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Home My WebLink AboutURS - INSURANCE CERTIFICATE (3)+' �. EA 000662319 03 S - c. PRODUCER THIS CERTIFICATE 19 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 AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO. COMPANY 1 DyyINSURANCE CO.OF THE STATE OFy rPA 1�!By j i viwµ�n .v7,lri 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 (MM/DD/YY) 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,DOO X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR PERSONAL &ACV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any we fire) $ 1,000,000 MEDEXP (Any one person) $ 5,000 A AUTOMOBILE LIABILITY X ANY AUTO 826-1679 AOS 04/01/04 04/01/05 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Par perscn) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (per eccidwo $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTYOAMAGE $ GARAGE LIABILITY - AUTO ONLY. EA ACCIDENT $ ANY AUTO - OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ $ OTHER THAN UMBRELLA FORM A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 6436093(CA) 6436094(AOS) 01/01/04 01/01/04 01/01)05 01/01/05 X WCSTATU- TORY LIMITS OTH ER EL EACH ACCIDENT $ 1,000,000 A THEPROPRIETOR/ X INCL PARTNER9/EXECUTIVE 6436095 EXCLUD.CA,AOS,GA 01/01/04 01/01/05 EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1000000 E OFFICERSARE: EXCL 6436096(GA) 01/01/04 01/01/05 OTHER C PROF. LIABILITY(E&O) 819-4168 04/01/04 04/01/05 EACH CLAIM $1,OW,000 CLAIMS MADE FORM AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE: PROJECT NO.: 22236040 - DRY CREEK BASIN FLOOD CONTROL PROJECT WHM(1_1n�E1'l:'I NiR . 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, GO 80522-0580 CERTIFICATE. MARSH USA INC n ^ \L BY: Mbhb Nekota bU.lit.rnl 03131/04F'i No Text . CERTIFICATE NUMBER SEA•000607074-05 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- TX AUS 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 AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO. COMPANY D N/A r _0WAA09 �1 �S .ELLiG :l n�'�4 $14884FdiBM1 IGf , .;; ... . THIS IS TO CERTIFYTHAT 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 (MM/DD/YY) 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 AGG $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 OWNER'S 8 CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any me person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILYINJURV (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (per accidenp $ HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ $ OTHER THAN UMBRELLA FORM - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I WC STATU- OTH TORY LIMITS ER EL EACH ACCIDENT $ THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL EL DISEASE -POLICY LIMIT $ - EL DISEASE -EACH EMPLOYEE $ OFFICERS ARE: EXCL OTHER C PROF. LIABILITY(E80) 819-4168 04/01/04 04/01/05 EACH CLAIM $1,000,000 CLAIMS MADE FORM AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/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. ci;+CiiAT#U41��R ' IA14111t1N ' SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL 0010DDSIM MAIL 30 DAYS P.O. BOX 580 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN) FORT COLLINS, CO 80522 leocxx/oc MARSH USA INC n \ q BY: Mk:hio Nekota ICGcIQ.�N�K.oL VALIDAS OF 00/31/04 II DATE (MM/DD/YY) 03131 /04 PRODUCER MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 COMPANY SAN FRANCISCO, CA 94119-3880 E CALIFORNIA LICENSE NO. 0437153 COMPANY URSA-F-ALL.W/PRO- TX AUS URS N/A INSURED URS CORPORATION COMPANY 600 MONTGOMERY STREET G 25TH FLOOR SAN FRANCISCO, CA 94111 COMPANY H TJ l(TXXXXXXX POLICY NUMBER. GL 933-3116 COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 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' AND AS EVIDENCED BY CERTIFICATE OF INSURANCE ON FILE WITH COMPANY (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 INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS, THE FOLLOWING EXCLUSION IS ADDED: 2. EXCLUSIONS: THE INSURANCE DOES NOT APPLY TO "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURRING AFTER: (1) ALL WORK, SERVICE, MAINTENANCE LING OR RIALSPARTS OR EPAIRS) TO BE PERFOPMENT FURNISHED IN RMED BY OR ON BEHALF OF THION E ADDITIONAL ITH H WORK, ON THE PROJECT INSURED(S) S) AT THE SITE O(OTHER THAN 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. CG 20 10 10 01 CITY OF FORT COLLINS P.O. BOX 580 FORT COLLINS, CO 80522 MARSH USA INC. l n L BY: Mbhb Nekota WX.o DATE (MM/DD/YY( 03/31 /04 PRODUCER MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 COMPANY SAN FRANCISCO, CA 94119-3880 E CALIFORNIA LICENSE NO.0437153 COMPANY URSA-F-ALL-W/PRO- TX AUS URS F INSURED URS CORPORATION COMPANY 600 MONTGOMERY STREET G 25TH FLOOR SAN FRANCISCO, CA 94111 POLICY NUMBER: GL 933-3116 N/A 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 COMPANIES AFFORDING COVERAGE COMMERCIAL GENERAL LIABILITY CG 20 37 10 01 SCHEDULE NAME OF PERSON OR ORGANIZATION: WHERE REQUIRED BY "INSURED CONTRACT" AND AS EVIDENCED BY CERTIFICATE OF INSURANCE ON FILE WITH COMPANY. IF NO ENTRY APPEARS ABOVE, INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS 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'. RE: RIGHT-OF-WAY CONTRACTOR'S LICENSE PRIMARY INSURANCE: IT IS AGREED THAT SUCH INSURANCE AFFORDED BY THIS POLICY(IESP IS PRIMARY AND NON-CONTRIBUTORY WITH THE INSURANCE MAINTAAIN D BY THE ADDITIONAL INSURED BUT ONLY WITH RESPECT TO THE WORK PERFORMED BY THE NAMED INSURED. CITY OF FORT COLLINS P.O. BOX 580 FORT COLLINS, CO 80522 MARSH USA INC. n' n BY. Mk:hioNekota rArerc �i.Qo(_