPLOYEI IT yes, descrlbe under DESCRIPTIOM OF OPERATIONS below E L DISEASE � POLICY LIMIT C ARCHITECTS 8 ENG. EON G21654643 045 04l01l202D 04l01l2{121 Per ClaimlAgg PROfESSIONAL LlAB. "CLAIMS FMDE" Defense Included 3 S 5 S 2,OOD 2,UOD 2,�� l0,OD0 DESCRIPTION OF OPERATIONS! LOCATIONS ! VEIIICLES (ACORO iQ1, Atlditional Remarks Schetlule, may ba allachetl if more spaee la requlredJ Re: AECOM Prcyecl No: 04i914532607; Client Relerence Mo: 8976?SA WO Agreemen[ 12-ta19. ProjecE Name: lialligan Project. Localan OescnpUo��. Halligan Resenrou �s located aboul 25 miles northwest c Forl CoII ns on lhe North Fvrk oi the Cache la Paudre River in Seclions 33 and 34, Township 11, NoRh, Ra�ge 71 West of Ihe Sixth P M., Lanmer Caumy, Cabrado Hall�gan Resenroir �s approximateiy 14 m-les noMwest �I 5eaman Reservoir, which is at Ihe oonfluence ot the Norlh For[c and main stem af Ihe Cache la Poudre River. The Cily of Fort ColUns, Colorado, ils a(�cers, agenls and empbyees are �amed as addiiional insured la GL 8 AL ooverages, hul only as respecls wnrlc perfortr�ed by a on behalf ol the named nsured and wherE required by wiitten conlract. THE Ci7Y OF FORT COLLINS, COLORAbO Aqn: Ms. Pal Johnson I 5enior Buyer 215 N. Mason St 2nd Floor PO Box 580 �art Caflins, CO 80522 ACORD 25 (2016l03) EACH OCCURRENCE �l,iACE TO RENT� u MEO EXP ;My ona �nrson� PERSONAL 8 AOV 1NJURY PRO�UCTS-COMPlpPAGG ;�Lli�ir'Yz�Y� $ s $ S 5 � � - $ S 2,000 z,aoo 6 _ ...--2,{100 z,000 2,�0 ` z,00a BODILY INJURY �Per persanJ 3 BODILY INJURY (Per aetitlent} S PROPERTYDAMAGE $ ��ei S EACH OCCURRENCE AGGREGATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREd R ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE pf Marah Risk 8 lesurante ServiCes James L. Vogel � ��-- — OO 198$-2016 ACORD CORPORATION. All rights reservE The ACORD name and Iogo are registered marks of ACQRD ACORO� AGENCY Marsh Risk & In.surance Services POLICY N4FMBER CARRIBR AGENCY CUSTOMER ID: CN10734$564 LOC �: Los Angeles ADDIT�4NAL REMARKS SCHEDULE NAMEDINSURES AECOM AECOM Techmcal 5ernces Inc 6240 5oulh Quebec 5lreet GreenwnOd Village, CO 8Qt11 NAIC C06E EFFECTlVE DATE: Page 2 of _ � 7HIS ADDITIONAL REMARK5 FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: Z� FORM TITLE: Certificate of Liabilily Insu�ance Worlsers CompensationlEmployer Liabilily conl. Policy Number Insurer Slates Covered WLR C&692340A Indemniry Insurar�ce Company of Norih America - NAIC p 43575 A05 WLR C&6923320 ACE American Insurance Company - NAIC # 22667 CA, AZ, MA SGF C6fi923368 ACE AmeriCa� InsaranCe Company - NAIC 1t 226fi7 WI Relro Waiver af SuGrogalqn is applit2ble wt�ere required by wrillen oDnUaCI wilh respeCl 10 GL, AL and WC. AGORD 101 (2008101 j � 2008 AC4RD CORPORATIbN. All rights reserve ihe ACORD name and logo are registered r�ta�ks of ACORD