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Home My WebLink AboutURS - INSURANCE CERTIFICATE (4)................................. ................................... CERTIFICATE NUMBER SEA-000662319-02 PRODUCER MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 SAN FRANCISCO, CA 94119-3880 CALIFORNIA LICENSE NO. 0437153 URSA-F-ALL-W/PRO- CO DEN 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 8 AMERICAN HOME ASSURANCE CO COMPANY 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 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 TER TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS - A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR OWNER'S & CONTRACTOR'S PROT GL933-2537 OM'01/03 04,'Ol/04 GENERAL AGGREGRATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ PERSONAL & ADV INJURY _2,000,000 $ EACH OCCURRENCE _1,000,000 $ 1,000,000 FIRE DAMAGE (Any one tire) $ 1,000,000 MED EXP (Any one person) $ 5,000 A A B X X X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS 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 acadenn $ 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 $ S 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 01l01/05 01/01/05 01/01/05 X I WC STATU- OTH LLy+1,000,000 EL EACH ACCIDENT $ EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1000,000 C0 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/LOCATIONS/VEHICLES/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 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 I Michio Nekota DATE (MM/DD/Y) 12/30/03 PRODUCER MARSH RISK & INSURANCE SERVICES P. O. BOX 193880 SAN FRANCISCO, CA 94119-3880 CALIFORNIA LICENSE NO. 0437153 URSA-F-ALL-W/PRO- CO DEN URS 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 COMPANY E COMPANY F COMPANY G COMPANY COMPANIES AFFORDING COVERAGE AMERICAN INTERNATIONAL SOUTH INSURANCE CO. MARSH USA INC. BY: Mlchlo Nekota ZC4-' "L- ........................................................................... CERTIFICATE NUMBER SEA-000607074-04 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- TX AUS URS A NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA, INSURED COMPANY URS CORPORATION B N/A 600 MONTGOMERY STREET 25TH FLOOR COMPANY SAN FRANCISCO. CA 94111 C AMERICAN INTERNATIONAL SPECIALTY LINES INS. CO. COMPANY D N/A CE►Y pAt3 9V: T#Its�aBr111catssup� 2 edesBRdisievlDusly suesls It Cateror>ITe�oilcl!FsrbdnotetlbeiGW. p.-CRAWypr 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MWDDIYY) DATE (MMIDD(YY) A GENERAL LIABILITY GL338.2537 04101,'0 3 04.'01 /C4 GENERAL P.GGREGRATE 5 2.000000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE �X OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 OWNER'S &CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire! $ 1,000,000 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ (pera INJURY (Per ccidenq $ PROPERTY DAMAGE $ GARAGE LIABILITY ANYAUTO AUTO ONLY- EA ACCIDENT $ OTHER THAN AUTO ONLY EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL WC STATU- TORY LIMITS I OTH I ER ..;:<:..... f. EL EACH ACCIDENT $ EL DISEASE -POLICY LIMIT $ EL DISEASE -EACH EMPLOYEE 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/LOCATIONS(VEHICLES/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 MOXXQ1003 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, )9U0IX oa�aGaxxxMeoseoa�>�Rxx�m®c®a�er�c>aF�ttx>eooxX�oN�ooBcxxxx XXI®Rt7p19(S HSX X)0(mwXxXXX B&mS1BfSXXHXXXXXXXXXXXXXXXXXXxXxxxxxxxxxxxxxxxxxxxxxxxX)CXXXXXXXXXXxxxxxx MARSH USA INC A(/.�T...�I"L_ BY: Mlchlo Nekota DATE (MM/DD/YY) 12/30/03 PRODUCER COMPANIES AFFORDING COVERAGE 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 INSURED URS CORPORATION 600 MONTGOMERY STREET 25TH FLOOR SAN FRANCISCO, CA 94111 COMPANY COMPANY G COMPANY POLICY NUMBER: GL 933-25-37 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, INCLUDING MATERIALS, PARTS OR EQUIPMENT FURNISHED IN CONNECTION WITH SUCH WORK, ON THE PROJECT (OTHER THAN SERVICE, MAINTENANCE OR REPAIRS) TO BE PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSURED(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. CG 20 10 10 01 CITY OF FORT COLLINS P.O. BOX 580 FORT COLLINS, CO 80522 MARSH USA INC. BY: Michio Nekota DATE (MM/DD/Y) 12l30/03 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 COMPANY POLICY NUMBER: GL 933-25-37 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((IES IS PRIMARY AND NON-CONTRIBUTORY WITH THE INSURANCE MAINTAINED 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 BY: Michio Nekota