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HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCEACORD,. CERTIFICATE OF LIABILITY INSURANCE 4/1/2010 DATE IMM/DD/YYYY) 4/1/2009 PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 550 CA License #0F1 5767 Irvine 92612 949-252A400 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED AECOM Technology Corporation 1075642 EDAW, Inc. a Delaware Corporation 240 E. Mountain Avenue Fort Collins CO 80524-2821 INSURER A: I revelers Property Casually Company oCADledca 25674 INSURER B' ---- INSURER C — INSURER D' INSURER E' COVERAGES AEC1 E01 OE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERISI. AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. 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 ADDT POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ XXXXXXX COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR NOT APPLICABLE DAMAGE TO RENTED PREMI ES paoccurence $ XXXXXXX MED EXP (Any one person) $ XXXXXXX PERSONAL B ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ XXXXXXX RO- PECT POLICV JF-ILOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS NOT APPLICABLE BODILY INJURY (Per accident) $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ XXXXXXX• GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN BA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR 0 CLAIMS MADE AGGREGATE $ XXXXXXX $ XXXXXXX UMBRELLA NOT APPLICABLE $ XXXXXXX DEDUCTIBLE I FORM $ XXXXXXX RETENTION $ A WORKERS COMPENSATION AND TRJUB-4245B231-T11:09 4/l/2009 41I2010 X wPy LIMITS OER A A EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE OFFICEILMEMBEREXCLUDED? (AZ,MA,OR,WI) 1 C2JUB-4245B22A-FIL-09 4/1/2009 4/1/2009 4/1/2010 4/1/2010 E L EACH ACCIDENT $ I000�00 E.L. DISEASE - EA EMPLOYEE 1,000,000 A If yes, desenoe ender SPECIAL PROVISIONS below IVO All Other States ( ) 4/1/2009 4/1/2010 G.L. DISEASE -POLICY LIMIT _$ 1 $ 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: City of Fort Collins P1099 Urban, Environmental, and Land Use EDAW Project 908030029.01 (as -needed) .5040441 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: James B. O'Neill — Director of Purchasing/R NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522-0580 REPRESENTATIVES. AUTHORIZED FERRIES ACORD 25(2001/081 For questions regarding this e<reeente, eomreune numberlistea in the rrromore socrlon rbeve red 461, rile er aoa AECTEor. © ACORD CORPORATION 1988 ACORD,„ CERTIFICATE OF LIABILITY INSURANCE 4/1/2010 DATE IMMIDDIYYTY) 4/1/2009 PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 550 CA License #OF15767 Irvine 92612 949-252-4400 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED AECOM Technology Corporation 1075642 EDAW, Inc. a Delaware Corporation 240 E. Mountain Avenue Fort Collins CO 80524-2821 INSURER A', Travelers Properly Casualty Company of America 25674 INSURER B. ----- --- INSURER C NSURER D: NSURER E: COVERAGES AECTE01 OE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN S AUTHORIZE EPR E IV'OPRODUCER N HE CERTIFICATE HOLDER. 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 ADVL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE IMMIDDlYY) DATE(MM/DDNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ XXXXXXX COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR NOT APPLICABLL FIR EM SESO(Ea oNcorencel $ XXXXXXX MED EXP (Any one person) $ XXXXXXX PERSONAL &ADV INJURY $ XXXXXXX GENERALAGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ XXXXXXX PRO- POLICV JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS NOT APPLICABLE-' BODILY INJURY (Per accident) $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - FAACCIDENT $ XXXXXXX ANY AUTO 0 NOT APPLICABLL OTHER THAN FA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR CLAIMS MADE AGGREGATE $ XXXXXXX UMBRELLA NOTAPPIICABLE $ XXXXXXX $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ A WORKERS COMPENSATION AND TRJU13-4245B231-TIL-09 4/I/2009 4/1/2010 �{ WC STATu- OTH- Y LIMITS R A A EMPLOYERS'LIABILITY ANY PROPRIETORJPARTNERJEXECUTIVE OFFICERRAEMaEREXCLUDCW (AZ,MA,OR,WI) II.2JUB-42451322A-111:09 4/1/2009 4/1/2009 4/1/2010 4/1/2010 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 A If yes, describe under SPECIAL PROVISIONS below No (All Other States \ 4/1/2009 4/1/2010 E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE PROJECT i104030071.01 / OLD'I'OWN SQUARE PLA7A RENOVATIONS P-957. A Waiver of Subrogation is afforded to the certificate holder where required by written contract. See attached Waiver of Subrogation endorsement. CERTIFICATE HOLDER CANCELLATION IM1004711 2831300 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn: John Stephen, Cppo/Senior Buyer NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.O. Box 580 Fort Collins, CO 80522-058 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES a�w ACORD 25(2001/08) For questions regarding this cerercate, contact tire.umbar listed in the Producer second above and.,&N, the CiW.d/AECTEot'. 0 ACORD CORPORATION 1988 TRAVELERS WORKERS COMPENSATION AND F,MPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) POLICY NUMBER: TC2JUB-4245B22A-TIL-09 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 DESIGNA:ED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS 'TO FURNISH THIS WAIVER Miscellaneous Attachment: M 100471 Certificate 1D : 2831300