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Home My WebLink AboutAECOM - INSURANCE CERTIFICATEA�'� � pATE[MM10Dl1fYYYJ . _ CERTIFICATE OF LIABILITY INSURANCE �,21�0�0 TH15 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANU CpNFERS NO RIGHTS UFON THE GERTIFICATE HOLDER. THI: CERTIFICATE DOES NOT AFFiRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE: BELOW. THIS CERTIFICATE OF INSl3RANCE DOES N07 CONS7ITUTE A CONTfZACT BETWEEN THE iSSUING INSIiRER(S], AUTHORIZE[ R�PR�SENTATIVE OR PRODl10ER, AND THE CERTIFICATE HOI.DER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed If SUBROGATlON IS WAIVED, suhject ta the terms and conditions of the policy, certain policies may require an endorsement. A statement oi this certificate does not confer ri hts to the certiticate holder in lieu of such endorsement{s . VRODUCER CONTACT . Marsh Risk & Insurance Services NAME: CA Litense p0437153 PHONE FqAfC No : 633 W Fifth Streel Suite 1200 E•MAIL Los Mgeles, CA 90011 ADDRE $: Attn: LosAngeles.CedRequest@Marsh Com INSURER S AFFORDING COVERAGE NAIC N CN�Oi348564-STND-GAUE-2a21 12 p4 2619 INSURER A: ACE AfI18fIC8f1 IfISUf2fi02 COfCI 8f1 22561 INSURED INSURER B: i'UA WA AECOM URS CDrporaGon It�SURER t: ilinais 1lnion Insurance Co z7960 600 Montgomery Street, 26th �loor San Franasco, CA 941 i 1 �ntSURErt o: SfE ACORp i01 OVERAGE5 CERFIFICATE NUMBER: LOS-U0215232�26 REVISION NUMBER: THIS IS TO CERTIFY THA7 7HE POLICIES OF IIVSURANCE LIS7ED BELOW HAVE BEEIV ISSUED TO THE INSURED NAMED ABOVE FOR TtiE POLICY PERIO[ INDICATED NONNTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCl1MENT WYTH RESPECT 70 WHICH THI: CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSi1FtANCE AFFORD�O BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDfTIONS OF SLiCH POLICIES LIMiTS SHOWN MAY HAVE BEEN R�pUCEp BY PAIQ CLAIMS. TYPE OF IN51FfiANGE pp�p X COMMERCIALGENERALLIABILITY lid6G7123311A CLAIMS-MADE ' x � OCCUR GEN'l. AGGREGp,TE LIMIF APPLIES PER x POLICY � , JECT �pC OTHER AUTOMOBILE LIABILiTY ANY AUTO OWNED SGHEDULE� RUTOS ONLY AUTOS HIRED NON 04NNED AU70S ONLY AUTOS ONLY UMBRECLA LIAB OCCUR E%CESS LIAB CLAIMS-MADE �ED RETENTION $ NKIRKERS COMPENSATION SEE ACOR� 1 Ol AND EMPLOYERS' LIABILITY Y! N ANYPROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIM@MBHREXCLUOED? N NJA (Mandatory in NH} If ves. tlesuibe under C I ARCHITECTS & ENG. PR4FE5SIONAL LIAB. EON G21654693 005 'CLAIMS AMOE' LIMITS EACH OCCURRENCE $ A PREMISES Ea occurranca S ME� EXP �My one person) S PERSONAI. 8 AOy INJt1RY $ GENERALAGGREGATE $ PRObUCTS COMPlOPAGG $ S COMBINED SINGLE L1MIT $ Ea acc�fent BODILY INJURY (Per person) $ BO�ILY INJURY (Per acGdenq S PROPERTYDhMAGE $ Per aocidenl S AGGREGATE E L EACH ACCIOENT E L OISEASE - EA EMPLDY@I @ L DISEASE - POLICY LIMIT Per ClaimfAgg Defense Included 2,000. ti,00a 2,000. 