HomeMy WebLinkAbout282969 GREATWEST - INSURANCE CERTIFICATEs ' CERTIFICATE NUMBER -:
'4{ 1rr F4 r y I 4 r r111TF4 F ` $� „ vF .y v 5 4 4 '� ar' t v , r .. ,•. h, .�. { EA-000662319-000
S
v {,yFv RAI
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
P. O. BOX 193880 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
CALIFORNIA LICENSE NO.0437153
COMPANIES AFFORDING COVERAGE
COMPANY
URSA-F-ALL-W/PRO. CO DEN URS A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA.
INSURED
URS CORPORATION
600 MONTGOMERY STREET
COMPANY
B N/A
COMPANY
25TH FLOOR
SAN FRANCISCO, CA 94111
C LEXINGTON INSURANCE COMPANY
COMPANY
D INSURANCE CO. OF THE STATE OFPA
,r ,y
A rr :?"h tirr ,vTjn ,^:. ,„�i r., IYT?. ri�Rv?IAT: .v�...�., ry F,�! rl 4 ,r }'{' , A h{L.'S 4} yrV'$''1�'r'
h.Fn ,
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 CONTRACTOR 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/DD/YY)
POLICY EXPIRATION
DATE (MM/OD/YY)
LIMITS
A
GENERAL LIABILITY
706.1033
04/01i05
04101/06
GENERAL AGGREGRATE
$ 2,000,000
PRODUCTS-COMP/OP AGG
$ 2,000,ODO
X
COMMERCIAL GENERAL LIABILITY
CLAIMSMADE �X OCCUR
PERSONAL &ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNERS& CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 1,000,000
MED EXP (Any one person)
$ 5,000
A
AUTOMOBILE LIABILITY
826-2024(AOS)
04/01/05
04/01/06
COMBINED SINGLE LIMIT
$ 1,000,000
X ANY AUTO
BODILYINJURY
(Par person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILYINJURV
(per aoddwQ
$
X HIREDAUTOS
X NON -OWNED AUTOS
PROPERTYDAMAGE
$
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY.
j$
EACH ACCIDENT
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
$
OTHER THAN UMBRELLA FORM
A
D
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
7155121 (CA)
7155122(AOS)
01/01/05
01/Ol/05
01/01/06
01/01/06
OTH
X TWC ORY LIMITS ER
ORY L
EL EACH ACCIDENT
s-,
$ 1,000,000
D
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
7155118 EXCLUD.CA,AOS,GA
01/01/05
01/O7/06
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000000
'E
OFFICERS ARE: EXCL
7155119(GA)
01/01,105
01/01/06
OTHER
C
PROF(E&O)LIABILITY
1155287
04/01/05
04/01/06
EACH CLAIM $1,000.000
CLAIMS MADE FORM
AGGREGATE $1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES/SPECIAL ITEMS
RE: PROJECT NO.: 22236040 - DRY CREEK BASIN FLOOD CONTROL PROJECT
y'{
:
v1h {' 1YIvs..3., . ,nY
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
ATTN: OPAL DICK
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
215 NORTH MASON STREET 2ND FLOOR
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
P.O. BOX 580
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
FORT COLLINS, CO 80522-0580
CERTIFICATE.
MARSH USA INC
BY: Mk hlo Nekota ,c�tre,�,.Icc�c4L
r 4,.-.� r r rr , rr r-�. r ..v r r u:: h r r z;•, F ..', vy. ,y .•Li.4 ,. rF r , r .: -„
r 9��: v rrr S - " rr , �-::r.. S .
No Text