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HomeMy WebLinkAbout100022 AECOM INC - INSURANCE CERTIFICATEACOR& CERTIFICATE OF LIABILITY INSURANCE DATE 12011 YYYY) 0312612011 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 Marsh Risk 8 Insurance Services CA License #0437153 777 South Figueroa Street Las Angeles, CA 90017 Attn: Lori Bryson (213)-346-5464 CONTACT NAME: PHONE FAX _(A&�Ati_EAU, I INC,No: EMAIL PRODUCER CUSTOMER ID INSURERS AFFORDING COVERAGE NAIC k 06510-AECOM-CAS11112 Denver CO AFAAK NEW NY INSURED t) INSURER A: Zurich American Insurance Company 16535 AECOM USA, Inc. 1 f/PJa DMJM+HARRIS, Inc INSURER e: INSURER C ; Illinois Union Insurance Cc 27960 717 Seventeenth Street Denver, CO 80202-3330 INSURER D ; N/A NIA INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: I LOSal222545-20 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 LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MMIDOIYYYY POLICY EXP MMIDDNYYY LIMITS A GENERAL LIABILITY GLO 5965891 03 0410112011 0410112012 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ix I OCCUR DAMA T RENTED PREMISES Ea occuro. 8 500,000 MED EXP (Any we Person) $ 5,000 PERSONAL S ADV INJURY $ 500.000 GENERAL AGGREGATE $ 500,000 GEH L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 500.000 POLICY PIFCT RO LOC $ A AUTOMOBILE LIABILITY ANY AUTO BAP 5%589303 04/01/2011 04/01/2012 COMBINED SINGLE LIMIT (Ea rioGmenn $ 100,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Peraccident) $ $ NON -OWNED AUTOS $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ RETENTION It WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA VvC STATU- OTH- E.L. EACH ACCIDENT $ E. L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C ARCHITECTSBENG. EON G21654693 0410112010 10/08011 Per ClairmAgg $1,000,000 PROFESSIONAL HAB. "CLAIMS MADE"" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101, Additional Remarks Schedule, I/ more space Is m u ning 60096856 Final Design of SH392 The City, its officers and employees NAMED AS ADDITIONAL INSURED FOR GL 8 AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. for any claims arising out of work performed under this Agreement City of Fort Collins, Purchasing Dept. P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk A Insurance Services David Denihan .I�/I�.eCVl�OsM ACORD CORPORATION_ All rinhtA rRAnrund ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE 12011 YYYY) 0312612011 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 Marsh Risk 8 Insurance Services CA License #0437153 777 South Figueroa Street Las Angeles, CA 90017 Attn: Lori Bryson (213)-346-5464 CONTACT NAME: PHONE FAX _(A&�Ati_EAU, I INC,No: EMAIL PRODUCER CUSTOMER ID INSURERS AFFORDING COVERAGE NAIC k 06510-AECOM-CAS11112 Denver CO AFAAK NEW NY INSURED t) INSURER A: Zurich American Insurance Company 16535 AECOM USA, Inc. 1 f/PJa DMJM+HARRIS, Inc INSURER e: INSURER C ; Illinois Union Insurance Cc 27960 717 Seventeenth Street Denver, CO 80202-3330 INSURER D ; N/A NIA INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: I LOSal222545-20 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 LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MMIDOIYYYY POLICY EXP MMIDDNYYY LIMITS A GENERAL LIABILITY GLO 5965891 03 0410112011 0410112012 EACH OCCURRENCE $ 500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ix I OCCUR DAMA T RENTED PREMISES Ea occuro. 8 500,000 MED EXP (Any we Person) $ 5,000 PERSONAL S ADV INJURY $ 500.000 GENERAL AGGREGATE $ 500,000 GEH L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 500.000 POLICY PIFCT RO LOC $ A AUTOMOBILE LIABILITY ANY AUTO BAP 5%589303 04/01/2011 04/01/2012 COMBINED SINGLE LIMIT (Ea rioGmenn $ 100,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Peraccident) $ $ NON -OWNED AUTOS $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ $ RETENTION It WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA VvC STATU- OTH- E.L. EACH ACCIDENT $ E. L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C ARCHITECTSBENG. EON G21654693 0410112010 10/08011 Per ClairmAgg $1,000,000 PROFESSIONAL HAB. "CLAIMS MADE"" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101, Additional Remarks Schedule, I/ more space Is m u ning 60096856 Final Design of SH392 The City, its officers and employees NAMED AS ADDITIONAL INSURED FOR GL 8 AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. for any claims arising out of work performed under this Agreement City of Fort Collins, Purchasing Dept. P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk A Insurance Services David Denihan .I�/I�.eCVl�OsM ACORD CORPORATION_ All rinhtA rRAnrund ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD