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Home My WebLink AboutURS CORP - INSURANCE CERTIFICATECERTIFICATE NUMBER SEA-000607074-08 PRODUCER MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 SAN FRANCISCO, CA 94119-3880 CALIFORNIA LICENSE NO. 0437153 URSA-F-ALL-W/PRO- TX AUS URS INSURED URS CORPORATION 600 MONTGOMERY STREET 25TH FLOOR SAN FRANCISCO, CA 94111 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 AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA. COMPANY B N/A COMPANY C AMERICAN INTERNATIONAL SPECIALTY LINES INS, CO. COMPANY D N/A 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 MAY BE 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 (MMIDDNY) POLICY EXPIRATION DATE (MM/DD(YY) LIMITS A GENERAL LIABILITY GL933-3116 04/01/04 04/01/05 GENERAL AGGREGRATE $ 2,000,000 PRODUCTS-COMP/OP AGO $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR PERSONAL & ADV INJURY $ 1,000,DD0 EACH OCCURRENCE $ 1,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (per accident) $ HIREDAUTOS NON-OWNEDAUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY r EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH TORY LIMITS ER 777777777777 EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT $ EL DISEASE -EACH EMPLOYEE $ OFFICERS ARE: EXCL OTHER C PROF(E&O)LIABILITY 819.4168 04/01/04 04/01/05 EACH CLAIM $1,000,000 CLAIMS MADE FORM AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE: RIGHT-OF-WAY CONTRACTOR'S LICENSE. THE CITY OF FORT COLLINS IS INCLUDED AS AN ADDITIONAL INSURED AGAINST ANY LIABILITY ARISING OUT OF THE OWNERSHIP, MAINTENANCE OR USE OF THAT PART OF THE AREA PERTAINING TO THE RIGHT-OF-WAY. CITY OF FORT COLLINS P.O. BOX 580 FORT COLLINS, CO 80522 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL W4EKXIODRUW MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, DQXWXX8 1XXXMWA)9M OOKKD RDUOMNa OUDOPg a XXxx XKRN1ttOgXBX)OGfl�ll(B&.jC tS8)c xxxx CM)PUMKXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxxxxmmxxxxxxxxx MARSH USA INC �' n BY: Michlo Nekota DATE (MMDYY) 12/27/04 PRODUCER MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 COMPANY SAN FRANCISCO, CA 94119-3880 E NIA CALIFORNIA LICENSE NO. 0437153 URSA-F-ALL-W/PRO- TX AUS UPS COMPANY F INSURED URS CORPORATION COMPANY 600 MONTGOMERY STREET G 25TH FLOOR SAN FRANCISCO, CA 94111 COMPANY H Note: This is the usual form we use and it fulfills the legal requirement of Form CG2010 11 85. POLICY NUMBER: GL 933-3116 COMPANIES AFFORDING COVERAGE COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: WHERE REQUIRED BY INSURED CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II - Who Is An Insured is amended to (1) All work, including materials, parts or include as an insured the person or organization equipment furnished In connection with shown in the Schedule, but only with respect to such work, on the project (other than liability arising out of your ongoing operations service, maintenance or repairs) to be performed for that insured. performed by or on behalf of the additional B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusion This insurance does not apply to "bodily in- jury" or "property damage occurring after: insure-d(s) at the site of the covered operations has been completed; or (2) That portion of "your work' out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. PRIMARY INSURANCE Such insurance as is afforded by this endorsement for the additional insureds shall apply as primary insurance. Any other insurance maintained by the additional insureds or its officers and employees shall be excess only and not contributing negligence on part of the additional insureds. CG20101001 CITY OF FORT COLLINS P.O. BOX 580 FORT COLLINS, CO 80522 MARSH USA INC. .lG/.Kr-��IG�.�o.L._ ev: Mk:hlo Nekota DATE (MM/DO/YY) 12/27/04 PRODUCER MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 COMPANY SAN FRANCISCO, CA 94119-3880 E N/A CALIFORNIA LICENSE NO.0437153 URSA-F-ALL-W/PRO- Tx AUS URS COMPANY F INSURED URS CORPORATION COMPANY 600 MONTGOMERY STREET G 25TH FLOOR SAN FRANCISCO, CA 94111 COMPANY H Note: This is the usual form we use and it fulfills the legal requirement of Form CG2010 11 85. POLICY NUMBER: GL 933-3116 COMPANIES AFFORDING COVERAGE COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: WHERE REQUIRED BY WRITTEN CONTRACT Location And Description of Completed Operations: Additional Premium: 0 (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement. Section II - Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products -completed operations hazard". PRIMARY INSURANCE Such insurance as is afforded by this endorsement for the additional insureds shall apply as primary insurance. Any other insurance maintained by the additional insureds or its officers and employees shall be excess only and not contributing negligence on part of the additional insureds. CG 20 37 10 01 RE: RIGHT-OF-WAY CONTRACTOR'S LICENSE PRIMARY INSURANCE: CITY OF FORT COLLINS P.O. BOX 580 FORT COLLINS, CO 80522 MARSH USA INC. BY: Michio Nekota 2,4a.. �n/� " L_ No Text CERTIFICATE NUMBER SEA-000662319-06 PRODUCER MARSH RISK & INSURANCE SERVICES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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 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 19 SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T LR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXJ OCCUR OWNER'S & CONTRACTOR'S PROT GL933-3116 04/01/04 04/01/05 GENERAL AGGREGRATE $ 2,000,000 PRODUCTS COMP/OP AGG $ 2,000,000 PERSONAL & AOV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 1.000,000 MED EXP (Any we person) $ 5,000 A B A X X X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 826.1679 AOS 826-1680 MA 826-1681 TX 04/01/04 04/01/04 04/01/04 04/01/05 04/01/05 04/01/05 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (per accident) $ 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 D E WORKERS COMPENSATION AND EMPLOYERS'LIABILITY THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL 7155121 (CA) 7155122 AOS ( ) 7155118 EXCLUD.CA,AOS,GA 7155119(GA) 01/01/05 01/01/05 01/01/05 01/01/05 01/01l06 01/01/06 01/01/06 101/01/06 X WC STATU- ER 9 3 EL EACH ACCIDENT EACH ACCIDENT $ 1,000,000 EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1000000 C OTHER PROF(E&O)LIABILITY CLAIMS MADE FORM 819.4168 I04/01/04 04/01/05 EACH CLAIM $1,000,000 AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/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 TO MAIL 31 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 �� n �) n BY: Michio Nekota A,L/,xt.,..l"L_ No Text