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Home My WebLink AboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATE.......-....... -...-.......... -..... . ........................-.............. CERTIFICATE NUMBER is SEA-000662319-02 - PRODUCER MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. CALIFORNIA LICENSE NO. 0437153 COMPANIES AFFORDING COVERAGE COMPANY URSA-F-ALL-W/PRO- CO DEN URS A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA. INSURED COMPANY URS CORPORATION B AMERICAN HOME ASSURANCE CO 600 MONTGOMERY STREET COMPANY 25TH FLOOR SAN FRANCISCO, CA 94111 C AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO. COMPANY D INSURANCE CO. OF THE STATE OF PA THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDNY) POLICY EXPIRATION DATE (MM/DDNY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR OWNER'S & CONTRACTOR'S PROT GL933-2537 04/01/03 04/01/04 GENERAL AGGREGRATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 PERSONAL &ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one person) $ 5,000 A A B Ili X X X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 826-1308 AOS 826-1309 MA 826-1310 TX 04/01/03 04/01/03 04/01/03 04/01/04 04/01/04 04/01/04 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (per acadeni) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY- EA ACCIDENT $ OTHER THAN AUTO ONLY ....................... ... ......... --... -.. -.. -..-.. -- --------------- EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ A D A E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL 6436093(CA) 6436094(AOS 6436095 EXCLUD.CA,AOS,GA 6436096(GA) 01/01/04 01/01/04 01/01/04 01/01/04 01/01/05 01/01 /OS 01/01/05 01/01/05 X WCSTATU- O7H TORY LIMITS ER EL EACH ACCIDENT $ 1,000,000 EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1000,000 C OTHER PROF. LIABILITY(E&O) CLAIMS MADE FORM 819-4168 04/01/03 04/01/04 EACH CLAIM $1,000,000 AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 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 OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR 70 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC BY: Michlo Nekota 2&A ,.)"L_ DATE (MM/DD/YY) 12/3O/03 PRODUCER MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 SAN FRANCISCO, CA 94119-3880 CALIFORNIA LICENSE NO. 0437153 URSA-F-ALL-W/PRO- CODENURS INSURED URS CORPORATION 600 MONTGOMERY STREET 25TH FLOOR SAN FRANCISCO, CA 94111 CITY OF FORT COLLINS ATTN: OPAL DICK 215 NORTH MASON STREET 2ND FLOOR P.O. BOX 580 FORT COLLINS, CO 80522.0580 I COMPANIES AFFORDING COVERAGE COMPANY E COMPANY F COMPANY G COMPANY AMERICAN INTERNATIONAL SOUTH INSURANCE CO. MARSH USA INC. BY: Michio Nekota