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HomeMy WebLinkAboutJacobs Engineering Group Inc. - Insurance Certificate 2025 Aco CERTIFICATE OF LIABILITY INSURANCE OAT/ 8IYYYY) 05/2 /20/2025 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 Marsh Risk & Insurance Services NAME: PHONE FAX_ 0 CIRTSSuppOrt?jacob6.COID 1-212-948-1306 y E-MAIL N 633 W. Fifth Street ADDRESS: INSURERS AFFORDING COVERAGE NAIC# Los Angeles, CA 90071 USA INSURERA: ACE AMER INS CO 22667 00 INSURED INSURERB: INDEMNITY INS CO OF NORTH AMER 43575 j Jacobs Engineering Group Inc. INSURER C: W C/O Global Risk Management INSURER D: 555 South Flower Street, Suite 3200 INSURERE: LOB Angeles, CA 90071 USA INSURER F: COVERAGES CERTIFICATE NUMBER:752013637 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 - AD n SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICYNUMBER MMIDD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G48977145 07/01/25 07/01/26 EACH OCCURRENCE $ 1,000,000 DAMAGET RENTED CLAIMS-MADE OCCUR PREMISES Eaoccuvence $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY S 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY❑PEST LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H11371504 07/01/25 07/01/26 COMBIaccNEDSINGLELIMIT ent $ 1,000,000 Ea id X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED Per IN JURY BODILY eccldent AUTOS ONLY AUTOS ( ) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident _ $ UMBRELLALIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ B WORKERS COMPENSATION WLR C72792919 (ADS) 07/01/25 07/01/26 X STATUTE JOT ERH AND EMPLOYERS'LIABILITY YIN A ANYPROPRIETOR/PARTNERIEXECUTIVE NIA WCU C72792932 (OH)* 107/01/25 1 07/01/26 E.L.EACH ACCIDENT $ 100,000 OFFICER/M EMBER EXCLUE 07/O 1/2 6 A (Mandatory In NH) SCF C7279292D (WI) 07/01/25 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,dascribe 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 i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached K more space Is required) PROJECT MGR: Aaron Cook. CONTRACT MGR: Alanna Boss. RE: Master Professional Services Agreement for Water, Wastewater and Stormwater Projects. CONTRACT NUMBER: 9846. CONTRACT END DATE: 11-30-2026. SECTOR: Public. City of Fort Collins its officers, agents and employees are added as an additional insured for general liability & auto liability as respect the negligence of the insured in the performance of insured's services to cart 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.* I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE _,,..• Fort Collins, CO 80522 7 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Cert_Renewal 752013637 M � �P N DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 05/28/2025 NAME OF INSURED: Jacobs Engineering Group Inc. a Additional Description of Operations/Remarks from Page 1: m u.. 0 N 00 z Additional Information: +$2,000,000 SIR FOR STATE OF: OHIO SUPP(05/04) o A��® DATE(MMIDD/YYYY) . CERTIFICATE OF LIABILITY INSURANCE OS/28/2025 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 a 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). L PRODUCER LIC #0437153 1-212-948-1306 CONTACT d. Marsh Risk & Insurance services NAME: PHONE FAX 1-212-948-1306 CIRTs_9upport@jacoba.com ac No: EMAIL 633 W. Fifth Street ADDRESS: INSURERS AFFORDING COVERAGE NAIC S Los Angeles, CA 90071 USA INSURERA:ACE AMER INS CO 22667 0000 INSURED INSURERB: INDEMNITY INS CO OF NORTH AMER 43575 j Jacobs Engineering Group Inc. INSURER C: Lz C/O Global Risk Management INSURER D: 555 South Flower Street, Suite 3200 INSURER E: Log Angeles, CA 90071 USA INSURER F: COVERAGES CERTIFICATE NUMBER:752017747 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 SUER' POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO Wva POLICYNUMBER MMIDDNYYY) (NIMIDD/YYYY1 LIMITS A X ,COMMERCIAL GENERAL LIABILITY BOO G48977145 07/01/25 07/01/26 EACH OCCURRENCE is 1,000,000 CLAIMS-MADE t__�OCCUR DAMAGE TO RENTED 500,000 PREMISES Ea occurrence $ X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 __ PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE is 1,000,000 X POLICY E JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H11371504 07/01/25 07/01/26 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $INJURY accident AUTOS ONLY AUTOS ( ) $ OWNED SCHEDULED BODILY HIRED NON-OWNED PROPERTYDAMAGE $ 1AUTOS ONLY AUTOS ONLY Pera.Id enU UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WLR C72792919 PER(ADS) 07/O1/25 07/01/26 X STATUTE ERH OT - AND EMPLOYERS'LIABILITY Y/N - A ANYPROPRIETOR/PARTNERIEXECUTIVE N/A WCU C72792932 (OH)* 07/01/25 07/01/26 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? 07/O 1/2 6 A (Mandatory In NH) SCF C72792920 (WI) 07/01/25 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY j EON 021655065 016 07/01/25 07/01/26 PER CLAIM/PER AGG 1,000,000 I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PROJECT MGR: Holly Link. CONTRACT MGR: Alanna Bose. RE: Design and Engineering Services for Water & Wastewater Treatment Facilities. CONTRACT NUMBER: 9802. CONTRACT END DATE: 2026-30-17. SECTOR: Public. City of Fort Collins, its officers, agents and employees are added as an additional insured for general liability & auto liability as respect 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 5rs USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 752017747 • DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 05/28/2025 g NAME OF INSURED: Jacobs Engineering Group Inc. Additional Description of Operations/Remarks from Page 1: oa c u.. O v 00 z y Additional Information: *$2,000,000 SIR FOR STATE OF: OHIO SUPP(05/04)