2,p00 2,000. S S 2,U00 2,000 2,000 1,000 DESCRIP710N 4F OPEIL4TION5! LOCAFIONS 1 VEHICiES {ACORD 101, Atldltlonal Ramarka Schedule, may be atlached if moro spaee la nqaireG� Re: RigM-of•Way Contractofs license. The Ciiy ol Fod Collins is included as an Addllianal Insured againsl any lia�ilily arising oul of Ihe Umership, Mainlenance or use of that part ol lhe area pertaming ro the R� oi Way. Primary Insurance: ll is agreed thai such insurance aEfoNed by ihis policy(ies� is Primary and Non-Conlributory with Ihe inwrance maintained by Ihe Addilionai Insured but oniy with respect lo the wnrk pertormed hy Ihe Named Msured. TE HOLDER Ciry of Fort Col�ins PO Box 580 Fort Collins, CO 80522 ACORD 25 (2016103) aaroirzazo � o�rou2o2� 04101l2U20 I D4I6112021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEp BEFORE THE EXPiRATiON DATE THEREOF, N0710E WILL BE DELIVERED 11 ACCORDANCE WITH TFiE POLICY PROVISIONS. AUTHORIZED REPRESSNTATIVE of Marsh Risk & Insurance Services James L. Vogel ��— — OO 7988-2016 ACORD C012PORATION. All righffi reservE ihe ACORD name and iogo are regisEered marks of ACORD AG�NCY CUSTOMER ID: CN101348564 �pC #: Los Angeles A�C[7Ro� ADDITI4NAL REMARKS SCHEDULE Page z o� � AGENCY NAFAED INSl1RE0 Marsh Risk & Insurance Services AECOM URS Carporalion PDLICY NUMBER 600 Mantgomery Slreei. 26th fk�or San Francisca. CA g411� CARRIER NAIG COdE @FFECTIVE DATE: ADDI710NAL REMARK$ THIS ADDITIONAL F�EMARKS FORM IS A SCHEDULE TO ACOR� FdRM, FORM NUMBER: 2� F�RM TITLE: Certificate nf Liabilil�+ Insurance __ _ Workers CompensaUonlEmpbyer Lia6�iry cant. Palicy Numher Insurer Stales Covered WLR C6fi32340A � ndemmly Insurancs Cqmpany of NorUi /5merca • NAIC # 43575 AOS WLR C6fi923320 ACE Amencan Insurance Company � NAIC # 22667 CA RZ, MA SCF C&6923368 ACE American Insurance Campany - NA C q 22fi67 WI Retro Waiver of Subrogalion is appGCable whe�e required by writlen oonlraCt wilh respeCl la WC I Ihe insurer for �he Workers Compensation policy cancels i1s pol'�cy for any reaso.� other than for non-payment of premium, the msurcr wi11 provide 30 days nolite ol tantella6an to lhose Cedificate Hdders Ihal require il by writlen contract ACORD 101 (2008101) �O 2008 AGORD CORPORATIOH. All rights reserve The ACORD name and logo are registered marks of ACORD oqr� �MMrnonvrv� CERTfFICATE 4F LIABILITY INSURANCE a�„�� THIS CERTIFICA7� IS ISStI�D AS A MATTER OF INFbRMATIdN ONLY AND CONFHRS NO RIGHTS 11PON THE CERTIFECATE HQLDER. THIS CERTIFICATE DOES NOT AFFIRMATiVELY OR NEGATIVELY AMENd, EXTEND OR ALTER THE COVERAGE AFFORQED BY THE POLICI�S BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETYVEEN THE 155UING INSURER(Sj, AUTHQftIZED REPRESENTATIYE OR PRODUCER, AND THE CER7IFICATE HOLDER. IiNPORTANT: If the certificate holder is an ADDITIQNAL INSURED, the poiicy(ies) must have ADDiTIONAL INSUREI] provisions or be endorsed. If SUBRQGATIQN IS WAIV�D, subject to the terms and conditions of the policy, certaln policies may require an endorsemenk. A statement an this certificate does not confer ri hts to the certi[icate holder in lieu of such sndorsement s�. PROQUCER CONTACT , Marsh Risk 8 Insurance 5ervices NAME: CA �icense t�Q437t53 PHONE arc No : 633 W FiNh 5free{, Suile 120D E-Mal� Los Angeles, CA 90071 ADDHE s: Atln: LosAngefes.CertRequesl(a�Marsh.Com INSURER 5 AFFOROING COYERAGE NAIC M CN101348564STND-GAUE-242� 04 2019 i�usuReR a: ACE American Insurance Com an z2667 �N AECOM �NSURER B: WA wA UR5 Corporalian �NsuRErt c: Blinois Union lnsurance Co 279� 600 Mo�tgamery Street, 2&tt� Ftoor iNSurtErt o: SEE ACOR� i01 San Franasco, CA 94111 IN3URER E : COVEFtAGES CERZIFICATE NUMBER: I.0&002146494-26 REVISION NUMB�R: THIS IS Tp CERTIFY THAT THE POLICIES OF INSi1RANCE LlSTED BELOW HAVE BEEN