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