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HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (16)wlIs; ERTIFICAT�'�� ISSUE DYY) 6/2V200t3 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO Aon Risk Services, Inc. of Southern California RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 707 Wilshire Boulevard, Suite 6000 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Los Angeles, California 90017 (213) 630-3200 COMPANIES AFFORDING COVERAGE COMPANY LETTER A Insurance Company of the State of Pennsylvania CODE SUB -CODE COMPANY LETTER B National Union Fire Insurance Company INSURED EDAW, Inc. a Delaware Corporation COMPANYC 240 E. Mountain Avenue LETTER Fort Collins, CO 80524-2821 COMPANY LETTER D COMPANY E LETTER THIS IS TO CERTIFY THAT 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. THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE (MMDD/YY) DATE (Md/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ CLAIMS MADE OCCURRENCE PERSONAL &ADVERTISING INJURY $ OWNERS & CONTRACTORS PROTECTIVE EACH OCCURRENCE $ FIRE DAMAGE (ANY ONE FIRE) $ MEDICAL EXPENSE (MY ONE PERSON) $ AUTOMOBILE LIABILITY ANY AUTO CSL ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (PER PERSON) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (PER ACCIDENT) GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH AGGREGATE ':: _. _.........:. i:.::.: OCCURRENCE UMBRELLA FORM $ $ OTHER THAN UMBRELLA FORM $ $ A WORKERS' COMPENSATION WC4786252 (AOS) 7/1/2W6 4/1/2007 STATUTORY WC4786253 (CA) 7/1/2006 4/1/2007 ............. .._................_...::. $ 1,000 !EACH ACCIDENT) B AND WC4786577(WI,OH,WA,WY) 7/1/2006 4/1/2007 A EMPLOYERS'LIABILITY WC4786254(FL) 7/1/2006 4/1/2007 $ 1000 (DISEASE POLICY LIMIT) A WC4786576 (OR) 7/112006 4/1/2007 $ 1,000 (DISEASE EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS: EDAW-FC12627 RE: COMMUNITY HORTICULTURE CENTER - EDAW JOB #7FO8210. ALL OPERATIONS OF THE NAMED INSURED. A Waiver of Subrogation is afforded to the certificate holder where required by written contract. See attached Waiver of Subrogation endorsement. �tttftikA fidLn a OAR 4Lllltt7�t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City Of Fort Collins � 30 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFr, Purchasing DiVISIOn P.O..O. Box 580 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Bo Fort Collins, CO 80522-0580 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .SoY[�6jt 1ttC(Ri# 255 [3t88j ffiACf7#iIlCf]RPO#kh170tf !�B$ 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 7/1/2006 Policy No.: WC4786252 (AOS Endorsement No. Insured: AECOM TECHNOLOGY CORPORATION Insurance Company: Insurance Company of the State of Pennsylvania Countersigned by: Aon RidSerroices, Inc. ofSomAern Cdiforn8 Authorized Representative DATE w R Mtk � � w R l CAVE I N U L ISSUE 6/21/2006DD PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO Aon Risk Services, Inc. of Southern California RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 707 Wilshire Boulevard, Suite 6000 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Los Angeles, California 90017 (213) 630-3200 COMPANIES AFFORDING COVERAGE COMPANY LETTER A Insurance Company of the State of Pennsylvania CODE SUB -CODE COMPANY LETTER B National Union Fire Insurance Company INSURED EDAW, Inc. a Delaware Corporation COMPANY C 240 E. Mountain Avenue LETTER Fort Collins, CO 80524-2821 COMPANY LETTER D COMPANY E LETTER01 AA TvF THIS IS TO CERTIFY THAT 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. THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. cc TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE (MWDDNY) DATE (MMIDD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ CLAIMS MADE OCCURRENCE PERSONAL &ADVERTISING INJURY $ OWNERS & CONTRACTORS PROTECTIVE EACH OCCURRENCE $ FIRE DAMAGE (ANY ONE FIRE) $ MEDICAL EXPENSE (ANY ONE PERSON) $ AUTOMOBILE LIABILITY ANY AUTO CSL ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (PER PERSON) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (PER ACCIDENT) GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH AGGREGATE ::` ......._....<>..:.' OCCURRENCE UMBRELLA FORM' $ OTHER THAN UMBRELLA FORM' .............'.'; $ $ A WORKERS' COMPENSATION WC4786252 (AOS) 7/1/2006 4/112007 STATUTORxx A WC4786253 (CA) 7/1/2006 4/1/2007 $ 1,000 (EACHACCIDENT) B AND WC4786577 I,OH,WA, (W WY) 7/1l2006 4/1/2007 A EMPLOYERS' LIABILITY WC4786254 (FL) 7/1/2006 4/1/2007 $ 1,000 (DISEASE POLICY LIMIT) A WC4786576 (OR) 7/1/2006 4/1/2007 $ 1 0OD (DISEASE EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIRESTRICTIONS/SPECIAL ITEMS: EDAW.FC12629 RE: PROJECT #04030071.01 / OLD TOWN SQUARE PLAZA RENOVATIONS P-957. A Waiver of Subrogation is afforded to the certificate holder where required by written contract. See attached Waiver of Subrogation endorsement. ftCli+wAli± lfiffl pEt CANCELLA1t014 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City Of Fort Collins 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: John Stephen, Cppo/Senior Buyer P.O. Box 580 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY -: Fort Collins, CO 80522-0580 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �g ACOR 25 ......j3co 19a (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 7/1/2006 Policy No.: WC4786252 (AOS Endorsement No. Insured: AECOM TECHNOLOGY CORPORATION Insurance company: Insurance Company of the State of Pennsylvania Countersigned by: AmRh*Serviees, Inc. ofSoxdtern CaWmis Authorized Representative