HomeMy WebLinkAboutURS CORPORATION - INSURANCE CERTIFICATE (3)DATE
ACORO. CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 01/03/2006
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis North America, Inc. - Regional Cart Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 305191
Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC#
INSURED URS Corporation INSURERA: National Union Fire Ins Co of Pittsburgh 19445-100
600 Montgomery Street, 25th Floor INSURERB: American International South Insurance Cc 40258-001
San Francisco, CA 94111
INSURERC: Insurance Company of the State of PA 19429-100
INSURERD: Lexinoton Insurance Company 19437-000
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
DD' NSRTYPE
OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
DATE (MM/DOfYY1
POLICY EXPIRATION
DATE (MWDOMI
LIMITS
A,
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
GL7061033
4/1/2005
4/l/2006
EACHOCCURRENCE
00 000
DAMI NTEI
PREMISES EaEoccurence
OO 000
MED EXP(Anyone person)
5,000
CLAIMS MADE X❑ OCCUR
PERSONAL& ADV INJURY
11000,000
r$2,000,000
X XCU, BFPD
X
Contractual Liability
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG0O
000
POLICY X PRO LOC
A
A
AUTOMOBILE
LIABILITY
ANYAUTO
CAS262024
CAS262037
4/l/2005
4/l/2005
4/l/2006
4/l/2006
COMBINED SINGLE LIMIT
(Eaamident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
A,
A
ALL OWNED AUTOS
SCHEDULEDAUTOS
CA8262038
CAS262025
4/l/2005
4/l/2005
4/1/2006
4/l/2006
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GAR AGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHERTHAN EAACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACHOCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
DEDUCTIBLE
$
RETENTION $
A
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
CA 1359815
GA 1359816
l/l/2006
l/l/2006
l/l/2007
l/l/2007
TH-
X TNCY STATIMT OEEL
E.L. EACH ACCIDENT
_
$ 11000,000
E.L. DISEASE -EA EMPLOYEE
$ 1 000 000
C
OFFICERIMEMBEREXCLUDED?
SPEC 1359817
l/l/2006
l/l/2007
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
C
It yes, describe under
SPECIAL PROVISIONS below
ADS 1359818
l/l/2006
1 1 2007
D
OTHER
1155287EO
4/l/2005
4/l/2006
Professional Liability
$1,000.000. Each Claim
W/Limited Contractual -
$1,000,000. Aggregate
Claims Made Policy
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTBPECIAL PROVISIONS
RE: Project No.: 22236040 - Dry Creek Basin Flood Control Project
L:tM I II_IUA I t
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Opal Dick IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
215 North Mason Street
2nd Floor RE RESENTATIVES.
P.O. Box 580 kUlYDRIZED REPRESS ATIBj VE
Fort Collins, CO 80522-0580 Y'V"`^
WA A
ACORD 25 (2001108) Coll:1499172 Tpl:453285 Cert:67 3040 0ACORD ORPORATION1988
Page 2 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001108) Co11:1499172 Tp1:453285 Cert:6773040