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HomeMy WebLinkAbout453542 AECOM INC - INSURANCE CERTIFICATE (4)DATE A CORD- CERTIFICATE OF LIABILITY I N S U RAN C E 04/01/ M/DD/YYYY) 4/01 /2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh Risk & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CA License #0437153 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 777 South Figueroa Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Los Angeles, CA 90017 Attn: Lori Bryson (213)-346-5464 06510-AECOM-CAS-09-10 AEUSA AFAAK NEW NY INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Insurance Company 16535 AECOM USA, Inc. f/k/a DMJM+HARRIS, Inc. INSURER B: 717 Seventeenth Street INSURERC: Illinois Union Insurance Co 27960 Denver, CO 80202-3330 INSURER D: N/A N/A INSURER E: welyj A:71TO MW 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 LTR ADD' INSR� TYPE OF INSURANCE POLICY NUMBER OLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DDIYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY GLO 5965891 01 04/01/09 04/01/10 EACH OCCURRENCE 500 00 DAMAGE TO RENTED PREMISES Ea occurence $ 500,00 MED EXP (Any one person) $ 5,00 CLAIMS MADE � OCCUR PERSONAL & ADV INJURY $ 500,00 GENERAL AGGREGATE $ 500,00 GENERAL AGGREGATE LIMIT APPLIES PER POLICY PROJECT LOC. PRODUCTS - COMP/OP AG $ 500,00 A AUTOMOBILE X LIABILITY ANY AUTO BAP 5965893 01 04/01/09 04/01/10 COMBINED SINGLE LIMIT (Ea accident) $ 500,0010 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY.DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 71 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYE RS'LIABILITY .L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ DISEASE -POLICY LIMIT If yes, describe under SPECIAL PROVISIONS below .L. C OTHER EON G21654693 04/01/09 04/01/10 $1,000,000 ARCHITECTS & ENG. CLAIMS MADE"" PER CLAIM/AGGREGATE PROFESSIONAL LIAB. DEFENSE INCLUDED DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 60096856 Final Design of SH392 The City, its officers and employees NAMED AS ADDITIONAL INSURED FOR GL & AL COVERAGES, BUT ONLY AS RESPECTS WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. for any claims arising out of work performed under this Agreement CERTIFICATE HOLDER LOS-000798972-17 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins, Purchasing Dept. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL P.O. Box 580 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Fort Collins, CO 80522 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND THE INNESURER, ITS AGENTS OR REPRESENTATIVES. HUPOZN�p R Aof MaRrsh RiskE& Insurance SBNicBs David Denihan ACORD 25 (2001 /08) 0 AL;UKU GUKI-UMA 11UN I V66 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. Ravpma of Paap 1 ACORD. CERTIFICATE OF LIABILITY INSURANCE 4/1/2010 DATE (MM/DD/YYYY) 4/1/2009 PRODUCER Lockton Insurance Brokers, LLC 19800 MacArthur Blvd., Suite 550 CA License #OF15767 Irvine 92612 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. 949-252-4400 INSURERS AFFORDING COVERAGE NAIC # INSURED AECOM Technology Corporation Corporation INSURER A : Travelers Property Casualty Company of America 25674 INSURER B : 1075642 EDAW, Inc. a Delaware 240 E. Mountain Avenue Fort Collins CO 80524-2821 INSURER C : INSURER D : INSURER E : COVERAGES AEC 1 1 01 OE THIS CERTIFICATE OF INSURANCE DUES NU t GUNS I I t U I E A GUN I KAG I tit- I WEtN I HE ISSUING INSURER(S). 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 ADUL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ XXXXXXX COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED _PREMISES Ea occurence - $ XXXXXXX - _ _ CLAIMS MADE OCCUR _ NOT APPLICABLE MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX If-- GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ XXXXXXX PRO - POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ XXXXXXX BODILY INJURY (Per person) $ XX —XXX '( 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 NOT APPLICABLE ANY AUTO OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR CLAIMS MADE AGGREGATE $ XXXXXXX $ XXXXXXX UMBRELLA NOT APPLICABLE $ XXXXXXX DEDUCTIBLE FORM $ XXYX XXXX( ( RETENTION $ • WORKERS.COMP.ENSATION AND _ _ TRJUB-4245B23 I-TIL-09 4/l/2009 4/1/2010 X I WC STATU- OTH- TORYLIMITS ER` A A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (AZ,MA,OR,WI) TC2JUB-4245B22A-TIL-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>000000 A If yes, describe u der SPECIAL ROVISIONSbelow No (All Other States) 4/1/2009 4/1/2010 E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: City of Fort Collins P 1099 Urban, Environmental, and Land Use EDAW Project #08030029.01 (as -needed) aocv"w I 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 SO 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 REPRES I ACORD 25 (2001108) For questions regarding this certificate, contact the number listed in the 'Producer' section above and spicify the cli coe AECTEor. © ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE 4w2010 DATE (MM/DD/YYYY) 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 AECOM USA, Inc. 71717th Street, 5th Floor Denver CO 80202-0202 INSURER A : Travelers Property Casualty Company of America 25674 INSURER B: INSURER C : INSURER D : INSURER E : COVERAGES AL' l 1 E01 OE THIS CERTIFICATE OF INSURANCE UUtS NU I I:UNJ I I I U It A GUN I KAL; l t3t I WEEN 1 HE 155UINU INSURERS AUTHOR ZED 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ XXXXXXX C_OM_MERCIAL GENERAL LIABILITY -. _ _ DAMAGE TO RENTED PREMISES Ea ocr�urence ---- - $ XXXXXXX CLAIMS MADE DOCCUR NOT APPLICABLE MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ XXY—XXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ XXXY-XXX PRO- PRO- JECTri POLICY LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ XXX��XX BODILY INJURY (Per person) $ XXX)CXXX ALL OWNED AUTOS SCHEDULED AUTOS NOT APPLICABLE BODILY INJURY (Per accident) $ XYIXXXXX HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX NOT APPLICABLE ANY AUTO OTHER THAN EA ACC $ XXX)CXXX AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR CLAIMS MADE AGGREGATE $ XXXXXXX XXX$ $ XXXX UMBRELLA NOT APPLICABLE XXXXXXX DEDUCTIBLE FORM $ XXX CXXX RETENTION $ A . WORKERS.COMPENSATION AND TRJUB-4245B231-TIL-09 4/1/2009 4/1/2010 X WC STATU- OTH- TORY LIMITS ER - A A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (AZ,MA,OR,WI) TC2JUB4245B22A-TIL-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 If yes,A SPEC describe PROVISIONS No SPECIAL PROVISIONS below (All Other States) 4/l/2009 4/1/2010 E. L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 60096856 Final Design of SH392 10465388 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins, Purchasing Department DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN P.O. Box 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Fort Collins CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESERTATIV ACORD 25 (20011081 For questions regardinq this certificate, contact the number listed in the 'Producer' section above and siACity the ciiWcode/AECTEoi'. ©ACORD CORPORATION 1988