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HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (2)ACORDTa CERTIFICATE OF LIABILITY INSURANCE 04101/2008 DATE (MMIDDrM 1 04/04/2007 PRODUCER Lockton Companies, LLC-L Los Angeles P 9 19800 MacArthur Blvd., Suite 550 CA License #OF15767 Irvine CA 92612 949-252-4400 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 POLES B INSURERS AFFORDING COVERAGE INSURED 1075642 EDAW, Inc. a Delaware Corporation 240 E. Mountain Avenue Fort Collins CO 80524-2821 INSURER A: Insurance CO. State of Pennsylvania INSURER B: National Union Fire Insurance Co. INSURER C INSURER D I MIDI.CR1111 &IIIC n %7Vn 0=13% UVCJIVVI VVP %VIIIM VVryln TSl r. 1 T%rta 1AC ninr-V CnVFRAGFS AI:.rTFm (11:. 1YCIIDFDICI Aurunovl=n RFPRFSCMTATiVF AR PRnnl I(`FR nun TNF CFRTIFICGTF Nnl flFR 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE I MIDDfYYI POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ XXXXXXX FIRE DAMAGE (Anyone fire $ XXXXXXX COMMERCIAL GENERAL LIABILITY NOT APPLICABLE CLAIMS MADE 0 OCCUR MED EXP (Any oneperson) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP(OP AGG $ XXXXXXX PRO - POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE COMBINED SINGLE LIMIT (Ea accident) $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ XXXXXXX ri GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EA ACC $ XXXXXXX ANY AUTO NOT APPLICABLE $ XXXXXXX AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX $ XXXXXXX UMBRELLA XXXXXXX DEDUCTIBLE FORM $ XXXX'} xx RETENTION $ A WORKERS COMPENSATION AND WC2921235(AOS) 04/01/2007 04/01/2008 X WCSTATU- OTH- A EMPLOYERS' LIABILITY WC2921236 (CA) 04/01/2007 04/01/2008 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - FA EMPLOYEE $ 1000000 A WC2921237(FL) 04/01/2007 04/01/2008 E.LDISEASE-POLICVLIMIT $ j 000000 A WC2921238(OR) 04/01/2007 1 04/01/2008 B OTHER Worker's Compensation WC2921239(OHWAWI,WV,WY) 04/01/2007 04/01/2008 SamtoryLimits - See Above DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: PROJECT #04030071.01 f OLD TOWN SQUARE PLAZA RENOVATIONS P-957. A Waiver of Subrogation is afforded to the certificate holder where required by written contract. See attached Waiver of Subrogation endorsement. 2831300 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: John Stephen, Cppo/Senior Buyer P.O. Box 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHALL Fort Collins, CO 80522-058 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (7/971 For questions red mina Mis unKcate, contact the number Iisted in the'Produeee section above and specify the client code 'AEC dt'. nAtnpn CORPORATION 1 9RR WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule "Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss." This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 04/01/2007 Policy No. WC 292-12-35 Endorsement No. Insured: AECOM Technology Corporation Premium Included Insurance Company: The Insurance Company of the State of Pennsylvania WC 00 03 13 (Ed. 4-84) Certificate ID : 2831300 Misc Attachment: M100471 ACORDT. CERTIFICATE OF LIABILITY INSURANCE 04/01/2008 DATE JMMIDD" 04/04/2007 PRODUCER Lockton Companies, LLC-L Los Angeles P 9 19800 MacArthur Blvd., Suite 550 CA License #OF15767 Irvine CAINSURERS 949-252-2-4400 400 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 T THECOVERAGE AFFORDING COVERAGE INSURED 1075642 EDAW, Inc. a Delaware Corporation 240 E. Mountain Avenue Fort Collins CO 80524-2821 INSURER A: Insurance Co. State Of Pennsylvania INSURER B: National Union Fire Insurance Co. INSURER C D -INSURER I MISGCKIIrK..AICVI- INSVKANY r VVCSNV I INNS I I I V ICA IVN a ICAG I OC 1 YYCCN 1 KCISSVINV rr1VFRA(�FR AR("i'Rllt nF IUCIIDCDICI AIITUAD1fOn DDD0CQCUTAT1vC AD DOnn11r00 AMIN TUC rDDTICIrATCUAI n=D 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIM POLICY EXPIRATION DATE (MMIDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ XXXXXXX FIRE DAMAGE (Any one fire $ XXXXXXX COMMERCIAL GENERAL LIABILITY NOW APPLICABLE CLAIMS MADE 0 OCCUR MED FXP (Any onePerson) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $ XXXXXXX - POLICY JEGPRoT LOC AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE - a mINEDSINGLE LIMIT COMBINED accident $ XXXXXXX BODILY INJURY (Per Person) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Perr accident) $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EA ACC $ XXXXXXX ANY AUTO NOT APPLICABLE $ XXXXXXX AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX $ XXXXXXX ❑ UMBRELLA XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ A WORKERS COMPENSATION AND WC2921235(AOS) 04/01/2007 04/01/2008 X WC STATU- JITH- EK_ A EMPLOYERS' LIABILITY WC2921236 (CA) 04/01/2007 04/01/2008 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1000.000 A WC2921237(FL) 04/01/2007 04/01/2008 E.L. DISEASE -POLICY LIMIT I $ 1 000 000 A WC2921238 OR 04/01/2007 04/01/2008 B OTHER WC2921239(OH,WAWI,WV,WY) 04/0111017 04/01/2001 Above Worker's Compensation rLimits-See DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECUIL PROVISIONS RE: PROJECT #417002.01 / GARDENS ON SPRING CREEK CfUDREN'S GARDEN. A Waiver of Subrogation is afforded to the certificate holder where required by written contract. See attached Waiver of Subrogation endorsement. 