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HomeMy WebLinkAbout477776 AMEC EARTH & ENVIRONMENTAL INC - INSURANCE CERTIFICATE (2)AID as- CERTIFICATE OF LIABILITY INSURANCE °ATE`MMDa/,5120120,1 Y' 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 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 Ann Risk Services Northeast, Inc. Parsippany NJ Office CONTACT NAME: PHONE FAX INCNo. EXq: (866) 283-A22 AC. No.: (847) 953-6390 E#wL ADDRESS: 10 LanideX Center West P.O. BOX 608 INSURER(S)AFFORDING COVERAGE NAGk Parsippany NJ 07054-0608 USA INSURED INSURER A: Zurich American Ins CO 16535 AMEC Earth & Environmental, Inc. 1002 walnut Street INSURER B: INSURER C: Suite 200 INSURER D: Boulder CO 80302 USA NSURER E: INSURER F: 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. Limits shown are as requested LTR TYPE OF INSURANCE INSR MD POLICY NUMBER IMMaDD1YYYYI IMWDDrYYYyLIMITS GENERAL LIABILITY GLO EACH OCCURRENCE $500,000 PREMISES Ee occurrence)ElOO, OOO X COMMERCIAL GENERAL LIABILITY CLAIM MADE X❑ OCCUR MED EXP(My one person) $5,000 PERSONAL &ADV INJURY $500,006 GENERALAGGREGATE $500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COkPOP AGG $500,000 POLICY X PRO- X LOCT AUTOMOBILE LIABIDTY COMBINED SINGLE LIMB (Ea,oddaml BODILY INJURY ( Per person) ANY AUTO BODILY INJURY (Per acccern ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS NON -OWNED Per scream) AUTOS UMBRELLA LIMB EACH OCCURRENCE AGGREGATE EXCESS LAID HOCCUR CI -AIMS -MADE DED I RETENTION WORKERS COMPENSATION AND TIC OTR EMPLOYERS' LIABILITYER IN Y❑ LSTATIMFIS E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE IC OFFEWMEMBER EXCLUDED? NIA E.L. DISEASE.EA EMPLOYEE (Mandalay in NH) Ny descrilh—d.r DESCRIPTION OF OPERATIONS Oelow 1 E.L. DISEASE -POLICY LIMIT A Archit&Eng Prof - EOC938357803 05/01/2011 05/01/2012 Any One claim/Aggrel $1,000,000 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS) LOCATONS I VEHICLES (Mach ACORD 101, Additional Remarks Schedule, it more space Is required) Project Number: 3276645000. Project Description: water Supply and Demand management Update, PC 9105208. Project start Date: 9/8/2010. Project Completion Date: 9/7/2011. Estimated Contract Price: 129680.00. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORRED REPRESENTATIVE Attn: Donnie Dustin �r Box Fort Collins ns CO 80522 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD (: rrs AID as- CERTIFICATE OF LIABILITY INSURANCE °ATE`MMDa/,5120120,1 Y' 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 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 Ann Risk Services Northeast, Inc. Parsippany NJ Office CONTACT NAME: PHONE FAX INCNo. EXq: (866) 283-A22 AC. No.: (847) 953-6390 E#wL ADDRESS: 10 LanideX Center West P.O. BOX 608 INSURER(S)AFFORDING COVERAGE NAGk Parsippany NJ 07054-0608 USA INSURED INSURER A: Zurich American Ins CO 16535 AMEC Earth & Environmental, Inc. 1002 walnut Street INSURER B: INSURER C: Suite 200 INSURER D: Boulder CO 80302 USA NSURER E: INSURER F: 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. Limits shown are as requested LTR TYPE OF INSURANCE INSR MD POLICY NUMBER IMMaDD1YYYYI IMWDDrYYYyLIMITS GENERAL LIABILITY GLO EACH OCCURRENCE $500,000 PREMISES Ee occurrence)ElOO, OOO X COMMERCIAL GENERAL LIABILITY CLAIM MADE X❑ OCCUR MED EXP(My one person) $5,000 PERSONAL &ADV INJURY $500,006 GENERALAGGREGATE $500,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COkPOP AGG $500,000 POLICY X PRO- X LOCT AUTOMOBILE LIABIDTY COMBINED SINGLE LIMB (Ea,oddaml BODILY INJURY ( Per person) ANY AUTO BODILY INJURY (Per acccern ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS NON -OWNED Per scream) AUTOS UMBRELLA LIMB EACH OCCURRENCE AGGREGATE EXCESS LAID HOCCUR CI -AIMS -MADE DED I RETENTION WORKERS COMPENSATION AND TIC OTR EMPLOYERS' LIABILITYER IN Y❑ LSTATIMFIS E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE IC OFFEWMEMBER EXCLUDED? NIA E.L. DISEASE.EA EMPLOYEE (Mandalay in NH) Ny descrilh—d.r DESCRIPTION OF OPERATIONS Oelow 1 E.L. DISEASE -POLICY LIMIT A Archit&Eng Prof - EOC938357803 05/01/2011 05/01/2012 Any One claim/Aggrel $1,000,000 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS) LOCATONS I VEHICLES (Mach ACORD 101, Additional Remarks Schedule, it more space Is required) Project Number: 3276645000. Project Description: water Supply and Demand management Update, PC 9105208. Project start Date: 9/8/2010. Project Completion Date: 9/7/2011. Estimated Contract Price: 129680.00. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORRED REPRESENTATIVE Attn: Donnie Dustin �r Box Fort Collins ns CO 80522 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD (: rrs