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HomeMy WebLinkAbout101409 URS GREINER - INSURANCE CERTIFICATEACORD,, CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 DATE 04/01/2006 PRODUCER 877-945-7378 Willie North America, Inc. - Regional Cert Center 26 Century Blvd. P. O. Box 305191 Nashville, IN 372305191 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED URS Corporation 600 Montgomery Street, 25th Floor San Francisco, CA 94111 INSURERA: National Union Fire Ins Cc of Pittsburgh 19445-100 INSURERB: Insurance Company of the State of PA 19429-100 INSURER C: American International South Insurance Co 40256-001 INSURERD:Lexington Insurance Company 19437-000 INSURERE:Llo d•s of London/A.F. Beasley Syndicate 15792-200 COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR RDOI TYPEOFINSURANCE POLICY NUMBER POLICYEFFECTVE DATE (MM[DD/YYI POLICY EXPIRATION DATE (MMIDDI'M LIMITS A GENERAL LIABILITY GL177-4688 4/l/2006 5/1/2007 EACHOCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE 17X OCCUR PREMISES EaoNccuDnce $ 11000,000 MEDEXP(Anyoneperson) $ 5 000 PERSONAL BADVINJURY $ 1,000,000 X XCU, BFPD X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $ 2,000,000 POLICY I X I PRO LOC A A AUTOMOBILE LIABILITY ANY AUTO CAS26-2357 CAS26-2360 4/l/2006 4/1/2006 5/l/2007 5/l/2007 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 X BODILY INJURY IPerperson) $ A ALL OWNED AUTOS SCHEDULED AUTOS CA826-2361 4/l/2006 5/1/2007 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTOONLY: AGG EXCESS LIABILITY EACHOCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B * WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE SPEC WC1359817 CA WC1359815 1/1/2006 1/1/2006 l/l/2007 1/1/2007 X wcBTATIu- oTH- E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 L, OFFICER/MEMBER EXCLUDED? GA WC1359816 1/1/2006 1/1/2007 B If yes, describe under SPECIAL PROVISIONS below AOS WC1359818 1 1 2006 1 1 2QQ7 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D OTHER 1155961 E&O 4 1 2006 5/l/2007 E Professional Liability MLP0005 4/l/2006 5/l/2007 $1,000,000. Sach Claim a/Limited Contractual - $1,000,000. Aggregate Claims made Policy - DESCRIPTION OF OPERATONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Project No.: 22236040 - Dry Creek Basin Flood Control Project City of Fort Collins Attn: Opal Dick 215 North Mason Street 2nd Floor P.O. Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUr FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESE Ay.7 TVE 25(2001/08) Coll:1586835 Tpl:484028 Cert:711)6235 ®ACORDAORPORATION1980 Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (20011081 Ca11-15RAR96 Tn1.6R4n2R ra"-71ngiiq