2831302 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: James B. O'Neill li Director Of Purchasing Risk Mgmt. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL P.O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins, CO 80522-058 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S (7197) For gueeaelie reaerdim this c.dincete, contact the n.ber lined in the•Prodocee section above end specify the client cotle 'AEeFE01 cd NtORID CORPORATION 19RR WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule "Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss." This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 04/01/2007 Policy No. WC 292-12-35 Endorsement No. Insured: AECOM Technology Corporation Premium Included Insurance Company: The Insurance Company of the State of Pennsylvania WC 00 03 13 (Ed. 4-84) Certificate ID : 2831302 Misc Attachment : M100471 DATE (MWDDNY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 04/01/2008 1 04/04/2007 PRODUCER Lockton Companies, LLC-L Los Angeles THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P 9 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 19800 MacArthur Blvd., Suite 550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CA License #OF1 5767 ALTER THECOVERAGE Irvine CA 92612 949-252-4400 INSURERS AFFORDING COVERAGE INSURED INSURER A: Insurance CO. State of Pennsylvania 1075642 EDAW, Inc. a Delaware Corporation 240 E. Mountain Avenue INSURERS National Union Fire Insurance Co. Fort Collins CO 80524-2821 INSURER INSURER D INSURER E a A t ter, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDD POLICY EXPIRATION DATE 1MM/DD/YYl LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE1:1 OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX FIRE DAMAGE (Any one fire $ XXXXXXX MED EXP (Any oneperson) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES POLICYF—j JECT 0 PER: LOC PRODUCTS - COMP/OP AGG $ XXXXXXX AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS NOT APPLICABLE COMBINED SINGLE LIMIT ent) (Ea accident) $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY ANY AUTO NOT APPLICABLE AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EA ACC AUTO ONLY: AGG $ XXXXXXX $ XXXXXXX EXCESS LIABILITY OCCUR CLAIMS MADE UMBRELLA DEDUCTIBLE FORM RETENTION $ NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX $ XXXXXXX XXXXXXX $ X}(J{j(xxx A A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I WC2921235(AOS) WC2921236 (CA) WC2921237(FL) I WC292123$ OR 04/01/2007 04/01/2007 04/01/2007 04/01/2007 04/01/2009 04/01/2008 04/01/2008 04/01/200$ WCSTATIT OTH- 11QRY E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1000000 JE.L. DISEASE -POLICY LIMIT $ I000000 B OTHER Worker's Compensation WC2921239(OH,WAWI,WV,WY) 04/01/2007 04/01/2008 SatutoryLimits - See Above DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: COMMUNITY HORTICULTURE CENTER - EDAW JOB #7FO8210. ALL OPERATIONS OF THE NAMED INSURED. A Waiver of Subrogation is afforded to the certificate holder where required by written contract. See attached Waiver of Subrogation endorsement. CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION IM1004711 2831334 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Fort Collins 30 Purchasing Division DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL GAYS WRITTEN P.O. Box 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Fort Collins, CO 80522-058 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S(7197) For questions maiming this certificate, corded the number liaise in the' producer section shove Ana specify the client code•AECffEOT. © A15ORD CORPORATION 1988 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule "Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss." This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 04/01/2007 Policy No. WC 292-12-35 Endorsement No. Insured: AECOM Technology Corporation Premium Included Insurance Company: The Insurance Company of the State of Pennsylvania WC 00 03 13 (Ed. 4-84) Certificate ID : 2831334 Misc Attachment: M100471