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HomeMy WebLinkAboutCH2M Hill Engineers, Inc. - Insurance Certificate 2025 R _ A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) U5/2B/2025 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 have ADDITIONAL INSURED provisions or 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 LIC #0437153 1-212-948-1306 CONTACT �t Marsh Risk & Insurance Services -NAME: PHONE FAX c RT3_3upport@jacoba.com plc No: 1-212-948-1306 O 633 W. Fifth Street E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC9 Los Angeles, CA 90071 USA INSURERA: ACE AMER INS CO 22667 INSURED CH2M HILL ENGINEERS, INC. INSURERS: INDEMNITY INS CO OF NORTH AMER 43575 INSURER C: > C/o Global Risk Management INSURERD: z W 555 South Flower street, Suite 3200 INSURERE: Los Angeles, CA 90071 USA INSURER F COVERAGES CERTIFICATE NUMBER:752005392 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 ADDL SUBR ------ - LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP -- MMIDDlYYYY MMIDD LIMITS 3G111 COMMERCIAL GENERAL LIABILITY HDO G48977145 07/01/25 07/01/26 EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE L�OCCUR DAMAGE T RENTED PREMISES Ea occurrence $ 500,000 CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 -- -- --- PERSONAL&ADV INJURY $ 1,000,000 LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY❑PR LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ --- A AUTOMOBILE LIABILITY I3A H11371504 07/01/25 07/01/26 COMBINED SINGLELIMIT $ 1,000,000 X ANY AUTO Eaaccldent ONED SCHEDULED — — BODILY INJURY(Per person) $ W AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY Perwcckient — $ UMBRELLALIAB OCCUR $ EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ - WORKERS COMPENSATION YIN $ B AND EMPLOYERS'LIABILITY WLR C72792919 (AOS) 07/01/25 07/01/26 X STATUTE ER A ANYPROPRIETOR/PARTNERIEXECUTIVE 8CF C72792920 (WI) 07/O1/25 07/O1/26 E.L.EACH ACCIDENT_ $ 100,000 OFFICER/MEMBEREXCLUDED? F NIA A (yes,dorybeund WCU C72792932 (OH)* 07/01/25 I07/01/26 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,descdbe under _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 A PROFESSIONAL LIABILITY EON G21655065 016 07/01/25 07/01/26 PER CLAIM/PER AGG 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) PROJECT MGR: Al Paquet. CONTRACT MGR: Alanna Boas. RE: 8737 Environmental Services for Halligan Water Supply Project. CONTRACT END DATE: 6/25/2021. SECTOR: Public. City of Fort Collins, Colorado, its officers, agents and employees are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cert holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, Co 80522 USA 11 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 752005392 DATE Q SUPPLEMENT TO CERTIFICATE OF INSURANCE 05/8//2025 NAME OF INSURED: CH2M HILL ENGINEERS, INC. Additional Description of Operations/Remarks from Page 1: O 0 0 10 z w Additional Information: '$2,000,000 SIR FOR STATE OF: OHIO I SUPP(05/04) AC` I7� ® FATE(MMIDDIYYYY) ` C> CERTIFICATE OF LIABILITY INSURANCE /28/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS R 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 have ADDITIONAL INSURED provisions or 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 LIC #0437153 1-212-948-1306 CONTACT Marsh Risk & Insurance Services NAME: PHONE FAX CIRTS AIC Novi-212-948-1306 _ 4. 00 00 633 W. Fifth Street ADDRESS: INSURERS AFFORDING COVERAGE NAIC0 Los Angeles, CA 90071 USA INSURERA:ACE AMER INS CO 22667 0 INSURED INSURERS: INDEMNITY INS CO OF NORTH AMER 43575 C, CH2M HILL ENGINEERS, INC. > INSURER C: z W C/O Global Risk Management INSURER D: 555 South Flower Street, Suite 3200 INSURERE: Los Angeles, CA 90071 USA INSURERF: COVERAGES CERTIFICATE NUMBER:752015215 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 ADD SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD t WVD POLICY NUMBER MWDDIYYYY MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G48977145 07/01/25 07/01/26 EACH OCCURRENCE $ 7,000,000 CLAIMS-MADE u OCCUR DAMAGE T RENTED PREMISES Ea occurrence $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 7,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY❑JEST