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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