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HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (17)7.IMl��a+/ hlw'CA�1ww ISSUE 6/21/2006DD
DATE (MrRT
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
240 E. Mountain Avenue
COMPANY
LETTER C
Fort Collins, CO 80524-2821
COMPANY
LETTER D
COMPANY
LETTER E
OVEftAIWS
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDD/YY)
POLICY EXPIRATION
DATE (MM/DOf/YJ
ALL LIMITS IN THOUSANDS
GENERAL LIABILITY
GENERAL AGGREGATE
$
COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OPS AGGREGATE
$
CLAIMS MADE OCCURRENCE
PERSONAL B ADVERTISING INJURY
$
OWNERS 8 CONTRACTORS PROTECTIVE
EACH OCCURRENCE
$
FIRE DAMAGE (ANY ONE FIRE)
$
MEDICAL EXPENSE (ANY ONE PERSON)
$
AUTOMOBILE LIABILITY
ANYAUTO
CSC
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
OCCURRENCE
AGGREGATE
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
A
A
B
WORKERS' COMPENSATION
AND
WC4786252 (AOS)
WC4786253 (CA)
WC4786577 I,OH,WA,
(W WY)
7/1/2DD6
7/1/2006
7/1/2006
4/1/2007
411 /2007
4!1/2007
STATUTORY
$ 1000 (EACHACCIDEHT)
A
A
EMPLOYERS' LIABILITY
WC4786254 (FL)
WC4786576 (OR)
7/1/2006
7/1/2006
4/1/2007
4/1/2007
$ 1,000 (DISEASE POLICY LIMIT)
$ 1,000 (DISEASE EACH EMPLOYEE)
OTHER
:77 1
1
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIRESTRICTIONS/SPECIAL ITEMS: EDAW-FC12628
RE: PROJECT #4F002.01 / GARDENS ON SPRING CREEK CHILDREN'S GARDEN. A Waiver of Subrogation is afforded to the certificate holder where required by written
contract. See attached Waiver of Subrogation endorsement.
ttIIC1kT HffEl>F2 CJihtCkiLICiION
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: James B. O'Neill li
Director Of Purchasing Risk Mgmt. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
P.O. BOX 580> OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Fort Collins, CO 80622-0580 AUTHORIZED REPRESENTATIVE
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A�C[if� J'i�i�5[3I8B) �ALL;IfRfi#�?RPk7�iiLTlOAf 8�;
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 RiskServices, Inc. ofSoudem Califomis
Authorized Representative