ISSUEQ TO THE INSURED NAMED ABOVE FOR TtiE POLICY PERIOD INDICATED NOTWI7HSTANE3ING ANY R�QUIREM�NT, TERM OR CONDITIbN OF ANY CONTRACT OR OTHER QOCUMENT 1MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSU�� OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POLlCYES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AN� CON61TI01+l5 OF SUCN POLICIES. LIMl7S SFfOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF IN3URANCE A � � POLICY EFF POLICY EI(P LIMITS LTR POLtCYNUMBER MM1ppryYYY MM�D0IYYYY A X COMMERCIALGENERALLIA8ILITY HpOG7123311A IWIOIJZOZO O4IO�IZO21 EACHOCCURRF.kCE $ ?�d.O CLAlMS-MA6� � OCCUR YREMISES Ea vccurrence S � �� t MED EXP IMy onB perwnl $ $'� GEN'L AGGREGATE LIMIT APP�IES PER: x POLiCY PR� EOC JECT OTHER' A AUTQMOBILELlABILITY x aNr auro 01NNED SGHEdULED AUTOS ONLY AUTOS HIRED NON-04NNE� AUTOS ONLY AUTOS ONLY UM8RELLALIA6 p�CUR EXCESS LIAB CLAIMS-AAADE DEQ RETEN7iON S D 1NORKERSCOMPEN$ATION ANO EMPLOYERS' LIABILITY Y!N ANYPROPRIETORIPARTNERIEXECUTI VE OFFICER1NkEM6@REXCLLIDE6? ❑N N!A (Mandatory in NHj It yes, desulhe under DESCRIPTION OF OPERATIONS 6elow C ARCHITECT$ � ENG. PROFESSIONAL LIAB. oaroirzorti EON G21654693 U05 I0410112020 I0410112021 'CLAIMS MADE' GENERALRGGREGRTE 80PILY INJURY (Par person] 80�ILY INJURY �Per aocden EACH OCCURRENCE S S S S s S 4 S E l EACN ACCiDENT $ E L �ISEASE - EA EMPLOYEE $ E L DISEASE POLICY LIMIT $ Per ClaimlAgg �efense Induded DESCRIpTION OF OPERATION$! LpCATIONS I VEli1CLHS (ACORD 101, Additionel Remarka Schedule, msy bs att�ched fi more ap�ce la raqulred� RE Projecl No. 22236040 � �ry Creek Basin Fload Canlrol Prqecl TE City of Fort Co�Iins 215 North Mason Slreel2nd Floor PO Box 5B0 Fort CdGns, CO 80522-0580 CANCELLATION z,00a,a 2,U00.0 z,aoo.o z,00a,o 2,000,0 2,000,0 i,000,[ SHOULD ANY OF THE ABOVE DESCFtiBED POLICIES 9� CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 6E �ELIVERED IN ACCORDANCE WITH THE POLICY PROVI510N5. AUTHORlZE� REPRESENTATIVE ot Marih Risk & Insurance Services �ames L Vogal �z- - . 01988-2078 ACORD CORPORATION. All rights reserve� ACORD 25 {2018l03j The ACORD name and logo are registered marks of ACORD AGENCY Marsh Risk & Ir�sura�ce 5erv�ces POLICY NIIMBER CARRIER AGENCY CUSTOMER ID: CN1fl1348564 LOC #: Los Angeles ADDITI�NAL REMARKS SCHEDULE NAMEDINSURED AfCOM t1R5 Corporauon 60a Montgomery 51ree1, 261h Floor San Franasoo, CA 94111 NWC CODE EFFEC7IVE DATE: THIS ADDI710NAL REMARKS FORM IS A SCHEDU�E TO ACORD FORM, FORM NUMBER: 25 FbRfYI TITLE: Certificate of Liability Insurance Workers CompenSalwnlEmpbyer Liab�lily conl. Policy Number I�surer Slates Cavered WLR C6692340A Indemnily Insurance Company af North America - NAIC q 43515 AOS WLR C6fi923320 ACE Amer�can l�surance Company NRI�" R 22667 CA, AZ, MA SCF C66923368 ACE American Insurance Company � NAIC # 22667 Wl ReUo Waiver of Subrogafion is appl�cable where requued by written contract wilh respecl lo W:.'. If the insurer tor Ihe Workers Compensation poiicy cancels fls policy for any reason other lhan for non-paymenl ol premum, the mwrer wi I provide 30 days nolice ot cancellalan lo those Ce�ifiCale Hplders Iha1 require il by wriri8n cpntraCl. Page 2 of _ ACORD 107 �20�8101) 02008 ACORp CpRPQRAiION. All rights reservE The ACORD name and logo are registered marks of ACORD