LOC PRODUCTS•COMP/OP AGG $ 10,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H11371504 07/01/25 07/01/26 COMBINED SINGLE LIMIT 2000,000 Ea accdent)_________ _$_ _,_. A1NY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accldent AUTOS ONLY AUTOS ( )BOY $ HIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY Per accident _ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ I $ B WORKERS COMPENSATION WLR C72792919 (A03) 07/01/25 07/01/26 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N A OFFICEANYPROPRIETORIPARTNERIEXECUTIVE NIA WCU C72792932 (OH)* 07/Ol/25 07/01/26 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED7 A (Mandatory In NH) SCF 07/Ol/26 C72792920 (WI) 07/01/25 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL LIABILITY BON G21655065 016 (07/01/25 07/01/26 PER CLAIM/PER AGG 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) LOCATION: Englewood, CO. CONTRACT MGR: Alanna Bose. Re: Contract# 8497; On-Call for RFP 8497 Stormwater Consulting Engineering Services . The City its officers, agents and employees are included as an additional insured on the General Liability and Automobile Liability policies as required by written contract or agreement. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: Purchasing Department P.O. BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 752015215 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 05/28/2025 NAME OF INSURED: CH2M HILL ENGINEERS, INC. Additional Description of Operations/Remarks from Page 1: m O 0 rr'l Additional Information •$2,000,000 SIR FOR STATE OF: OHIO SUPP(05/04) ACORN® CERTIFICATE OF LIABILITY INSURANCE FAT/E 8/20225) 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 have ADDITIONAL INSURED provisions or 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 LIC #0437153 1-212-948-1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX 1-212-948-1306 CIRTS_Support@jacobs.com AIC N°: 0 E-MAIL N 633 W. Fifth Street ADDRESS: INSURERS AFFORDING COVERAGE NAICN Los Angeles, CA 90071 USA INSURERA:ACE AMER INS CO 22667 0 INSURED INSURERB: INDEMNITY INS CO OF NORTH AMER 43575 C, CH2M HILL ENGINEERS, INC. INSURER C: z C/0 Global Risk Management INSURER D: W 555 South Flower Street, Suite 3200 INSURERE: Los Angeles, CA 90071 USA INSURERF: COVERAGES CERTIFICATE NUMBER:751999672 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF T POLICY EXP LTR POLICYNUMBER MMIDDNYYY MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G48977145 07/01/25 07/01/26 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE CXJ OCCUR DAMAGE T RENTED PREMISES Ea occurrence $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY❑JECT 171 LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H11371504 1 07/01/25 07/01/26 COMBINED SINGLE LIMIT $ 1,000,000 COMBINED X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY AUTOS ONLY AUTOS (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per a-ldent _ $ UMBRELLALWB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ B ANDEMPS YERS'LIATIONILIT WLR C72792919 (AOS) 07/01/25 07/01/26 $ STATUTE ERFPER H AND EMPLOYERS'LIABILITY Y/N A ANYPROPRIETOR/PARTNER/EXECUTIVE N/A SCF C72792920 (WI) 07/01/25 07/01/26 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBEREXCLUI A (Mandatory In NH) WCU C72792932 (OH)* 07/01/25 07/01/26 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 A PROFESSIONAL LIABILITY SON G21655065 016 07/01/25 07/61/26 PER CLAIM/PER AGG 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) PROJECT MGR: Brad Schutt. CONTRACT MGR: Alanna Bose. RE: Interconnection Modeling Project/Professional Services Agreement. CONTRACT END DATE: 8/11/2020. SECTOR: Public. City of Fort Collins, its officers, agents and employees are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to tort holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins, Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 751999672 DAE s SUPPLEMENT TO CERTIFICATE OF INSURANCE 05,8//2025 g NAME OF INSURED: CH2M HILL ENGINEERS, INC. Additional Description of Operations/Remarks from Page 1: v u. O N O c z Additional Information: •$2,000,000 SIR FOR STATE OF: OHIO SUPP(05/04)